When a biomaterial is introduced into the body water, electrolytes, and pro
teins adsorb to the surface. Platelets are then the first cells to interact
with the surface adsorbed protein layer. We have studied the role of von W
illebrand factor (vWF) for platelet-protein interaction by measuring differ
ent platelet responses to protein- and plasma-coated hydrophobic glass surf
aces. A high exposure of CD62P on the platelet surface was seen after 10 mi
n of incubation on platelets interacting with vWF and normal plasma-coated
surfaces (79 and 67%, respectively). On the surfaces coated with albumin an
d factor VIII deficient plasma, the exposure was low (11 and 27%, respectiv
ely). A higher formation of filipodial extensions on the platelets was seen
on the surfaces coated with vWF and normal plasma than on the surfaces coa
ted with albumin or factor VIII deficient plasma. No significant difference
s were seen between the surfaces regarding the platelet release of PF4, ATP
, or phospholipids. As shown by these results, vWF is a specific regulator
of the exposure of CD62P by platelets and hence important for the interacti
on between platelets and later arriving neutrophils at biomaterial surfaces
. (C) 2001 Elsevier Science Ltd. All rights reserved.