Dinh Mai T P, Mukhamedshin Anton, Abhishek Kumar, Lam Fong W, Gifford Sean C, Shevkoplyas Sergey S
Department of Biomedical Engineering, University of Houston, 3605 Cullen Blvd, Houston, TX 77204-5060, USA.
Division of Pediatric Critical Care Medicine, Baylor College of Medicine, Houston, TX 77030, USA.
Lab Chip. 2024 Feb 13;24(4):913-923. doi: 10.1039/d3lc00842h.
The significant biological and functional differences between small and large platelets suggested by recent studies could have profound implications for transfusion medicine. However, investigating the relationship between platelet size and function is challenging because separating platelets by size without affecting their properties is difficult. A standard approach is centrifugation, but it inevitably leads to premature activation and aggregation of separated platelets. This paper describes the development and validation of a microfluidic device based on controlled incremental filtration (CIF) for separating platelets by size without the cell damage and usability limitations associated with centrifugation. Platelet samples derived from whole blood were used to evaluate the dependence of the CIF device separation performance on design parameters and flow rate, and to compare the properties of PLT fractions generated by the CIF device with those produced using a centrifugation protocol in a split-sample study. This was accomplished by quantifying the platelet size distribution, mean platelet volume (MPV), platelet-large cell ratio (P-LCR) and platelet activation before and after processing for all input and output samples. The 'large platelet' fractions produced by the CIF device and the centrifugation protocol were essentially equivalent (no significant difference in MPV and P-LCR). Platelets in the 'small platelet' fraction produced by the CIF device were significantly smaller than those produced by centrifugation (lower MPV and P-LCR). This was because the CIF 'small platelet' fraction was contaminated by much fewer large platelets (∼2-times lower recovery of >12 fL platelets) and retained the smallest platelets that were discarded by the centrifugation protocol. There was no significant difference in platelet activation between the two methods. However, centrifugation required a substantial amount of additional anticoagulant to prevent platelet aggregation during pelleting. Unlike centrifugation, the CIF device offered continuous, flow-through, single-step processing that did not cause platelet aggregation. Such a capability has the potential to accelerate the basic studies of the relationship between platelet size and function, and ultimately improve transfusion practice, particularly in the pediatric setting, where the need for low-volume, high-quality platelet transfusions is most urgent.
近期研究表明,小血小板与大血小板之间存在显著的生物学和功能差异,这可能对输血医学产生深远影响。然而,研究血小板大小与功能之间的关系具有挑战性,因为在不影响血小板特性的情况下按大小分离血小板很困难。一种标准方法是离心,但这不可避免地会导致分离出的血小板过早激活和聚集。本文描述了一种基于可控增量过滤(CIF)的微流控装置的开发与验证,该装置可按大小分离血小板,且不存在与离心相关的细胞损伤和可用性限制。从全血中获取的血小板样本用于评估CIF装置分离性能对设计参数和流速的依赖性,并在一项分样本研究中比较CIF装置产生的血小板组分与使用离心方案产生的血小板组分的特性。这是通过对所有输入和输出样本处理前后的血小板大小分布、平均血小板体积(MPV)、血小板大细胞比率(P-LCR)和血小板激活情况进行量化来实现的。CIF装置和离心方案产生的“大血小板”组分基本等效(MPV和P-LCR无显著差异)。CIF装置产生的“小血小板”组分中的血小板明显小于离心产生的血小板(MPV和P-LCR更低)。这是因为CIF“小血小板”组分被大血小板污染的程度要低得多(>12 fL血小板的回收率低约2倍),并且保留了离心方案中被丢弃的最小血小板。两种方法在血小板激活方面没有显著差异。然而,离心需要大量额外的抗凝剂以防止在沉淀过程中血小板聚集。与离心不同,CIF装置提供连续、流通、单步处理,不会导致血小板聚集。这种能力有可能加速血小板大小与功能关系的基础研究,并最终改善输血实践,特别是在儿科领域,那里对小体积、高质量血小板输血的需求最为迫切。
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