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Ex vivo anticoagulants affect human blood platelet biomechanics with implications for high-throughput functional mechanophenotyping.

Authors:
Laura Sachs Jan Wesche Lea Lenkeit Andreas Greinacher Markus Bender Oliver Otto Raghavendra Palankar

Commun Biol 2022 01 21;5(1):86. Epub 2022 Jan 21.

Institute for Immunology and Transfusion Medicine, University Medicine Greifswald, Fleischmannstr.8, 17475, Greifswald, Germany.

Inherited platelet disorders affecting the human platelet cytoskeleton result in increased bleeding risk. However, deciphering their impact on cytoskeleton-dependent intrinsic biomechanics of platelets remains challenging and represents an unmet need from a diagnostic and prognostic perspective. It is currently unclear whether ex vivo anticoagulants used during collection of peripheral blood impact the mechanophenotype of cellular components of blood. Using unbiased, high-throughput functional mechanophenotyping of single human platelets by real-time deformability cytometry, we found that ex vivo anticoagulants are a critical pre-analytical variable that differentially influences platelet deformation, their size, and functional response to agonists by altering the cytoskeleton. We applied our findings to characterize the functional mechanophenotype of platelets from a patient with Myosin Heavy Chain 9 (MYH9) related macrothrombocytopenia. Our data suggest that platelets from MYH9 p.E1841K mutation in humans affecting platelet non-muscle myosin heavy chain IIa (NMMHC-IIA) are biomechanically less deformable in comparison to platelets from healthy individuals.

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http://dx.doi.org/10.1038/s42003-021-02982-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8782918PMC
January 2022

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