After platelet adherence occurs,
the subendothelial collagen binds to receptors on the platelet
, which activates it.
During platelet activation, the platelet releases a number of important cytokines and chemical mediators via degranulation.
The released chemicals include
ADP,
VWF,
thromboxane A2,
platelet-derived growth factor (PDGF),
vascular endothelial growth factor (VEGF),
serotonin, and
coagulation factors.
The extra ADP and VWF is especially important because it causes nearby platelets to adhere and activate,
as well as release more ADP, VWF, and other chemicals.
Platelet plug formation is considered a positive feedback process because ADP and VWF levels are successively increased as more and more platelets activate to form the plug.