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Updated: Jun 5, 2026

Routine Screening Method for Microparticles in Platelet Transfusions
Published on: January 31, 2018
Clearance of platelet microparticles in vivo
A Rank1, R Nieuwland, A Crispin
1Medizinische Klinik III-Grosshadern, Klinikum der Ludwig Maximilians-Universität München, München, Germany. andreas.rank@med.uni-muenchen.de
Abstract:
At present, little is known about the clearance of platelet-derived microparticles (PMP) in human blood, as due to ethical considerations infusion experiments with labeled microparticles are delicate. Therefore, we investigated the kinetics of PMP, which are abundantly present in apheresis platelet concentrates (PC), following platelet transfusion in severe thrombocytopenic patients (n=11). PMP were double-stained with annexin V and cell-specific antibodies (anti-CD61, anti-CD63 or anti-CD62P, respectively) and detected by flow cytometry before and after transfusion of a single PC at fixed time intervals. Upon transfusion, the plasma levels of MP binding annexin V (2.5-fold), PMP (CD61+; 2.9-fold), and PMP from activated platelets (CD63+; 1.9-fold) or P-selectin (2.5-fold) increased immediately. The plasma levels of MP decreased with a half life of 5.8 hours (annexin V; 95% CI: 1.8?18.3) and 5.3 hours (CD61; 95% CI: 2.0?14.2). This is the first report in which the half life time of transfused PMP has been investigated in humans.
Insights
This study tracked platelet-derived microparticles (PMP) clearance in patients after platelet transfusion. PMP levels rapidly increased then decreased, with a half-life of approximately 5.3-5.8 hours.
Area of Science:
- Hematology
- Transfusion Medicine
- Biomedical Science
Background:
- Platelet-derived microparticles (PMP) are abundant in platelet concentrates.
- Little is known about PMP clearance in humans due to experimental challenges.
Purpose of the Study:
- To investigate the kinetics and half-life of transfused PMP in severe thrombocytopenic patients.
- To understand PMP clearance following platelet transfusion.
Main Methods:
- Quantified PMP levels using flow cytometry before and after transfusion of apheresis platelet concentrates.
- Utilized double-staining with annexin V and cell-specific antibodies (anti-CD61, anti-CD63, anti-CD62P).
Main Results:
- Plasma levels of total microparticles, PMP (CD61+), activated PMP (CD63+), and P-selectin increased immediately post-transfusion.
- Determined a half-life of 5.8 hours for annexin V-binding microparticles and 5.3 hours for CD61+ PMP.
Conclusions:
- This study provides the first human data on the half-life of transfused PMP.
- Transfused PMP exhibit a relatively short half-life in circulation.
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