Platelets are irregularly shaped, small discoid cells, measuring 2-4 μm in diameter. They lack a nucleus and are formed in the bone marrow from the fragmentation of megakaryocytes, which are large precursor cells. Platelets contain numerous secretory granules, which store various substances including clotting factors, enzymes, and growth factors.
Platelets are primarily involved in the formation of blood clots, which is essential for preventing excessive bleeding. When a blood vessel is damaged, platelets adhere to the site of injury and become activated, leading to the release of various substances that initiate the clotting process. They also help in the constriction of damaged blood vessels, further reducing blood loss.
Platelets play a vital role in the initial phase of wound healing. They release growth factors and cytokines that stimulate the proliferation of cells involved in tissue repair, such as fibroblasts and endothelial cells. Additionally, platelets contribute to the formation of a temporary scaffold at the site of injury, facilitating the migration of other cells involved in the healing process.
Several factors regulate the function of platelets. Endothelial cells lining the blood vessels release substances such as nitric oxide and prostacyclin, which inhibit platelet aggregation and help maintain blood flow. Conversely, substances like thromboxane A2 and ADP released from activated platelets themselves can promote further platelet activation and aggregation.
Abnormalities in platelet function or count can lead to various disorders, including thrombocytopenia (low platelet count), which can result in excessive bleeding, and thrombocythemia (high platelet count), which may increase the risk of blood clots forming in the vessels.