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鼠类血液库的建立:特征描述及与人血的比较。

Murine blood banking: characterization and comparisons to human blood.

机构信息

Department of Surgery, University of Cincinnati, 231 Albert Sabin Way, Cincinnati, OH 45267, USA.

出版信息

Shock. 2010 Jul;34(1):40-5. doi: 10.1097/SHK.0b013e3181d494fd.

DOI:10.1097/SHK.0b013e3181d494fd
PMID:20090565
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4612622/
Abstract

Blood transfusion remains an essential treatment of acute anemia. Current storage processes allow the efficient administration of blood products. Erythrocytes undergo morphological and biochemical changes during storage that may affect outcomes after transfusion. A reliable small-animal model would be ideal to examine the effects of stored blood products after transfusion. The objective of this study was to characterize the storage of murine erythrocytes for future application to animal models of acute anemia. Blood samples were collected from male mice and human volunteers, separated into components, and stored. At intervals, morphological and biochemical analysis was performed. Lactate, potassium, hemoglobin, and hemolysis were determined, and cell morphology was evaluated with light microscopy. Murine packed red blood cells (pRBCs) aged more rapidly than human samples. Murine pRBCs exhibited higher lactate levels (34.9 +/- 1.3 mmol/L vs. 18.1 +/- 1.0 mmol/L, mouse vs. human) and more severe acidosis as indicated by pH (6.56 +/- 0.02 vs. 6.79 +/- 0.04, mouse vs. human). Murine pRBCs hemolyzed earlier (11.2 +/- 3.7 g vs. 0.7 +/- 0.3 g, mouse vs. human after 21 days of storage) and more rapidly than human pRBCs. Corpuscular changes consistent with red cell storage lesions appeared earlier in murine samples compared with human stored pRBCs. Compared with human pRBCs, murine pRBCs exhibit similar but more accelerated aging processes under standard storage conditions. Characterization of the murine red cell storage lesion will allow the application of stored blood components to future investigations into the treatment of acute anemia in experimental murine models.

摘要

输血仍然是急性贫血的基本治疗方法。目前的储存过程允许有效地管理血液制品。红细胞在储存过程中会发生形态和生化变化,这可能会影响输血后的结果。一个可靠的小动物模型将是研究输血后储存血液制品影响的理想模型。本研究的目的是描述鼠红细胞的储存,以便将来应用于急性贫血的动物模型。从雄性小鼠和人类志愿者中采集血液样本,分离成成分并储存。每隔一段时间进行形态和生化分析。测定乳酸、钾、血红蛋白和溶血情况,并通过光镜评估细胞形态。鼠浓缩红细胞(pRBC)比人样本衰老得更快。鼠 pRBC 的乳酸水平更高(34.9 +/- 1.3 mmol/L 比 18.1 +/- 1.0 mmol/L,鼠比人),酸度更严重,pH 值更低(6.56 +/- 0.02 比 6.79 +/- 0.04,鼠比人)。鼠 pRBC 更早(21 天后 11.2 +/- 3.7 g 比 0.7 +/- 0.3 g,鼠比人)和更快地发生溶血。与人类储存的 pRBC 相比,鼠样本中出现了与红细胞储存损伤一致的胞体变化,这一变化出现得更早。与人类 pRBC 相比,鼠 pRBC 在标准储存条件下表现出相似但更加速的衰老过程。鼠红细胞储存损伤的特征将允许将储存的血液成分应用于未来对实验性鼠模型急性贫血治疗的研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/641e/4612622/a8be647b2c7e/nihms727996f7.jpg
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本文引用的文献

1
A novel mouse model of red blood cell storage and posttransfusion in vivo survival.红细胞储存和输血后体内存活的新型小鼠模型。
Transfusion. 2009 Aug;49(8):1546-53. doi: 10.1111/j.1537-2995.2009.02173.x.
2
Anaerobic storage of red blood cells in a novel additive solution improves in vivo recovery.在一种新型添加剂溶液中对红细胞进行厌氧储存可提高体内回收率。
Transfusion. 2009 Mar;49(3):458-64. doi: 10.1111/j.1537-2995.2008.02038.x. Epub 2009 Jan 2.
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Current issues relating to the transfusion of stored red blood cells.与储存红细胞输注相关的当前问题。
Vox Sang. 2009 Feb;96(2):93-103. doi: 10.1111/j.1423-0410.2008.01117.x.
4
The effect of erythrocyte blood transfusions on survival after surgery for hip fracture.红细胞输血对髋部骨折手术后生存的影响。
J Trauma. 2008 Dec;65(6):1411-5. doi: 10.1097/TA.0b013e318157d9f9.
5
Optimizing outcomes in damage control resuscitation: identifying blood product ratios associated with improved survival.优化损伤控制复苏的结果:确定与提高生存率相关的血液制品比例。
J Trauma. 2008 Sep;65(3):527-34. doi: 10.1097/TA.0b013e3181826ddf.
6
Age of transfused blood: an independent predictor of mortality despite universal leukoreduction.输血血液的年龄:尽管进行了普遍白细胞去除术,但仍是死亡率的独立预测因素。
J Trauma. 2008 Aug;65(2):279-82; discussion 282-4. doi: 10.1097/TA.0b013e31817c9687.
7
Transfusion practice in military trauma.军事创伤中的输血实践。
Transfus Med. 2008 Jun;18(3):143-50. doi: 10.1111/j.1365-3148.2008.00855.x.
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Combat damage control surgery.战斗损伤控制手术
Crit Care Med. 2008 Jul;36(7 Suppl):S304-10. doi: 10.1097/CCM.0b013e31817e2854.
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Prolonged maintenance of 2,3-diphosphoglycerate acid and adenosine triphosphate in red blood cells during storage.储存期间红细胞中2,3-二磷酸甘油酸和三磷酸腺苷的长期维持。
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Duration of red-cell storage and complications after cardiac surgery.心脏手术后红细胞储存时间与并发症
N Engl J Med. 2008 Mar 20;358(12):1229-39. doi: 10.1056/NEJMoa070403.