Kaiser-Guignard Julie, Canellini Giorgia, Lion Niels, Abonnenc Mélanie, Osselaer Jean-Claude, Tissot Jean-Daniel
Service d'hématologie, CHUV, Rue du Bugnon 26, 1011 Lausanne, Switzerland.
Service régional vaudois de transfusion, Route de la Corniche 2, 1066 Epalinges, Switzerland.
Blood Rev. 2014 Nov;28(6):235-41. doi: 10.1016/j.blre.2014.07.005. Epub 2014 Aug 24.
Since 1990, several techniques have been developed to photochemically inactivate pathogens in platelet concentrates, potentially leading to safer transfusion therapy. The three most common methods are amotosalen/UVA (INTERCEPT Blood System), riboflavin/UVA-UVB (MIRASOL PRT), and UVC (Theraflex-UV). We review the biology of pathogen inactivation methods, present their efficacy in reducing pathogens, discuss their impact on the functional aspects of treated platelets, and review clinical studies showing the clinical efficiency of the pathogen inactivation methods and their possible toxicity.
自1990年以来,已开发出多种技术用于对血小板浓缩物中的病原体进行光化学灭活,这可能会带来更安全的输血治疗。三种最常见的方法是氨甲环酸/紫外线A(INTERCEPT血液系统)、核黄素/紫外线A-紫外线B(MIRASOL PRT)和紫外线C(Theraflex-UV)。我们综述了病原体灭活方法的生物学原理,介绍了它们在减少病原体方面的功效,讨论了它们对经处理血小板功能方面的影响,并综述了显示病原体灭活方法临床效果及其可能毒性的临床研究。