Blood
Platelets and Hemostasis
Platelets
● Thrombocytes
● Size : 2.5 microns
● Various shapes - round, rod shaped, oval etc
● Structure: Cell membrane, cytoplasm, microtubules
● Cell membrane has receptors for attachment to endothelium
of blood vessels
● Cytoplasm : contractile proteins (actin, myosin,
thrombosthenin); von Willebrand’s factor (platelet
adhesion), PAF - platelet activating factor, granules,
glycogen
● Life span : 8-11 days; destroyed in spleen
What do platelets do?
● Hemostasis (prevention of blood loss)
● Secrete serotonin when blood vessel is damaged → constriction
of blood vessel
● Platelets then stick to the exposed sub-endothelial layer of
the blood vessel (adhesion)
● Platelets activate other platelets and they all stick to each
other (platelet aggregation) to form a structure called a
“platelet plug” which seals the wound
● Also activate the clotting system by secreting phospholipids
● Repair of damaged blood vessel by secretion of platelet
derived growth factor
Platelet formation
● Bone marrow
● HPSC → CFU-M → Megakaryocyte → Platelets
● Released into blood
● Production depends on colony stimulating factors secreted
by monocytes and T lymphocytes
● Also Thrombopoietin secreted by liver and kidneys
Variations in platelet numbers
● Normal platelet count : 2,00,000 - 4,00,000 /cu mm
● Increase - thrombocytosis
● May occur in some allergies, after splenectomy, cancer
● Decrease - thrombocytopenia
● May occur in bone marrow aplasia, viral infections
(dengue), autoimmune diseases
● Platelet function abnormality → thrombasthenia
Hemostasis
Stopping of bleeding
Steps
1. Vasoconstriction - contraction of the blood vessels ;
decreases blood loss; damage to endothelium causes
platelets to stick to subendothelial collagen (adhesion);
platelets release serotonin causing vasoconstriction
2. Platelet plug - platelets release PAF, attract more
platelets and they all stick together (aggregation)
forming a soft mass (plug) that stops bleeding
3. Coagulation - tissue and platelet factors trigger the
coagulation cascade and a stable clot is formed