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维生素C范例:输血领域的新前沿

The vitamin C paradigm: new frontiers in blood transfusion.

作者信息

Obeagu Emmanuel Ifeanyi

机构信息

Department of Biomedical and Laboratory Science, Africa University, Mutare, Zimbabwe.

出版信息

Ann Med Surg (Lond). 2025 May 21;87(6):3310-3326. doi: 10.1097/MS9.0000000000003018. eCollection 2025 Jun.

Abstract

Vitamin C, a potent antioxidant, is gaining attention in the field of transfusion medicine for its potential to enhance blood transfusion practices. Recent studies suggest that vitamin C can significantly improve erythrocyte preservation by mitigating oxidative damage during storage, thereby maintaining cell membrane integrity and functionality. This preservation is crucial for ensuring the efficacy and safety of transfused blood, ultimately leading to better patient outcomes. In addition to its role in erythrocyte preservation, vitamin C has been shown to modulate immune responses, which can be particularly beneficial in reducing the risks associated with transfusion-related immunomodulation (TRIM). By influencing both innate and adaptive immunity, vitamin C can help mitigate adverse immune reactions and improve the overall clinical outcomes for transfusion recipients. These immune-modulating properties underscore the potential of vitamin C to address some of the critical challenges in transfusion medicine. Furthermore, clinical trials have demonstrated that the incorporation of vitamin C in transfusion protocols can lead to enhanced recovery rates and reduced incidence of transfusion-related complications. The multifaceted benefits of vitamin C, including its antioxidant defense, immune support, and metabolic regulation, highlight its promise as a transformative agent in blood transfusion practices. As research continues to uncover the optimal use of vitamin C in this context, it is poised to become a pivotal element in improving transfusion efficacy and patient care.

摘要

维生素C是一种强效抗氧化剂,因其在改善输血实践方面的潜力而在输血医学领域受到关注。最近的研究表明,维生素C可以通过减轻储存期间的氧化损伤来显著改善红细胞保存,从而维持细胞膜的完整性和功能。这种保存对于确保输血的有效性和安全性至关重要,最终可带来更好的患者预后。除了在红细胞保存中的作用外,维生素C还被证明可以调节免疫反应,这在降低与输血相关免疫调节(TRIM)相关的风险方面可能特别有益。通过影响固有免疫和适应性免疫,维生素C可以帮助减轻不良免疫反应,改善输血受者的总体临床结局。这些免疫调节特性突出了维生素C应对输血医学中一些关键挑战的潜力。此外,临床试验表明,在输血方案中加入维生素C可提高恢复率,并降低输血相关并发症的发生率。维生素C的多方面益处,包括其抗氧化防御、免疫支持和代谢调节,凸显了其作为输血实践中变革性药物的前景。随着研究继续揭示维生素C在这方面的最佳用途,它有望成为提高输血疗效和患者护理水平的关键要素。

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