Proffitt S, Thomas S, Swann I, Popovsky M A, Smith D J, Roberts D J, Cardigan R
Component Development Laboratory, NHS Blood and Transplant, Cambridge, UK.
Haemonetics Corporation, Braintree, MA, USA.
Vox Sang. 2015 Oct;109(3):203-13. doi: 10.1111/vox.12271. Epub 2015 Apr 20.
AS-7 is a new alkaline hypotonic red cell additive solution (AS) shown to improve red cell quality during storage compared with AS-1. We sought to compare red cells stored in AS-7 with those stored in SAGM using RCC that were either untreated, or washed or irradiated on day 14 of storage.
A pooled and split study design was used to produce seven identical RCC (four in SAGM and three in AS-7). At day 14 following donation, two RCC (one in SAGM and one in AS-7) were gamma irradiated and three RCC (two in SAGM and one in AS-7) were washed and resuspended in either SAGM or AS-7. RCC were sampled for analysis throughout storage and at end of shelf life: day 28 for washed or irradiated and day 35 for untreated RCC.
For untreated, washed or irradiated RCC, those stored in AS-7 had lower haemolysis, red cell microvesicles and supernatant potassium content than RCC in SAGM. In addition, ATP levels and pH were better maintained in AS-7 RCC than in SAGM RCC.
These data suggest that the quality of these components may be improved by storage in AS-7 compared with SAGM.
AS-7是一种新型碱性低渗红细胞添加液,与AS-1相比,已证明其在储存期间可改善红细胞质量。我们试图比较储存在AS-7中的红细胞与储存在SAGM中的红细胞,这些红细胞来自储存第14天未处理、洗涤或辐照的红细胞悬液(RCC)。
采用汇集和分割研究设计来制备7个相同的RCC(4个在SAGM中,3个在AS-7中)。在献血后第14天,对2个RCC(1个在SAGM中,1个在AS-7中)进行γ辐照,对3个RCC(2个在SAGM中,1个在AS-7中)进行洗涤并重悬于SAGM或AS-7中。在整个储存期间和保质期结束时对RCC进行采样分析:洗涤或辐照的RCC在第28天,未处理的RCC在第35天。
对于未处理、洗涤或辐照的RCC,储存在AS-7中的RCC比储存在SAGM中的RCC具有更低的溶血率、红细胞微囊泡和上清钾含量。此外,AS-7中的RCC比SAGM中的RCC能更好地维持ATP水平和pH值。
这些数据表明,与SAGM相比,储存在AS-7中可能会改善这些成分的质量。