The aim of the present study was to evaluate platelet responsiveness i
n rats following E. coli endotoxin administration. Injection of E. col
i to rats caused a reduction in ADP-induced pulmonary In-111 labelled
platelet accumulation four hours later. Similarly, when platelet aggre
gation was evaluated on PRP obtained from rats four hows after endotox
in administration we found that platelet response to both ADP and coll
agen was significantly reduced. When platelets obtained from endotoxem
ic rats were suspended in normal plasma, the aggregating response to A
DP and collagen was not different from that obtained with control plat
elets. Similarly, platelets from control rats suspended in plasma from
endotoxemic rats showed hyporesponsiveness to ADP and collagen. There
was no difference in the aggregatory response to collagen or to throm
bin of washed platelet suspension (WPS) obtained from endotoxemic and
normal rats. In conclusion, by using an in vivo minimally invasive tec
nique and an ex vivo platelet aggregation test we demonstrate that dur
ing endotoxemia platelet are functionally unaltered and the platelet h
yporesponsiveness is only observed in presence of plasma.