Studies of a microchip flow-chamber system to characterize whole blood thrombogenicity in healthy individuals

Introduction: A whole blood flow-chamber system, the Total Thrombus-formation Analysis System (T-TAS), was developed for quantitative analysis of platelet thrombus formation (PTF) using microchips with thrombogenic surfaces (collagen, PL chip; collagen plus tissue thromboplastin, AR chip) under shear stress conditions. We evaluated the usefulness of the T-TAS for assessing individual thrombogenicity compared with other platelet function tests. Materials and Methods: Blood samples from 31 healthy volunteers were applied to the T-TAS to measure PTF starting time (T-10: time to reach 10 kPa), occlusion time (T-60 for PL chip; T-80 for AR chip), and area under the curve (AUC(10), area under curve until 10 min for PL chip; AUC(30), 30 min for AR chip) under various shear rates (1000, 1500, 2000 s(-1) for PL chip; 300 s(-1) for AR chip). Platelet functions were also tested using platelet aggregometry, the PFA-100 (collagen and epinephrine [C/EPI], collagen and adenosine diphosphate [C/ADP]), and the VerifyNow P2Y12 assay. Results: Individual pressure waveforms, including PTF starting and ending points, varied among healthy subjects. In the PL chip, T-10 and AUC(10) showed a shear-dependent correlation with C/EPI or C/ADP. VerifyNow P2Y12 values were not significantly associated with the parameters of the T-TAS. Platelet counts were correlated with all AR measurements, and mostly with PL measurements. Conclusion: The results of the T-TAS were associated with those of the PFA-100 in many respects, indicating that its characteristics are related to shear-induced PTF. The T-TAS showed few correlations with platelet aggregometry and the VerifyNow P2Y12 assay. The T-TAS may allow for the measurement of comprehensive parameters of individual thrombogenicity under whole blood flow conditions. (c) 2013 Elsevier Ltd. All rights reserved.