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对有新冠病毒疾病史的献血者制备的血小板浓缩物(PCs)在血小板储存期间的功能和生化参数进行评估。

Evaluation of Function and Biochemical Parameters of Platelet Concentrates (PCs) Prepared From Blood Donors With a History of COVID-19 During the Platelet Storage.

作者信息

Arastehnazar Fatemeh, Rafiee Mohammad Hessam, Deyhim Mohammad Reza, Ghasemi Faezeh, Teimourpour Amir

机构信息

Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran.

出版信息

J Clin Lab Anal. 2025 Jul;39(14):e70062. doi: 10.1002/jcla.70062. Epub 2025 May 30.

Abstract

BACKGROUND

COVID-19 can affect hematological and biochemical parameters, potentially altering platelet function. This study aimed to evaluate the long-term effects of COVID-19 on the quality of platelet concentrates (PCs) collected from donors with a history of infection.

MATERIALS AND METHODS

Twenty PCs were selected from male donors who had recovered from COVID-19. Donors were divided into two groups: control (recovered more than 6 months ago) and case (recovered between 1 and 3 months ago). Research variables, including metabolic and oxidative parameters, were evaluated. Platelet aggregation was also measured at various time points during PC storage.

RESULTS

Both groups showed significant decreases in glucose and pH, and increases in lactate, LDH activity, and ROS during storage (p < 0.001). Collagen-induced platelet aggregation declined over time in both groups without a significant difference between them (interaction p = 0.8). In contrast, arachidonate-induced aggregation showed a significant group-by-time interaction (p = 0.003), with a significant decrease over time in the case group but not in controls. Other parameters did not differ significantly between groups (p > 0.05).

CONCLUSION

PC from donors recently recovered from COVID-19 exhibited a decline in aggregation in response to both collagen and arachidonic acid; however, the reduction in arachidonic acid-induced aggregation was particularly significant, indicating a selective impairment in platelet function following infection. Biochemical markers did not show significant differences between groups. Further studies with larger cohorts and clinical efficacy assessments are essential to comprehensively evaluate the safety and effectiveness of transfusing PC from donors recently recovered from COVID-19.

摘要

背景

新型冠状病毒肺炎(COVID-19)可影响血液学和生化参数,可能改变血小板功能。本研究旨在评估COVID-19对有感染史供者所采集血小板浓缩物(PCs)质量的长期影响。

材料与方法

从COVID-19康复的男性供者中选取20份PCs。将供者分为两组:对照组(6个月前以上康复)和病例组(1至3个月前康复)。评估包括代谢和氧化参数在内的研究变量。在PCs储存期间的不同时间点也测量血小板聚集情况。

结果

两组在储存期间葡萄糖和pH值均显著降低,乳酸、乳酸脱氢酶(LDH)活性和活性氧(ROS)均升高(p<0.001)。两组中胶原诱导的血小板聚集均随时间下降,两组之间无显著差异(交互作用p = 0.8)。相比之下,花生四烯酸诱导的聚集显示出显著的组×时间交互作用(p = 0.003),病例组随时间显著下降,而对照组则无。其他参数在两组之间无显著差异(p>0.05)。

结论

近期从COVID-19康复的供者的PCs对胶原和花生四烯酸的聚集反应均下降;然而,花生四烯酸诱导的聚集减少尤为显著,表明感染后血小板功能存在选择性损害。生化标志物在两组之间未显示出显著差异。进一步开展更大样本量的队列研究和临床疗效评估对于全面评估输注近期从COVID-19康复供者的PCs的安全性和有效性至关重要。

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