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Updated: Jul 17, 2026

Platelet Adhesion and Aggregation Under Flow using Microfluidic Flow Cells
Published on: October 27, 2009
Nitric oxide released from activated platelets inhibits platelet recruitment
J E Freedman1, J Loscalzo, M R Barnard
1Whitaker Cardiovascular Institute and Evans Memorial Department of Medicine, Boston University School of Medicine, Boston, Massachusetts 02118, USA.
Platelets produce nitric oxide (NO) that slightly reduces platelet activation but significantly inhibits platelet recruitment to thrombi. This suggests NO plays a key role in regulating thrombus formation.
Area of Science:
- Cardiovascular Biology
- Hematology
- Biochemistry
Background:
- Vessel injury and thrombus formation cause ischemic coronary syndromes.
- Activated platelets recruit more platelets to growing thrombi.
- A constitutive nitric oxide synthase (NOS) is present in human platelets.
Purpose of the Study:
- To quantify platelet nitric oxide (NO) production.
- To investigate the role of platelet-derived NO in platelet recruitment.
Main Methods:
- Adapted a NO-selective microelectrode for a platelet aggregometer for simultaneous NO production and aggregation measurement.
- Utilized a novel two-population platelet assay with flow cytometry.
- Administered the NOS inhibitor L-NAME to assess NO's effects.
Main Results:
- L-NAME reduced NO production but only modestly increased platelet aggregation.
- L-NAME significantly enhanced platelet recruitment, cyclic GMP reduction, and serotonin release.
- Flow cytometry showed L-NAME increased P-selectin positive platelets and biotinylated platelet recruitment.
Conclusions:
- Stimulated platelets produce NO that moderately inhibits activation but strongly inhibits recruitment.
- Platelet-derived NO appears to regulate platelet recruitment in thrombus formation.
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