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Cardiovascular: Platelets - Thrombosis Adhesion Assay

Updated: Jan 17, 2023

Cellix have developed a novel microflow system consisting of Mirus Evo Pump with microfluidic biochip controlled by a PC using dedicated software. The Mirus Evo Pump allows very accurate flow rates to be achieved that are more reproducible and consistent than anything currently available. Importantly, flow rates are very low (5 pL min-1 to 10 μL min-1) and the shear stress levels that the pump can mimic (up to 30 dyne/cm2) are equivalent to those found in blood vessels in vivo. The Vena8 Fluoro+ biochips are comprised of eight different channels and are manufactured such that the dimensions of the channels are similar to the blood vessel being assessed. The channels can be coated with recombinant human adhesion proteins for use in inflammation studies. Vena8 Endothelial+ biochips enable culturing of a desired cell line on the channel surface, allowing for more physiologically relevant assays to be completed. The Mirus Evo Pump is vital to the use of small diameter channels as standard syringe pumps are incapable of delivering the required low flow rates.


First of all, the cell type to be analysed must be determined, followed by establishing how to harvest such cells, e.g. culturing in growth media, or isolation from in vivo fluids. Secondly, the assay itself should be outlined, including whether live cells or proteins will be coating the channels of the biochip. If it is the former, protocols for culturing the cells both outside and inside the biochip channel must be established. Thirdly, the adhesion profile of the cells to be passed through the coated channel should be determined. Next, if exogenous compounds are being analysed, these should then be introduced to the system and their effect on the adhesion profile assessed. This should include calculation of required concentrations and pre- incubation conditions, before introduction to the system. Finally, the images taken via the digital camera attached to the microscope should be masked and analysed using the Image Pro Premier software.


1. Choice of Cell Type and Harvesting Protocols

A microfluidic assay assessing the adhesion profile of platelets on various matrix proteins was developed. Blood was collected from healthy volunteers who were not taking any medication and were free from aspirin and other anti-platelet agents within the preceding 2 weeks. The blood was drawn by venepuncture into tubes containing a 1:10 volume of 3.8% (wt/vol) trisodium citrate, which is a calcium chelator, and gently mixed. The anti-coagulant agent D-phenylalanyl L- propyl-L-arginine chloromethyl ketone dihydrochloride (PPACK), which is a thrombin inhibitor, was added to a final concentration of 80 μM in whole blood. The first 5 ml of drawn blood was discarded. Whole blood can be kept in 50 ml polypropylene tubes during assay procedures. Platelets in whole blood were labelled by incubating anti-coagulated blood with the fluorescent dye DiOC6 (1μM) for 10-20 mins, (blood platelet count varied from 136-273 x 103 platelets μl-1).

2. Assay Outline, Including Biochip Coating Procedures

Vena8 Fluoro+ biochip channels were coated overnight in humid conditions at 4°C with either vWF (von Willebrand Factor, 100 μg/ml) or collagen (HORM Equine Fibrillar Collagen, 200 μg/ml). All channels were then coated with BSA (Bovine Serum Albumin, 10 μg/ml) to occupy non-specific binding sites. An additional channel was coated with BSA (10 μg/ml) for 2 hrs at room temperature. Prior to shear experiments, all channels were washed with PBS.

3. Adhesion Profiles

Whole blood was infused into the vWF, collagen and BSA coated channels under a defined shear stress, ranging from 0 to 120 dyne/cm2, 2 min per shear stress level. Images at the indicated shear stress level were captured using Venaflux assay software (1 frame per second). Adhesion of platelets and thrombus formation was evaluated by monitoring platelet migratory behaviour in real time with images captured via a liquid chilled Quantix 10-57 CCD camera connected to the Zeiss Axiovert 200 inverted epi-fluorescence microscope.

4. Image Analysis

Images for analysis have been extracted from video at frames 1, 30, 60 and 120. The thrombus profile was recorded using Image Pro Premier software. Data was exported into Excel for interpretation. Data was presented as mean±SEM.


Platelet adhesion profile on vWF at indicated time points (1 and 120 s), subjected to gradient shear stress of (4, 40, 60 and 120 dyne/cm2).

The adhesion profile of platelets was recorded with respect to vWF, collagen and BSA (data not shown). Whole blood infused into vWF-coated channels at a range of shear stresses show rolling/adhesion of platelets after just 1 s. At 120 s, lower shear stress (4 and 40 dyne/cm2) result in platelets rolling/adhesion, whereas, at higher stress (60 and 120 dyne/cm2) platelet thrombus formation appears (Figure 1). A threshold limit of ~60 dyne/cm2 is required for thrombus formation, conditions that occur in microcirculation. Chain-like structures of platelets aligned in the direction of flow (120 s at higher shear stress) result in the number of individual platelets interacting with immobilised vWF to be reduced.

Figure 2: Platelet adhesion to vWF showing (i) the average length of the aggregates (thrombus) at various shear stresses and (ii) the minimum, maximum and average length of the aggregates at the various shear stresses.

Using Image Pro Premier software, the thrombus formation profile was analysed at 120 s, and the average length of the aggregates (thrombus) was calculated. A 5.9-fold increase in thrombus formation from 4 to 120 dyne/cm2 was recorded (Figure 2(i)).

The varying length (maximum, minimum and average) of the distributed aggregates is represented in Figure 2(ii).

Platelet adhesion profile to vWF and collagen at constant shear stress of 60 dyne/cm2, at indicated time points.

Collagen is a unique agonist of platelets, acting as an immobilised legend that only causes platelet activation after stable adhesion. Activated platelet thrombus formation is evident as early as 1 s when whole blood is infused into the collagen- coated channel at a shear stress of 60 dyne/cm2, intensifying over the course of 120 s (Figure 3). Distinct thrombus formation is noted on collagen- in contrast to vWF-coated channels.

Assay Conditions

The following solutions were used during the above procedure: JNL Buffer (wash buffer for inlets/outlets tubing) JNL Buffer (100 mls) = JNL A (10 ml), JNL B (10 ml), JNL D (10 ml) and JNL E (1 ml) [JNL A: 60 mM dextrose, JNL B: 1.3 M NaCl, 90 mM Na Bicarb, 100 mM Na citrate (tribasic, dehydrate), 100 mM Tris base, 30 mM KCl, JNL D: 8.1 mM KH2PO4 (monobasic anhydrate), JNL E: 90 mM MgCl26H2O] Adjust pH 7.35 with 49 ml acid citrate dextrose (citrate acid anhydrous 38 mM, Sodium citrate 75 mM, dextrose 136 mM). Incubate at room temperature for 5 mins. Add 20 ml H2O, incubate at RT.

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We thank Dr. Gerardene Meade and Prof. Dermot Kenny, Molecular and Cellular Therapeutics, Royal College of Surgeons in Ireland for carrying out the platelet adhesion studies.


Williams, V.; Kashanin, D.; Shvets, I.V.; Mitchell, S.; Volkov, Y., & Kelleher, D. (2002). Microfluidic enabling platform for cell-based assays. J. Assoc. Lab. Automation, 7, 135–141.

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