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Updated: Jan 23, 2026

Microfluidics in Assessing Platelet Function
Published on: November 8, 2024
The platelet surface glycosylation caused by glycosidase has a strong impact on platelet function
Liping Li1, Chenxue Qu, Yao Lu
1Department of Clinical Laboratory, Peking University First Hospital, Beijing, China.
Insights
Altering platelet surface glycosylation by removing sialic acid enhances platelet adhesion to von Willebrand factor and increases platelet-leukocyte aggregates, suggesting a link to thrombosis risk.
Area of Science:
- Biochemistry
- Hematology
- Molecular Biology
Background:
- Platelet surface glycosylation alterations are linked to various diseases.
- Previous research indicated altered platelet glycosylation in coronary heart disease.
Purpose of the Study:
- To investigate the functional impact of altered platelet surface glycosylation.
- To determine how specific glycosylation changes affect platelet activation, adhesion, and aggregation.
Main Methods:
- Enzymatic removal of platelet surface sialic acid (neuraminidase A) and N-linked oligosaccharides (PNGase F).
- Assessment of platelet function using flow cytometry (activation, adhesion to von Willebrand factor, platelet-leukocyte aggregates) and light transmission aggregometry (platelet aggregation).
Main Results:
- Neuraminidase A treatment reduced sialic acid, increased beta-galactose, enhanced platelet adhesion to vWF, reduced ADP-induced aggregation, and increased platelet-leukocyte aggregates.
- PNGase F treatment increased surface sialic acid and significantly reduced aggregation induced by all agonists, without affecting vWF binding or PLAs.
Conclusions:
- Asialoglycosylation (sialic acid removal) promotes platelet binding to vWF and formation of platelet-leukocyte aggregates.
- These findings suggest a potential association between altered glycosylation, increased platelet reactivity, and thrombosis risk.
Abstract:
: Platelet surface glycosylation defects has been reported to be significantly associated with many diseases. Our previous study found that platelet surface glycosylation is altered in coronary heart disease. In this study, we further investigated whether altered glycosylation affects platelet function. Platelets were obtained from ten healthy volunteers. The platelet surface terminal sialic acid was removed by neuraminidase A, and N-linked oligosaccharides was removed by PNGase F. The function of the enzyme-treated platelet was measured. The activation and platelet adhesion to von Willebrand factor (vWF) was measured by flow cytometry. Platelet aggregation induced by ADP, arachidonic acid and collagen was detected through light transmission aggregometry, and platelet-leukocyte aggregates (PLAs) was detected by flow cytometry. Neuraminidase A treatment caused sialic acid level decrease and β-galactose level increase significantly on platelet surface. Activation marker CD62P did not change. Platelet adhesion to vWF was increased significantly (P < 0.05). ADP-induced platelet aggregation was significantly reduced (P < 0.05). Platelet-granulocytes aggregates and platelet-monocytes aggregates increased (P < 0.05). Platelet surface sialic acid was increased after PNGase F treatment. Platelet aggregation by all agonists were significantly reduced (P < 0.05). There is no difference in the binding of vWF and PLAs for PNGase F treated platelet. We demonstrated that asialoglycosylation enhances platelet binding to vWF and forming PLAs, suggest that it may be associated with high platelet reactivity and the increased risk of thrombosis.
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