A rapid, sensitive, and reproducible assay to determine the adhesion of platelets to collagen has been developed. Collagen fibers and adherent platelets are retained on polycarbonate membrane filters. Chemical modification of collagen by acetylation and of platelets by treatment with chymotrypsin markedly reduces adhesion. The role of fibronectin in the collagen-platelet interaction has been examined. Treatment of platelets with purified antibody or Fab' fragments to fibronectin only slightly reduces adhesion. Preincubation of platelets with high concentrations of gelatin reduces adhesion by only 22% but fails to inhibit aggregation. Thus, fibronectin has only a limited role in the adhesion qf platelets to collagen and is either not involved in the adhesion that leads to aggregation or is only one of several adhesion mechanisms, any of which alone can initiate aggregation.When the integrity of the vascular endothelium is destroyed, platelets rapidly aggregate at the site to form a hemostatic plug. Baumgartner (1) has demonstrated that fibrillar collagen is the most thrombogenic substance in vascular subendothelium. After first adhering to the collagen, the platelets undergo the release reaction in which ADP and other substances are released from secretory granules. In the presence of calcium these substances, especially ADP, result in formation of a platelet plug to close the vascular defect (2). The mechanism by which platelets adhere to collagen to initiate the hemostatic process is unknown.Jamieson and colleagues (3) proposed that formation of an enzyme-substrate complex between a platelet surface'collagen glucosyltransferase and galactosylhydroxylysine residues of collagen was the mechanism by which platelets adhere to collagen. Despite early support (4-6), studies in this (7,8) and other laboratories (9, 10) indicate that this mechanism is unlikely.It has been known for many years that the fibrillar form of collagen is required or, at least, is several orders of magnitude more effective in initiating aggregation than monomeric collagen (9, 11). Santoro and Cunningham (8) have recently proposed that adhesion of platelets to collagen and their subsequent aggregation result from-the interaction of multiple binding sites on the platelet surface, which may exhibit only modest affinity in the monovalent state for some'structural feature of the collagen molecule also multiply present in the collagen fibril. This concept is consistent with the similar capacities of the genetically distinct collagen types (8, 12, 13) In this paper we present a rapid assay for the determination of collagen-platelet adhesion and apply it to the examination of the possible role of fibronectin as the physiologic mediator of the collagen-platelet interaction.
MATERIALS AND METHODSCollagen. Rat skin acid-soluble collagen was prepared by the method of Bornstein and Piez (20). Reconstituted native-type fibrils were prepared by dialysis of solutions of collagen in 3% acetic acid against 0.02 M Na2HPO4. Gelatin was prepared by heating...