Gut

Serotonin is produced and released for platelet uptake.
Animals—including humans—cannot make tryptophan, the precursor of serotonin, but have to ingest it with plant food.

    • CD62P is an activation marker.

    • In resting platelets CD62P is part of the α-granule membrane.

    • During activation and α-granule release it appears on the cell surface.

    • An imbalance of bacterial species in the intestines is called dysbiosis.

    • Dysbiosis can follow antibiotic treatment.

    • Dysbiosis is associated with low serotonin production.

    • Enterochromaffin cells in the intestinal wall are specialized in serotonin production.

    • The aminoacid tryptophan is the precursor of serotonin, 5‐hydroxy­tryptamine or 5‐HT.

    • Expression of FcγRII on the surface of activated platelets is part of the innate immune response.

    • FCγRII signals to macrophages that the platelet should be removed.

    • Serotonin is one of the chemicals that keep the gut wall tight.

    • With dysbiosis and serotonin deficiency gaps in the intestinal lining cause leaky gut.

    • Microbiota refers to all bacteria, viruses and yeasts living in the intestines.

    • Microbes inform the immune system.

    • When platelets activate they shed microparticles (MP).

    • Microparticles communicate with other parts of the body.

    • Example: MP shed by tumor-informed platelets are associated with metastases.

    • Platelets are innate immune cells.

    • Platelets are the first line of defense against foreign substances in the blood.

    • Platelets communicate through the changes occurring during activation.


    • Soluble CD40L is released during platelet activation.

    • High plasma sCD40L is an indicator of inflammation.

    • Some gut microbes produce serotonin.

    • Others stimulate enterochromaffin cells to produce and release it.

    • Platelets take up serotonin mostly through the serotonin transporter (SERT).

    • Selective serotonin reuptake inhibitors (SSRIs) block serotonin uptake.

    • SSRIs affect platelets and their function.