Simultaneous detection of changes in cytoplasmic Ca2+, aminophospholipid exposure and microvesiculation in activated platelets

We have used now cytometry to compare the temporal relationship between cytoplasmic Ca2+-fluxes and microvesiculation during platelet activation, Changes in fluorescence of the Ca2+-dye, fluo-3, and in forward light scatter as a measure of the decrease in platelet size that accompanies microvesiculation, were assessed simultaneously, In other experiments, changes in Ca2+ levels and aminophospholipid exposure were assessed using fura-red, which is a long wavelength range indicator, and FITC-annexin V., Results obtained using the ionophore A23 187 and the ATPase inhibitor, thapsigargin, showed that microvesiculation is a relatively late event compared with intracellular Ca2+ elevation, The relatively slow binding kinetics of annexin V prevented the establishment of a temporal relationship between increases in intracellular Ca2+ and aminophospholipid exposure, Nevertheless, the combined use of fura-red and annexin V highlighted the heterogeneous response seen on some occasions with thapsigargin and always with a thrombin plus collagen mixture, and confirmed that individual platelets that bound annexin V were also those with elevated intracellular Ca2+ levels.