To evaluate the effect of apyrase, ascorbic acid and aprotinin (AAA) i
n preventing platelet activation during storage, 12 sets of platelet c
oncentrates (PCs), were treated with AAA and evaluated at days 1, 3, a
nd 5 utilizing platelet functional and morphological assays. Platelets
treated with AAA demonstrated significantly enhanced response to ADP-
induced platelet aggregation, higher morphology scores, and elevated A
TP levels compared to control samples after 5 days of storage. Similar
ly, platelet specimens treated with AAA had significantly reduced PF4
secretion and P-selectin expression compared to controls. Finally, Wes
tern blots of aggregated platelets at day 5 demonstrated that AAA-trea
ted PCs continue to express the platelet membrane GPIb whereas specime
ns from control PCs do not. These results show that PCs treated with A
AA have reduced platelet activation and enhanced functional platelet a
ctivity.