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Coagulation Cascade - Platelets
Coagulation Cascade - Platelets
17
Medical
Undergraduate 2
03/24/2012

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Cards

Term
Platelet Definition
Definition
cellular fragments that arise from megakaryocytes
Term
Platelet Function
Definition

adherence, platelets stick to vessel injury

 

aggregation, platelets stick to each other

Term
Resting Platelets Description
Definition

204 micrometers

 

oval/disc shape

 

two zones; hyalomere and granulomere

Term
Activated Platelets Description
Definition

size is relatively the same as resting platelet

 

large number of pseudopods develop

 

granular components are expelled during activation

Term
Granulomere Contents
Definition

alpha granules

 

delta granules, aka dense bodies

 

each contains different substances that play roles in coagulation and inflammatory response

Term
Alpha Granule Contents
Definition

platelet dervied growth factor

 

endothelial growth factor

 

fibronectin

 

plasminogen

 

thrombospondin

Term
Dense Granule Contents
Definition

ADP

 

ATP

 

serotonin

 

calcium & magnesium ions

Term
Platelet Activation
Definition

occurs due to agonists

 

agonist binds to membrane receptor

 

binding causes G-protein activation

 

shape change and release of granules occurs

Term
Platelet Receptor GPIA-IIA
Definition

directly binds to collagen

 

plays a role in adherence

Term
Platelet Receptor GPIB-IIIA
Definition

directly binds to vonWillebrands factor

 

plays a role in adherence

Term
Platelet Receptor GPIIB-IIIA
Definition

binds to fibrinogen and vonWillebrands factor

 

plays a role in aggregation

 

start off as two separate glycoproteins

Term
Platelet Activation Process
Definition

G-protein complex activates phopholipase A2

phospholipase A2 leads to breakdown of phosphatidyllinositol to arachidonic acid

thromboxane A2 is produced

thromboxane A2 causes cAMP decrease

calcium is released from dense tubular systems

Term
Platelet Adherence
Definition

initial phase of primary hemostasis

 

vessel damage exposes collagen

 

collagen is the agonist

Term
Platelet Adherence Within Veins
Definition
platelets bind directly with collagen via GP Ia/IIa
Term
Platelet Adherence Within Arterial and Capillary Circulation
Definition

vWF binds directly to collagen and forms a coating

 

platelets bind to vWF via GP Ib/IX

Term
von Willebrand Factor
Definition

glycoprotein

 

forms bridge between exposed collagen and glycoprotein receptor on platelet surface

 

stabilizes initial platelet adhesion

Term
Platelet Aggregation
Definition

secondary phase of primary platelet plug formation

 

facilitated primarily by GP IIb/IIIa which doesn't form until after activation

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