Platelet-derived microparticles are removed by a membrane plasma separator

Norio Hanafusa1, Hiroshi Satonaka, Kent Doi

  • 1Departments of Hemodialysis and Apheresis, The University of Tokyo Hospital, Japan. hanafusa-tky@umin.ac.jp

ASAIO Journal (American Society for Artificial Internal Organs : 1992)
|June 19, 2010
PubMed

Insights

Platelet-derived microparticles (PDMPs) are released from activated platelets. While apheresis filtration removed significant PDMPs, blood levels did not significantly decrease post-therapy, suggesting potential platelet activation during the procedure.

Area of Science:

  • Hematology
  • Biomedical Engineering

Background:

  • Platelet-derived microparticles (PDMPs) are cell-free vesicles released from activated platelets.
  • Elevated PDMP levels are associated with various pathological conditions.

Purpose of the Study:

  • To investigate the efficacy of membrane plasma separation in removing PDMPs from circulation.
  • To assess the impact of apheresis on PDMP concentrations in patients undergoing the procedure.

Main Methods:

  • Enzyme-linked immunosorbent assay (ELISA) was used to quantify PDMP concentrations.
  • Blood and plasma samples from eight patients undergoing membrane apheresis were analyzed.

Main Results:

  • Plasma separators significantly filtered considerable amounts of PDMPs.
  • However, PDMP concentrations in the blood at the end of apheresis therapy did not significantly differ from pre-therapy levels.

Conclusions:

  • Apheresis filtration effectively removes PDMPs, but post-therapy blood concentrations remain unchanged.
  • Further research is needed to determine if plasmapheresis activates platelets, increasing PDMP levels, or if supplementary fluids contribute.
  • Optimizing plasmapheresis protocols could establish it as a viable therapy for conditions with elevated PDMPs.