Dijkstra-Tiekstra Margriet J, Setroikromo Airies C, Kraan Marcha, Gkoumassi Effimia, de Wildt-Eggen Janny
Division of Research, Department of Transfusion Monitoring, Sanquin Blood Supply, Groningen, the Netherlands.
Transfusion. 2014 Dec;54(12):3155-63. doi: 10.1111/trf.12756. Epub 2014 Aug 11.
Adding dimethyl sulfoxide (DMSO) to hematopoietic progenitor cells (HPCs) causes an exothermic reaction, potentially affecting their viability. The freezing method might also influence this. The aim was to investigate the effect of 1) precooling of DMSO and plasma (D/P) and white blood cell (WBC)-enriched product, 2) DMSO concentration of D/P, 3) freezing program, and 4) storage method on WBC quality.
WBC-enriched product without CD34+ cells was used instead of HPCs. This was divided into six or eight portions. D/P (20 or 50%; precooled or room temperature [RT]) was added to the WBC-enriched product (precooled or RT), resulting in 10% DMSO, while monitoring temperature. The product was frozen using controlled-rate freezing ("fast-rate" or "slow-rate") and placed in vapor-phase or liquid nitrogen. After thawing, WBC recovery and viability were determined.
Temperature increased most for precooled D/P to precooled WBC-enriched product, without influence of 20 or 50% D/P, but remained for all variations below 30°C. WBC recovery for both freezing programs was more than 95%. Recovery of WBC viability was higher for slow-rate freezing compared to fast-rate freezing (74% vs. 61%; p < 0.05) and also for 50% compared to 20% D/P (two test variations). Effect of precooling D/P or WBC-enriched product and of storage in vapor-phase or liquid nitrogen was marginal.
Based on these results, precooling is not necessary. Fifty percent D/P is preferred over 20% D/P. Slow-rate freezing is preferred over fast-rate freezing. For safety reasons storage in vapor-phase nitrogen is preferred over storage in liquid nitrogen. Additional testing using real HPCs might be necessary.
向造血祖细胞(HPC)中添加二甲基亚砜(DMSO)会引发放热反应,这可能会影响细胞活力。冷冻方法也可能对此产生影响。本研究旨在探讨以下因素对白细胞质量的影响:1)DMSO与血浆(D/P)及富含白细胞(WBC)的产品的预冷;2)D/P中DMSO的浓度;3)冷冻程序;4)储存方法。
使用不含CD34 +细胞的富含WBC的产品替代HPC。将其分为六份或八份。向富含WBC的产品(预冷或室温[RT])中添加D/P(20%或50%;预冷或室温),使DMSO浓度达到10%,同时监测温度。使用程序降温法(“快速”或“慢速”)对产品进行冷冻,并置于气相或液氮中。解冻后,测定WBC的回收率和活力。
预冷的D/P加入预冷的富含WBC的产品时温度升高幅度最大,不受20%或50% D/P的影响,但所有变化情况下温度均保持在30°C以下。两种冷冻程序的WBC回收率均超过95%。与快速冷冻相比,慢速冷冻的WBC活力回收率更高(74%对61%;p < 0.05),50% D/P组的WBC活力回收率也高于20% D/P组(两个测试变量)。D/P或富含WBC的产品预冷以及气相或液氮储存的影响很小。
基于这些结果,预冷并非必要。50% D/P优于20% D/P。慢速冷冻优于快速冷冻。出于安全考虑,气相液氮储存优于液氮储存。可能需要使用真实的HPC进行额外测试。