Influence of different methods and anticoagulants on platelet parameter measurement

Platelets are the smallest and perhaps the most versatile components of human blood. Besides their role in coagulation and the maintenance of vascular integrity, they are involved in many physiological processes, ranging from immune response and leukocyte recruitment to the production of antimicrobi...

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Main Author: Mannuß Steffen
Format: Article
Language:English
Published: De Gruyter 2020-10-01
Series:Journal of Laboratory Medicine
Subjects:
Online Access:https://doi.org/10.1515/labmed-2020-0037
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author Mannuß Steffen
author_facet Mannuß Steffen
author_sort Mannuß Steffen
collection DOAJ
description Platelets are the smallest and perhaps the most versatile components of human blood. Besides their role in coagulation and the maintenance of vascular integrity, they are involved in many physiological processes, ranging from immune response and leukocyte recruitment to the production of antimicrobial peptides and immune-suppressive factors like TGF-β. These versatile abilities make platelets interesting for researchers from different disciplines. However, beside profound investigation into platelets’ physiological role, there is a need for correct, standardized and thus reproducible quantification of platelet parameters. Mean platelet volume (MPV) is a widespread prognostic marker for several conditions, such as, acute coronary syndrome, chronic kidney disease and liver cirrhosis. Platelet activation is regarded as a marker for inflammatory processes, for example in autoimmune diseases such as type-1 diabetes, systemic lupus erythematosus and rheumatoid arthritis. The monitoring of platelet function is relevant for patients receiving antiplatelet medication. Platelet parameter measurement is affected by the choice of in vitro anticoagulant, the measurement technology and the time delay after sampling. This review focuses on the pre-analytical variability that arises as a result of the use of different in vitro anticoagulants and analyzer technologies when determining platelet parameters, since, even approximately 180 years after the discovery of platelets, there is still no standardized procedure.
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spelling doaj.art-d188b7b31a0844bb8b0c934e060055642022-12-21T18:59:06ZengDe GruyterJournal of Laboratory Medicine2567-94302567-94492020-10-0144525527210.1515/labmed-2020-0037Influence of different methods and anticoagulants on platelet parameter measurementMannuß Steffen0Klinikum der Stadt Ludwigshafen, Institut für Labordiagnostik, Hygiene und Transfusionsmedizin, Ludwigshafen, GermanyPlatelets are the smallest and perhaps the most versatile components of human blood. Besides their role in coagulation and the maintenance of vascular integrity, they are involved in many physiological processes, ranging from immune response and leukocyte recruitment to the production of antimicrobial peptides and immune-suppressive factors like TGF-β. These versatile abilities make platelets interesting for researchers from different disciplines. However, beside profound investigation into platelets’ physiological role, there is a need for correct, standardized and thus reproducible quantification of platelet parameters. Mean platelet volume (MPV) is a widespread prognostic marker for several conditions, such as, acute coronary syndrome, chronic kidney disease and liver cirrhosis. Platelet activation is regarded as a marker for inflammatory processes, for example in autoimmune diseases such as type-1 diabetes, systemic lupus erythematosus and rheumatoid arthritis. The monitoring of platelet function is relevant for patients receiving antiplatelet medication. Platelet parameter measurement is affected by the choice of in vitro anticoagulant, the measurement technology and the time delay after sampling. This review focuses on the pre-analytical variability that arises as a result of the use of different in vitro anticoagulants and analyzer technologies when determining platelet parameters, since, even approximately 180 years after the discovery of platelets, there is still no standardized procedure.https://doi.org/10.1515/labmed-2020-0037in vitro anticoagulationmean platelet volumemeasurement technologyplatelet activationplatelet countingplatelet function
spellingShingle Mannuß Steffen
Influence of different methods and anticoagulants on platelet parameter measurement
Journal of Laboratory Medicine
in vitro anticoagulation
mean platelet volume
measurement technology
platelet activation
platelet counting
platelet function
title Influence of different methods and anticoagulants on platelet parameter measurement
title_full Influence of different methods and anticoagulants on platelet parameter measurement
title_fullStr Influence of different methods and anticoagulants on platelet parameter measurement
title_full_unstemmed Influence of different methods and anticoagulants on platelet parameter measurement
title_short Influence of different methods and anticoagulants on platelet parameter measurement
title_sort influence of different methods and anticoagulants on platelet parameter measurement
topic in vitro anticoagulation
mean platelet volume
measurement technology
platelet activation
platelet counting
platelet function
url https://doi.org/10.1515/labmed-2020-0037
work_keys_str_mv AT mannußsteffen influenceofdifferentmethodsandanticoagulantsonplateletparametermeasurement