Tey Nicole, Koenig Amie, Hodges Katie, Brainard Benjamin M
Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, University of Georgia, Athens, GA, United States.
Front Vet Sci. 2024 May 24;11:1384938. doi: 10.3389/fvets.2024.1384938. eCollection 2024.
In veterinary medicine there are few readily available products for platelet transfusion to patients with thrombocytopenia. Commercial tabletop platelet concentrating systems have recently become available to veterinarians, primarily directed towards uses associated with regenerative medicine. These systems could potentially be used to produce fresh concentrated platelets for use in transfusion medicine. This study evaluated the concentration, activation, and sterility of a double centrifugation platelet concentrate (PC) produced by a commercial benchtop system.
Ten healthy dogs were studied. Whole blood was collected and mixed with ACD-A in a 1:7.6 ratio of ACD-A to whole blood. 12 mL of this mixture was processed into PC via single centrifugation, while 60 mL of the anticoagulated whole blood was processed via a commercial double centrifugation system. Both types of PC were evaluated for platelet concentration, CD62P expression with and without thrombin stimulation, and for sterility.
Mean platelet count in the double centrifuged PC was 863 ± 352 × 10/μL, with very low white blood cell contamination (median of 0.47 × 10 leukocyte/μL (range 0.15-2.18 × 10/μL)). The double-centrifuged PC had similar baseline activation characteristics (as determined by P-selectin expression) as the single centrifuge PC (0.76% vs. 0.72% unstimulated, 30.5% vs. 34.9% stimulated, = 0.432).
The benchtop PC system studied here did not cause activation of platelets during production and produced a sterile product that can be further investigated as a source of fresh platelet concentrates for transfusion purposes.
在兽医学中,针对血小板减少症患者的血小板输血产品很少。商业台式血小板浓缩系统最近已可供兽医使用,主要用于再生医学相关用途。这些系统有可能用于生产新鲜浓缩血小板,用于输血医学。本研究评估了一种商用台式系统生产的双离心血小板浓缩物(PC)的浓度、活化情况和无菌性。
对10只健康犬进行研究。采集全血并与ACD-A以1:7.6的ACD-A与全血比例混合。将12 mL这种混合物通过单次离心处理成PC,而60 mL抗凝全血通过商用双离心系统处理。对两种类型的PC进行血小板浓度、有无凝血酶刺激时的CD62P表达以及无菌性评估。
双离心PC中的平均血小板计数为863±352×10/μL,白细胞污染非常低(白细胞中位数为0.47×10/μL(范围0.15 - 2.18×10/μL))。双离心PC与单离心PC具有相似的基线活化特征(通过P-选择素表达确定)(未刺激时为0.76%对0.72%,刺激时为30.5%对34.9%,P = 0.432)。
此处研究的台式PC系统在生产过程中未导致血小板活化,并产生了一种无菌产品,可作为输血用新鲜血小板浓缩物的来源进一步研究。