Kelly Kathleen, Dumont Larry J
Blood Systems Research Institute, 717 Yosemite Street, Denver, CO, 80230, United States.
Blood Systems Research Institute, 717 Yosemite Street, Denver, CO, 80230, United States.
Transfus Apher Sci. 2019 Feb;58(1):23-29. doi: 10.1016/j.transci.2018.12.013. Epub 2018 Dec 30.
The technical limitations on platelet shelf life and storage have driven research for alternatives, including cryopreservation of platelets. Over the past 60 years, product development has adopted freezing platelets in 6% dimethyl sulfoxide (DMSO) and storage in mechanical freezers at -80 °C for up to 2 years. Frozen platelets show a primed, hypercoagulable in vitro phenotype post-thaw when assayed using morphology, flow cytometry for marker expression, and thrombin capacity. In vivo studies show a role for frozen platelets in the maintenance of hemostasis and data from limited clinical trials show frozen platelets are safe and appear beneficial. As research continues to address the functional role of in vitro assays for clinical outcomes, frozen platelet product development represents a good alternative to room temperature platelets for many applications.
血小板保存期限和储存方面的技术限制推动了对替代方法的研究,包括血小板的冷冻保存。在过去60年里,产品研发采用在6%二甲基亚砜(DMSO)中冷冻血小板,并在-80°C的机械冷冻箱中储存长达2年。当使用形态学、标记物表达的流式细胞术和凝血酶能力进行检测时,解冻后的冷冻血小板在体外呈现出预激活的、高凝的表型。体内研究表明冷冻血小板在维持止血方面发挥作用,有限的临床试验数据显示冷冻血小板是安全的且似乎有益。随着研究继续探讨体外检测对临床结果的功能作用,冷冻血小板产品研发对于许多应用而言是室温血小板的一个良好替代方案。