Sellberg Felix, Berglund Erik, Ronaghi Martin, Strandberg Gabriel, Löf Helena, Sommar Pehr, Lubenow Norbert, Knutson Folke, Berglund David
Department of Immunology, Genetics and Pathology, Section of Clinical Immunology, Uppsala University, Sweden.
Department of Transplantation Surgery, Division of Transplantation Surgery, CLINTEC, Karolinska Institute, Karolinska University Hospital, Stockholm, Sweden.
Transfus Apher Sci. 2016 Dec;55(3):333-337. doi: 10.1016/j.transci.2016.08.004. Epub 2016 Sep 28.
Platelet lysate is a readily available source of growth factors, and other mediators, which has been used in a variety of clinical applications. However, the product remains poorly standardized and the present investigation evaluates the composition of platelet lysate obtained from either fresh or stored pathogen-inactivated platelet units.
Platelet pooled units (n = 10) were obtained from healthy blood donors and tested according to standard procedures. All units were pathogen inactivated using amotosalen hydrochloride and UVA exposure. Platelet lysate was subsequently produced at two separate time-points, either from fresh platelet units or after 5 days of storage, by repeated freeze-thaw cycles. The following mediators were determined at each time-point: EGF, FGF-2, VEGF, IGF-1, PDGF-AB/BB, BMP-2, PF4, TGF-β isoform 1, IL-1β, IL-2, IL-6, IL-10, IL-12p70, 1L-17A, TNF-α, and IFN-γ.
The concentration of growth factors and cytokines was affected by time in storage. Notably, TGF-β, PDGF-AB/BB, and PF4 showed an increase of 27.2% (p < 0.0001), 29.5% (p = 0.04) and 8.2% (p = 0.0004), respectively. A decrease was seen in the levels of IGF-1 and FGF-2 with 22% (p = 0.041) and 11% (p = 0.01), respectively. Cytokines were present only in very low concentrations and all other growth factors remained stable with time in storage.
The composition of mediators in platelet lysate obtained from pathogen-inactivated platelet units differs when produced from fresh and stored platelet units, respectively. This underscores the need for further standardization and optimization of this important product, which potentially may influence the clinical effects.
血小板裂解物是一种易于获得的生长因子及其他介质来源,已被用于多种临床应用。然而,该产品的标准化程度仍然很低,本研究评估了从新鲜或储存的经病原体灭活的血小板单位中获得的血小板裂解物的成分。
从健康献血者中获取血小板混合单位(n = 10),并按照标准程序进行检测。所有单位均使用盐酸氨甲环酸和紫外线A照射进行病原体灭活。随后在两个不同的时间点制备血小板裂解物,分别从新鲜血小板单位或储存5天后的血小板单位中通过反复冻融循环制备。在每个时间点测定以下介质:表皮生长因子(EGF)、碱性成纤维细胞生长因子-2(FGF-2)、血管内皮生长因子(VEGF)、胰岛素样生长因子-1(IGF-1)、血小板衍生生长因子AB/BB(PDGF-AB/BB)、骨形态发生蛋白-2(BMP-2)、血小板第4因子(PF4)、转化生长因子-β亚型1(TGF-β)、白细胞介素-1β(IL-1β)、白细胞介素-2(IL-2)、白细胞介素-6(IL-6)、白细胞介素-10(IL-10)、白细胞介素-12p70、白细胞介素-17A(IL-17A)、肿瘤坏死因子-α(TNF-α)和干扰素-γ(IFN-γ)。
生长因子和细胞因子的浓度受储存时间影响。值得注意的是,TGF-β、PDGF-AB/BB和PF4分别增加了27.2%(p < 0.0001)、29.5%(p = 0.04)和8.2%(p = 0.0004)。IGF-1和FGF-2的水平分别下降了22%(p = 0.041)和11%(p = 0.01)。细胞因子仅以极低浓度存在,所有其他生长因子在储存过程中随时间保持稳定。
分别从新鲜和储存的经病原体灭活的血小板单位中获得的血小板裂解物中的介质成分不同。这突出了对这一重要产品进行进一步标准化和优化的必要性,因为这可能会影响临床效果。