Light Transmission Aggregometry (LTA) was evaluated within 4 hours of blood collection using a SD-Soderel aggregometer or APACT-4004 aggregometer (Elitech, France) and different specific agonists that included: 1.25 and 5 μg/ml collagen; 3, 5 and 10 μM ADP; 1 mM arachidonic acid; and 0.75 and 1.25 mg/l ristocetin or Thrombin Receptor Agonist Peptide (TRAP). Percentage maximal amplitude was evaluated using an internal reference interval.
ATP secretion from platelets was tested by a lumiaggregometer assay as recommended by the instrument manufacturer (Chrono-Log Corporation, USA) using PRP, firefly luciferase reagent and 10 μmol/l TRAP, ADP or collagen 14 as agonists.
High-performance liquid chromatography (HPLC) with electrochemical and amperometric detection was used to measure intra-platelet serotonin (5-HT) concentration in PRP samples.