For example, on the Born aggregometer, we see 2 waves of platelet aggregation upon addition of agonist ADP - the primary wave and secondary wave.
In this paper, I read the following: "At critical concentrations, weak agonists such as epinephrine and ADP induce a biphasic response. The primary wave of aggregation reflects response to the addition of exogenous agonist. When normal platelets are activated, they secrete an endogenous pool of agonists. The secondary wave represents aggregation in response to this endogenous pool".
Does this statement imply that we do not see the primary wave of aggregation in vivo? As I thought we do see the primary wave of aggregation in any scenario since it is the activation of the P2Y1 pathway, mobilisation of calcium from intracellular stores and platelet shape change.
Is it possible to get the secondary wave of aggregation without the primary wave? In what scenario?
https://ashpublications.org/thehematologist/article/doi/10.1182/hem.V11.2.2555/462563/Light-Transmission-Aggregometry