Yuasa Takeshi, Ohto Hitoshi, Yasunaga Reiko, Kai Takanori, Shirahama Noriaki, Ogata Takashi
Division of Blood Transfusion and Transplantation Immunology, Fukushima Medical University School of Medicine, Fukushima, Japan.
Br J Haematol. 2004 Jul;126(1):153-9. doi: 10.1111/j.1365-2141.2004.04994.x.
This study evaluated a newly developed polyolefin bag, which has a 50%/m(2) higher oxygen permeability to extend the shelf-life of platelets. Single-donor aphaeresis platelets were pooled, separated equally into two bags, PO-80 (0.8 l capacity) and KBP-PO (1 l capacity) for control, and stored in plasma for up to 7 d. Platelet biochemical and functional parameters were monitored in bags containing high (4.2 x 10(11)/250 ml/bag, n = 9) and low (2.0 x 10(11)/200 ml/bag, n = 3) concentrations of platelets over the storage period. After 7 d of storage, the PO-80 bags containing high concentrations of platelets had a better pH (mean pH 6.74) than those stored in KBP-PO (pH 6.32, P < 0.01); none of the nine PO-80 bags with a high platelet concentration had a pH below 6.2, compared with four of nine controls (P < 0.05). Similarly, lactate values were 20.19 mmol/l and 28.09 mmol/l respectively (P < 0.05). Aerobic metabolism was maintained better with greater O(2) consumption and less lactate generation in high-platelet concentration PO-80 bags than in the control bags. A significant difference was also found in pH, pCO(2) and lactate levels between the two bags containing low concentrations of platelets during the 7-d period. The in vitro characteristics of platelets declined less over 7 d when stored in a higher oxygen permeable container than in a marketed bag.
本研究评估了一种新开发的聚烯烃袋,其氧气透过率高50%/m²,用于延长血小板的保质期。将单采血小板汇集后,平均分成两袋,分别为PO - 80(容量0.8升)和KBP - PO(容量1升)作为对照,置于血浆中储存长达7天。在储存期间,对含有高浓度(4.2×10¹¹/250 ml/袋,n = 9)和低浓度(2.0×10¹¹/200 ml/袋,n = 3)血小板的袋子中的血小板生化和功能参数进行监测。储存7天后,含有高浓度血小板的PO - 80袋的pH值(平均pH 6.74)优于储存在KBP - PO袋中的血小板(pH 6.32,P < 0.01);9个高血小板浓度的PO - 80袋中无一袋的pH值低于6.2,而9个对照袋中有4个(P < 0.05)。同样,乳酸值分别为20.19 mmol/l和28.09 mmol/l(P < 0.05)。与对照袋相比,高血小板浓度的PO - 80袋中通过更多的氧气消耗和更少的乳酸生成更好地维持了有氧代谢。在7天期间,含有低浓度血小板的两袋之间在pH、pCO₂和乳酸水平上也发现了显著差异。当储存在氧气透过率更高的容器中时,血小板的体外特性在7天内下降程度小于市售袋。