LITERATURE REVIEW - PLATELETS


Platelets are produced predominantly by bone marrow megakaryocytes as a result of budding of the cytoplasmic membrane (www.bmj.com/./809). The precusor of the megakaryocyte-the megakaryoblast arises by a process of differentiation from the haemopoetic stem. The magakarycyte matures by edomitotic synchronic replication, enlarging the cytoplasmic volume as the number of nuclear lobes increase in multiples of two. Very early on invagination of plasma membrane are seen, called the demarcation membrane, which evolves through the
development of the magakarycyte into a highly branched network. At a variable stage in development, most commonly at the eight nucleus stage, the cytoplasm becomes granular. Platelets form by fragmentation of magakarycyte cytoplasm, approximately each magakarycyte giving rise to 1000-5000 platelets (Hoffbrand et al; 2006).

On average they are 1.5-3um in diameter (Lewis et al; 2008) while (Hoffbrand et al; 2006) says they are 3.0-0.5um in diameter with a mean volume of 7-11 fl. They do not contain a nucleus and are bounded by a typical lipid bilayer membrane. Beneath the outer band lies the marginal of microtubules, which contains the shape of the platelet and depolymerise when aggregation begins. The central cytoplasm is dominated by the three types of platelet granules: the dense (δ) granules, a- Granules and lysosomal granules (Lewis at al 2008). The more frequent specific granules contains a heparin antagonist PF4, platelet derived growth factor (PDGF), β Thromoboglobulin, fibrinogen, von willebrand factor and other clotting factors.  Dense (δ)  granules are less common and contains adenosine diphosphate  (ADP),  adenosine  triphosphate (ATP) , 5-hydropxytrptamine (5-HT), Calcium  (Hoffbrand et al,  2006) while  (Lewis et al; 2008) included  serotonin, pyrophosphate,P5 Lectin (CD62),  transforming growth factor beta (I), catecholamine, guanosine diphosphate/guanosine triphosphate (GDP/GTP). Lysosomes contain hydrolytic enzymes and peroxisomes contain catalase (hoffbrand et al; 2006). 

Once release from the bone marrow, young platelets are trapped in the spleen for 36 hours before entering the circulation, where they   have a primary haemostatic role. The platelet membrane has integral    glycoproteins essential in the site of interaction with the plasma initial events of adhesion and aggregation leading to formation of the platelet plug during haemostatis. (www.bmj.com./../809.  The platelet membrane is   the site of interaction with the plasma environment and with  the   damaged vessel wall. It consists of phospholipids cholesterol, glycolipids   and  at  least nine  glycoprotein named glycoprotein I glycoprotein IX. After  activation the membrane  also expresses binding sites for several conagulation proteins such as factor  XI  and factor VIII (Lewis  et al;  2008).
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