Although the existence of blood platelets had been known for many years it was not until 1882 that Bizzozero (1) called attention to the role of platelets in blood coagulation. Morawitz (2), twenty years later, was among the first to consider the specific chemical contribution of the platelet to the clotting process.Howell (3), in 1912, demonstrated the presence of an unsaturated phosphatide ("kephalin") in thromboplastic substances of tissue origin. Mills (4), in 1927, showed cephalin to be present in blood platelets, and the following year Haurowitz and Sladek (5) published results of chemical analysis of horse platelets, reporting a lipid content of 12 per cent of dry weight. The first convincing data relating the cephalin content of platelets to acceleration of coagulation were supplied by Chargaff, Bancroft and Stanley-Brown (6). These workers also reported at that time what has recently been emphasized again (7,8): phosphatides from other natural sources (soy bean, yeast) also were capable of accelerating blood clotting in vitro. Erickson, Williams, Avrin and Lee (9), confirmed the results of Chargaff and associates relating to platelet phospholipid content. Wallach, Surgenor and Steele (10), identified phosphatidyl ethanolamine and phosphatidyl serine in human platelets. Subsequently the presence of inositol phosphatide was noted ( 11,12 A. Isolation of platelets from whole blood. Blood was obtained from normal adult volunteers; it was collected by gravity flow into plastic bags containing 1.5 per cent disodium dihydrogen ethylenediaminetetraacetate in 0.7 per cent NaCl,1 employing a plastic donor set.2 A proportion of 9 volumes of blood to 1 volume of anticoagulant was used. Forty ml aliquots were then gently decanted into silicone-coated3 glass tubes and these were centrifuged at room temperature at 300 G for 15 minutes. All glassware used in collection and transfer of platelet-containing plasma was similarly treated. All glassware used in the coagulation studies was acidcleaned. The supernatant platelet-rich plasma was transferred by pipette to glass centrifuge tubes. Aliquots of platelet-rich plasma were then taken for platelet and white cell counting, and aliquots to be used in coagulation studies were stored at 4°C in glass tubes. The platelet-rich plasma thus obtained had fewer than 300 leukocytes per cu mm, and was completely free of red cells. The platelet-rich plasma was then centrifuged at 2,000 G at 40 C. The supernatant platelet-poor plasma thus obtained was decanted into other centrifuge tubes and again centrifuged at 40 C for 30 minutes at 2,000 G. This supernatant plasma had fewer than 1,000 platelets per cu mm (49) and was considered to be "plateletpoor." The sedimented platelets obtained after the first 2,000 G centrifugation were pooled and washed 3 times with isotonic NaCl solution and resedimented by centrifugation at 40 C for 5 minutes at 900 G. The platelets thus obtained were then subjected to lipid extraction and analysis.B. Extractiont, separation, and measurement of platelet and...