physiology of platelets

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Page 1: Physiology of platelets
Page 2: Physiology of platelets
Page 3: Physiology of platelets

Platelets or thrombocytes are small

colorless, non nucleated cells.

With numerous cytoplasmic granules

Shape is spherical or rod shaped and

become oval or disc shaped when

inactivated.

Size: 1 to 4 micrometers in diameter.

Normal life span 8-12 days

Page 4: Physiology of platelets

Structure:

Cell membrane

Microtubule

Cytoplasm

Page 5: Physiology of platelets

It is 6 nm thick

(phospholipids, cholesterol and glycolipids),Carbohydrates(glycocalyx), Proteins and glycoproteins

Platelets surface is negatively charged

Sialic acid gives negative charge

Receptors on platelets surface –collagen , ADP,vWF,fibrinogen

Surface canalicular system

Page 6: Physiology of platelets

Platelets has prominent cytoskeleton

Microtubule

microfilament

Page 7: Physiology of platelets

Golgi apparatus

Endoplasmic reticulum

Mitochondria

Microtubule

Micro vesicles

Microfilaments

Granules

Proteins

Enzymes

Hormones.

Chemical substances

Page 8: Physiology of platelets

The major proteins present are contractile

proteins which are responsible for the

contraction of platelets:

Actin

Myosin

Thrombosthenin

Page 9: Physiology of platelets

Fibrin-stabilizing factor…. Clotting factor

Platelet derived growth factor (PDGF)

............. helps repair damaged vascular

walls.

Von willibrand factor

Page 10: Physiology of platelets

Alpha granules

Dense granules

Page 11: Physiology of platelets
Page 12: Physiology of platelets

The enzymes present are adenosine

triphosphatase and the enzymes

necessary for the synthesis of prostaglandin

Page 13: Physiology of platelets
Page 14: Physiology of platelets

Destroyed in spleen

Life span 8-12 days

Page 15: Physiology of platelets

Adhesiveness

Aggregation

Agglutination

Page 16: Physiology of platelets
Page 17: Physiology of platelets

Role In haemostasis - vasoconstiction

platelet plug formation

Role in clot formation

Role in clot retraction

Role in repair of injured blood vessels

Role in immunity

Transport and storage functions

Page 18: Physiology of platelets

Normal count – 1.5 – 4.5 lac/cubic mm

Physiological variation age , sex, food,

exercise , altitude

Variation with disease

Thrombocytosis

Thrombocytopenia

Page 19: Physiology of platelets

After splenctomy

After severe injury , hemorrhage , major

surgery

Blood cancers like CML , myelofibrosis

Page 20: Physiology of platelets

Idiopathic thrombocytopenic purpura

Bone marrow depression due to drugs ,

radiation

Hypersplenism

Infections like dengue , chicken pox ,

typhoid fever

Secondary to some other cancers

Page 21: Physiology of platelets