I am researching the optimum centrifuge speed/time when preparing PRP for immediate autologous PRP reinjection, and have found an unexpected increase in the supernatant plasma platelet concentration beyond that which is theoretically possible.

Using citrate as the anticoagulant and a spin of 150g for 10 mins, the RBC layer will have a proportion of the plasma mixed with it because the RBC packing is not complete. The residual plasma volume reduces as the centrifuge speed/time increases. I have measured that there is no significant concentration gradient of platelets within the supernatant plasma at lower speeds below 200g, so on first principles I would expect the platelet concentration to be the same in both the supernatant plasma and the plasma within the RBC fraction. However I have consistently noticed that the platelet concentration in the supernatant plasma at 150g for 10 mins gave a significantly higher concentration than was theoretically possible.

I then measured the platelet concentration within the RBC layer and from this calculated the concentration within the plasma fraction within the RBC layer and found that this was consistently depleted to 15-30% of the supernatant platelet concentration. This suggests that the platelets within the RBC layer are selectively being transferred to the supernatant plasma. One possible explanation for this might be the RBCs forming rouleaux as they are centrifuged down, thus displacing the platelets upwards.

I cannot find any reference to this effect in the literature.

Has anybody noticed this phenomenon before and does anybody have any theories to account for it?

Please read extra notes added below on 16/5/15

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