Wagner Stephen J, Skripchenko Andrey, Seetharaman Shalini, Myrup Andrew, Kurtz James, Thomas-Montgomery Dedeene, Awatefe Helen, Moroff Gary
Blood Components Department, American Red Cross, Holland Laboratory, Rockville, MD 20855, USA.
Transfus Apher Sci. 2010 Aug;43(1):9-15. doi: 10.1016/j.transci.2010.05.008. Epub 2010 Jun 15.
We have previously conducted studies investigating maintenance of apheresis platelet in vitro quality measures during storage under simulated shipping conditions in which agitation was interrupted. This study examines the effect of increasing bag surface area on the preservation of in vitro platelet properties during storage with continuous agitation and with a 30 h interruption of agitation. Apheresis platelets were collected in 100% plasma with the Amicus separator to provide two identical platelet products, each with approximately 4-5 x 10(11) platelets. After collection, the volume was divided equally between 1.0 and 1.3 L PL2410 containers. In an initial study, both products were continuously agitated. In a second study, both products were subjected to a single 30-h period of interrupted agitation between Days 2 and 3 of storage by placement in a standard shipping box at room temperature. In each study, units were assayed during storage for standard in vitro platelet quality measures. Platelets stored in the 1.3 L container maintained slightly greater mean pH during 7 day storage with either continuous agitation (n=6) or with a 30-h interruption of agitation (n=12) than those of similarly treated identical platelets stored in the 1.0 L container. Most noteworthy, in experiments with products stored in the 1.0 L container in which there was a large decrease in pH to levels <6.7 or <6.3 on days 5 or 7, respectively, the pH in the matched product stored in the 1.3 L container was substantially greater (0.17+/-06 and 0.37+/-0.09 pH units greater, n=4, respectively). Other measures showed either small differences or comparability of platelet in vitro parameters with storage in the two containers after an interruption of agitation.
我们之前进行过研究,调查在模拟运输条件下储存期间,当搅拌中断时单采血小板的体外质量指标维持情况。本研究考察了增加袋子表面积对在持续搅拌以及搅拌中断30小时的储存过程中体外血小板特性保存的影响。使用Amicus血细胞分离机在100%血浆中采集单采血小板,以提供两个相同的血小板制品,每个制品含有约4 - 5×10¹¹个血小板。采集后,将体积平均分配到1.0升和1.3升的PL2410容器中。在初步研究中,两个制品均持续搅拌。在第二项研究中,两个制品在储存第2天和第3天之间均经历一次30小时的搅拌中断,方法是将其置于室温下的标准运输箱中。在每项研究中,储存期间对各单位进行标准体外血小板质量指标检测。与储存在1.0升容器中经过类似处理的相同血小板相比,储存在1.3升容器中的血小板在7天储存期内,无论是持续搅拌(n = 6)还是搅拌中断30小时(n = 12),其平均pH值维持得略高。最值得注意的是,在储存在1.0升容器中的制品实验中,分别在第5天或第7天pH值大幅下降至<6.7或<6.3,而储存在1.3升容器中的匹配制品的pH值则显著更高(分别高0.17±0.06和0.37±0.09个pH单位,n = 4)。在搅拌中断后,其他指标显示两个容器中储存的血小板体外参数差异较小或具有可比性。