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本文引用的文献

1
Low risk of SARS-CoV-2 in blood transfusion.血液传播 SARS-CoV-2 的风险较低。
PLoS One. 2021 Apr 13;16(4):e0249069. doi: 10.1371/journal.pone.0249069. eCollection 2021.
2
Genomic epidemiology of SARS-CoV-2 reveals multiple lineages and early spread of SARS-CoV-2 infections in Lombardy, Italy.SARS-CoV-2 的基因组流行病学研究揭示了意大利伦巴第大区的多种谱系和 SARS-CoV-2 感染的早期传播。
Nat Commun. 2021 Jan 19;12(1):434. doi: 10.1038/s41467-020-20688-x.
3
A retrospective study assessing the characteristics of COVID-19 convalescent plasma donors and donations.一项回顾性研究评估了 COVID-19 恢复期血浆供者和捐赠的特征。
Transfusion. 2021 Mar;61(3):830-838. doi: 10.1111/trf.16208. Epub 2020 Dec 14.
4
Prevalence of SARS-CoV-2 specific neutralising antibodies in blood donors from the Lodi Red Zone in Lombardy, Italy, as at 06 April 2020.2020 年 4 月 6 日,意大利伦巴第大区洛迪红区献血者中 SARS-CoV-2 特异性中和抗体的流行情况。
Euro Surveill. 2020 Jun;25(24). doi: 10.2807/1560-7917.ES.2020.25.24.2001031.
5
Challenges in the Production of Convalescent Hyperimmune Plasma in the Age of COVID-19.COVID-19时代恢复期超免疫血浆生产面临的挑战
Semin Thromb Hemost. 2020 Oct;46(7):804-806. doi: 10.1055/s-0040-1713433. Epub 2020 Jun 8.
6
Pathogen reduction of SARS-CoV-2 virus in plasma and whole blood using riboflavin and UV light.利用核黄素和紫外线对血浆和全血中的 SARS-CoV-2 病毒进行减毒处理。
PLoS One. 2020 May 29;15(5):e0233947. doi: 10.1371/journal.pone.0233947. eCollection 2020.
7
Plasma from donors recovered from the new Coronavirus 2019 as therapy for critical patients with COVID-19 (COVID-19 plasma study): a multicentre study protocol.从新冠肺炎康复供者中提取的血浆用于治疗 COVID-19 危重症患者的研究(COVID-19 血浆研究):一项多中心研究方案。
Intern Emerg Med. 2020 Aug;15(5):819-824. doi: 10.1007/s11739-020-02384-2. Epub 2020 May 28.
8
Inactivation of severe acute respiratory syndrome coronavirus 2 in plasma and platelet products using a riboflavin and ultraviolet light-based photochemical treatment.采用核黄素和基于紫外线的光化学处理灭活血浆和血小板制品中的严重急性呼吸综合征冠状病毒 2。
Vox Sang. 2020 Aug;115(6):495-501. doi: 10.1111/vox.12937. Epub 2020 May 14.
9
Coronavirus Disease 2019: Coronaviruses and Blood Safety.2019 年冠状病毒病:冠状病毒与血液安全。
Transfus Med Rev. 2020 Apr;34(2):75-80. doi: 10.1016/j.tmrv.2020.02.003. Epub 2020 Feb 21.
10
SARS-CoV-2 Viral Load in Upper Respiratory Specimens of Infected Patients.感染患者上呼吸道标本中的新型冠状病毒2型病毒载量
N Engl J Med. 2020 Mar 19;382(12):1177-1179. doi: 10.1056/NEJMc2001737. Epub 2020 Feb 19.

SARS-CoV-2 变体使用基于核黄素和紫外线的光化学处理灭活血浆单位。

SARS-CoV-2 variants inactivation of plasma units using a riboflavin and ultraviolet light-based photochemical treatment.

机构信息

Molecular Virology Unit, Microbiology and Virology Department, IRCCS Policlinico San Matteo, Pavia, 27100, Italy.

Immunohaematology and Transfusion Service, Fondazione IRCCS Policlinico San Matteo, Viale Golgi 19, 27100, Pavia, Italy.

出版信息

Transfus Apher Sci. 2022 Aug;61(4):103398. doi: 10.1016/j.transci.2022.103398. Epub 2022 Feb 16.

DOI:10.1016/j.transci.2022.103398
PMID:35227599
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8847076/
Abstract

BACKGROUND

Test the ability of Mirasol Pathogen Reduction Technology (PRT, Terumo BCT, Lakewood Co, USA) treatment with riboflavin and ultraviolet light (R + UV) in reducing SARS-CoV-2 infectivity while maintaining blood product quality.

MATERIAL AND METHODS

SARS-CoV-2 strains were isolated and titrated to prepare cell free virus for plasma units infection. The units were then under treatment with Mirasol PRT. The infectious titers were determined before and after treatment with an in house microtitration assay on Vero E6 cells. Thirty-six plasma pool bags underwent PRT treatment.

RESULTS

In all the experiments, the measured titer following riboflavin and UV treatment was below the limit of detection of microtitration assay for all the different SARS-CoV-2 strains. Despite the high copies number detected by RT-PCR for each viral strain after treatment, viruses were completely inactivated and not able to infect VERO E6 cells.

CONCLUSION

Riboflavin and UV light treatment effectively reduced the virus titers of human plasma to the limit of detection in tissue culture, regardless of the strain. These data suggest that pathogen reduction in blood products highlight the safety of CP therapy procedures for critically ill COVID-19 patients, while maintaining blood product quality.

摘要

背景

测试米乐净病原体减少技术(PRT,Terumo BCT,美国科罗拉多州莱克伍德)用核黄素和紫外线(R+UV)处理以减少 SARS-CoV-2 感染力,同时保持血液产品质量的能力。

材料和方法

分离并滴定 SARS-CoV-2 株制备用于血浆单位感染的无细胞病毒。然后用米乐净 PRT 处理这些单位。用 Vero E6 细胞的内部微量滴定法在处理前后测定感染滴度。36 个血浆袋接受了 PRT 处理。

结果

在所有实验中,用核黄素和紫外线处理后测量的滴度均低于所有不同 SARS-CoV-2 株微量滴定法的检测限。尽管每种病毒株经处理后 RT-PCR 检测到的拷贝数都很高,但病毒完全失活,无法感染 VERO E6 细胞。

结论

核黄素和紫外线处理可有效将人血浆中的病毒滴度降低到组织培养中的检测限,与病毒株无关。这些数据表明,血液制品中的病原体减少突出了 CP 治疗程序对于 COVID-19 危重症患者的安全性,同时保持了血液产品的质量。