Reichenberg S, Gravemann U, Sumian C, Seltsam A
Maco Pharma International GmbH, Langen, Germany.
Red Cross Blood Service NSTOB, Institute Springe, Springe, Germany.
Vox Sang. 2015 Aug;109(2):129-37. doi: 10.1111/vox.12257. Epub 2015 Apr 20.
Although most pathogen reduction systems for plasma primarily target viruses, bacterial contamination may also occur. This study aimed to investigate the bacterial reduction capacity of a methylene blue (MB) treatment process and its virus inactivation capacity in lipaemic plasma.
Bacterial concentrations in plasma units spiked with different bacterial strains were measured before and after the following steps of the THERAFLEX MB-Plasma procedure: leucocyte filtration, MB/light treatment and MB filtration. Virus inactivation was investigated for three virus types in non-lipaemic, borderline lipaemic and highly lipaemic plasma.
Leucocyte filtration alone efficiently eliminated most of the tested bacteria by more than 4 logs (Staphylococcus epidermidis and Staphylococcus aureus) or to the limit of detection (LOD) (≥ 4.8 logs; Escherichia coli, Bacillus cereus and Klebsiella pneumoniae). MB/light and MB filtration further reduced Staphylococcus epidermidis and Staphylococcus aureus to below the LOD. The small bacterium Brevundimonas diminuta was reduced by 1.7 logs by leucocyte filtration alone, and to below the LOD by additional MB/light treatment and MB filtration (≥ 3.7 logs). Suid herpesvirus 1, bovine viral diarrhoea virus and human immunodeficiency virus 1 were efficiently inactivated by THERAFLEX MB-Plasma, independent of the degree of lipaemia.
THERAFLEX MB-Plasma efficiently reduces bacteria, mainly via the integrated filtration system. Its virus inactivation capacity is sufficient to compensate for reduced light transparency due to lipaemia.
尽管大多数血浆病原体灭活系统主要针对病毒,但细菌污染也可能发生。本研究旨在调查亚甲蓝(MB)处理工艺对脂血血浆中细菌的去除能力及其病毒灭活能力。
在THERAFLEX MB-血浆程序的以下步骤前后,测量添加不同细菌菌株的血浆单位中的细菌浓度:白细胞过滤、MB/光照处理和MB过滤。对非脂血、临界脂血和高脂血血浆中的三种病毒类型进行病毒灭活研究。
单独的白细胞过滤能有效去除大多数测试细菌,去除率超过4个对数级(表皮葡萄球菌和金黄色葡萄球菌)或降至检测限(≥4.8个对数级;大肠杆菌、蜡样芽孢杆菌和肺炎克雷伯菌)。MB/光照和MB过滤进一步将表皮葡萄球菌和金黄色葡萄球菌减少至检测限以下。短小泛菌这种小细菌仅通过白细胞过滤减少了1.7个对数级,通过额外的MB/光照处理和MB过滤(≥3.7个对数级)降至检测限以下。THERAFLEX MB-血浆能有效灭活猪疱疹病毒1型、牛病毒性腹泻病毒和人类免疫缺陷病毒1型,与脂血程度无关。
THERAFLEX MB-血浆主要通过集成过滤系统有效减少细菌。其病毒灭活能力足以弥补因脂血导致的光透明度降低。