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用 mirasol(®)病原体减少处理技术系统处理富含血小板的血浆中的血小板。

Treatment of buffy coat platelets in platelet additive solution with the mirasol(®) pathogen reduction technology system.

机构信息

Centro de Transfusion de Galicia, Santiago de Compostela, Spain.

出版信息

Transfus Med Hemother. 2013 Feb;40(1):44-8. doi: 10.1159/000345679. Epub 2013 Jan 3.

DOI:10.1159/000345679
PMID:23637649
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3635978/
Abstract

BACKGROUND

The Mirasol pathogen reduction technology (PRT) system uses riboflavin and ultraviolet light and is currently approved and used in Europe for the treatment of platelets and plasma. Mirasol treatment is intended to reduce the infectious pathogen load and to inactivate leukocytes in blood products. Our objective was to evaluate buffy coat platelet concentrates (BCPCs) prepared with platelet additive solution (PAS) and treated with the Mirasol system and to examine the effects on platelet cell quality during storage.

METHODS

26 BCPCs were prepared and split, creating 13 paired control and test units. The test units were treated with the Mirasol system and the platelet quality was assessed in all units over 7 days of storage.

RESULTS

All products met the incoming specifications for Mirasol treatment, and the pH of all Mirasol-treated BCPCs in PAS met the requirements of the Council of Europe guidelines throughout storage. Analysis of lactate production and glucose consumption rates, CD62p expression and cytokines indicates enhanced cellular metabolism in treated platelets, but the levels were within previously published ranges.

CONCLUSION

While Mirasol-treated BCPCs in PAS had increased metabolism and activation compared to controls, the results indicate that these units can be stored for 7 days with acceptable cell quality.

摘要

背景

Mirasol 病原体减少技术 (PRT) 系统使用核黄素和紫外线,目前已在欧洲获得批准并用于血小板和血浆的治疗。Mirasol 处理旨在降低血液制品中的感染病原体负荷并灭活白细胞。我们的目的是评估使用血小板添加剂溶液 (PAS) 制备并用 Mirasol 系统处理的浓缩血小板 (BCPC),并研究储存过程中对血小板细胞质量的影响。

方法

制备并分离了 26 个 BCPC,创建了 13 对对照和测试单元。对测试单元进行 Mirasol 处理,并在所有单元中储存 7 天期间评估血小板质量。

结果

所有产品均符合 Mirasol 处理的来料规格,所有在 PAS 中用 Mirasol 处理的 BCPC 的 pH 值在整个储存过程中均符合欧洲理事会指南的要求。对乳酸盐生成和葡萄糖消耗率、CD62p 表达和细胞因子的分析表明,处理后的血小板代谢增强,但水平处于先前发表的范围内。

结论

尽管与对照相比,在 PAS 中用 Mirasol 处理的 BCPC 代谢和激活增加,但结果表明这些单位可以在可接受的细胞质量下储存 7 天。

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本文引用的文献

1
Pathogen Reduction Technology Treatment of Platelets, Plasma and Whole Blood Using Riboflavin and UV Light.使用核黄素和紫外线光对血小板、血浆和全血进行病原体灭活技术处理
Transfus Med Hemother. 2011;38(1):8-18. doi: 10.1159/000324160. Epub 2011 Jan 31.
2
Cesium cessation? An advantage of pathogen reduction treatments.铯消除?病原体灭活处理的一个优势。
Transfusion. 2011 Jul;51(7):1369-76. doi: 10.1111/j.1537-2995.2011.03201.x.
3
Inactivation of human white blood cells in platelet products after pathogen reduction technology treatment in comparison to gamma irradiation.与γ射线辐照相比,血小板制品经病原体减少处理技术处理后对人白细胞的灭活作用。
Transfusion. 2011 Jul;51(7):1397-404. doi: 10.1111/j.1537-2995.2010.02984.x. Epub 2010 Dec 13.
4
Hemostatic function of buffy coat platelets in additive solution treated with pathogen reduction technology.用病原体减少技术处理添加剂溶液中的富含血小板的血浆的止血功能。
Transfusion. 2011 Feb;51(2):344-56. doi: 10.1111/j.1537-2995.2010.02821.x. Epub 2010 Aug 16.
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White blood cell inactivation after treatment with riboflavin and ultraviolet light.经核黄素和紫外线处理后白细胞失活。
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The cost-effectiveness of pathogen reduction technology as assessed using a multiple risk reduction model.采用多重风险降低模型评估病原体减少技术的成本效益。
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Trypanosoma rangeli in a blood donor at the Valencian Blood Transfusion Centre.瓦伦西亚输血中心一名献血者体内的赖氏锥虫。
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