“…Despite the fact that a rise in CD62P expression and annexin A5 binding are almost always seen together, in our study we find a decoupling of the two processes, which has been described recently in vitro using different stimuli. 27 As reviewed in detail elsewhere, 28 mitochondrial depolarization and annexin A5 positivity are linked through an apoptosis pathway: apoptosis is triggered by, for example PRT; this lowers the membrane potential which in turn activates caspases, which ultimately lead to phosphatidylserine exposure, which is measured by annexin A5 binding. Thus, PLT metabolism and apoptosis are not always linked to degranulation and activation, although they might be synergistic or happen together when other pathways are performing at full power.…”