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本文引用的文献

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Development and testing of low-volume hyperoncotic, hyperosmotic spray-dried plasma for the treatment of trauma-associated coagulopathy.用于治疗创伤性凝血病的低容量高渗、高渗喷雾干燥血浆的研发与测试。
J Trauma. 2011 Mar;70(3):664-71. doi: 10.1097/TA.0b013e31820e83be.
2
Lyophilised plasma: evaluation of clotting factor activity over 6 days after reconstitution for transfusion.冻干血浆:复溶后 6 天内凝血因子活性的评估用于输血。
J Clin Pathol. 2010 Aug;63(8):726-30. doi: 10.1136/jcp.2010.079293.
3
Emergency department blood transfusion predicts early massive transfusion and early blood component requirement.急诊科输血预测早期大量输血和早期血液成分需求。
Transfusion. 2010 Sep;50(9):1914-20. doi: 10.1111/j.1537-2995.2010.02682.x.
4
Freeze dried plasma: a French army specialty.冻干血浆:法国军队的一项专长。
Crit Care. 2010;14(2):412. doi: 10.1186/cc8937. Epub 2010 Apr 14.
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Heat-stable measles vaccine produced by spray drying.喷雾干燥法生产稳定性好的麻疹疫苗。
Vaccine. 2010 Feb 3;28(5):1275-84. doi: 10.1016/j.vaccine.2009.11.024. Epub 2009 Nov 25.
6
Evaluation of molecular pharmaceutical and in-vivo properties of spray-dried isolated andrographolide-PVP.喷雾干燥穿心莲内酯-PVP 及其体内性质的分子药剂学评价。
J Pharm Pharmacol. 2009 Nov;61(11):1465-72. doi: 10.1211/jpp/61.11.0005.
7
Lyophilized plasma for resuscitation in a swine model of severe injury.用于严重创伤猪模型复苏的冻干血浆
Arch Surg. 2009 Sep;144(9):829-34. doi: 10.1001/archsurg.2009.154.
8
Resuscitation and transfusion principles for traumatic hemorrhagic shock.创伤性失血性休克的复苏与输血原则
Blood Rev. 2009 Nov;23(6):231-40. doi: 10.1016/j.blre.2009.07.003. Epub 2009 Aug 19.
9
Recommendations for the use of therapeutic plasma.治疗性血浆使用建议。
Curr Vasc Pharmacol. 2009 Apr;7(2):110-9. doi: 10.2174/157016109787455671.
10
Development and testing of freeze-dried plasma for the treatment of trauma-associated coagulopathy.用于治疗创伤性凝血病的冻干血浆的研发与测试。
J Trauma. 2008 Nov;65(5):975-85. doi: 10.1097/TA.0b013e3181801cd9.

喷雾:用于室温储存的单供体血浆产品。

Spray: single-donor plasma product for room temperature storage.

机构信息

Department of Transfusion Medicine, Clinical Center, National Institutes of Health, Bethesda, Maryland, USA.

出版信息

Transfusion. 2012 Apr;52(4):828-33. doi: 10.1111/j.1537-2995.2011.03419.x. Epub 2011 Nov 2.

DOI:10.1111/j.1537-2995.2011.03419.x
PMID:22043873
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3891503/
Abstract

BACKGROUND

Spray-drying techniques are commonly utilized in the pharmaceutical, dairy, and animal feed industries for processing liquids into powders but have not been applied to human blood products. Spray-dried protein products are known to maintain stability during storage at room temperature.

STUDY DESIGN AND METHODS

Plasma units collected at the donor facility were shipped overnight at room temperature to a processing facility where single-use spray drying occurred. After 48 hours' storage at room temperature, the spray-dried plasma product was split in two and rehydrated with 1.5% glycine or deionized water and assayed for chemistry analytes and coagulation factors. Matched fresh-frozen plasma was analyzed in parallel as controls.

RESULTS

Reconstitution was achieved for both rehydration groups within 5 minutes (n = 6). There was no significant intergroup difference in recovery for total protein, albumin, immunoglobulin (Ig)G, IgA, and IgM (96% or higher). With the exception of Factor VIII (58%), the recovery of clotting factors in the glycine reconstituted products ranged from 72% to 93%. Glycine reconstitution was superior to deionized water.

CONCLUSION

We documented proteins and coagulation activities were recovered in physiologic quantities in reconstituted spray-dried plasma products. Further optimization of the spray-drying method and reconstitution fluid may result in even better recoveries. Spray drying is a promising technique for preparing human plasma that can be easily stored at room temperature, shipped, and reconstituted. Rapid reconstitution of the microparticles results in a novel plasma product from single donors.

摘要

背景

喷雾干燥技术常用于制药、乳制品和动物饲料行业,可将液体加工成粉末,但尚未应用于人类血液制品。已知喷雾干燥的蛋白质产品在室温下储存时保持稳定。

研究设计和方法

在捐赠点收集的血浆单位在室温下连夜运送到处理设施,在那里进行一次性喷雾干燥。在室温下储存 48 小时后,将喷雾干燥的血浆产品分为两部分,并用 1.5%甘氨酸或去离子水重新水化,并测定化学分析物和凝血因子。作为对照,平行分析匹配的新鲜冷冻血浆。

结果

两种再水化组在 5 分钟内(n = 6)均可实现再水化。总蛋白、白蛋白、免疫球蛋白(Ig)G、IgA 和 IgM 的回收率在两组间无显著差异(96%或更高)。除因子 VIII(58%)外,甘氨酸再水化产品中凝血因子的回收率范围为 72%至 93%。甘氨酸再水化优于去离子水。

结论

我们记录了再水化喷雾干燥血浆产品中生理量的蛋白质和凝血活性得到回收。进一步优化喷雾干燥方法和再水化液可能会导致更好的回收率。喷雾干燥是一种有前途的制备可在室温下轻松储存、运输和再水化的人类血浆的技术。微颗粒的快速再水化可从单个供体产生新型血浆产品。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fe0/3891503/46497f941d05/nihms408593f2.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fe0/3891503/d7fb51783b10/nihms408593f1.jpg
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