Böck M, Gawaz M, Heim M U, Mempel W
Transfusionszentrum, Klinikum Grosshadern, Universität München, Deutschland.
Beitr Infusionsther Transfusionsmed. 1994;32:397-400.
Storage of single-donor platelets is currently limited to 5 days. During this period, however, numerous morphologic and biochemical changes have been observed. The present study describes increased binding of anti-GMP 140 to stored single-donor platelet concentrates; this reveals a progressive activation process. In contrast, when stored platelets are stimulated with ADP, GMP 140, expression is reduced indicating a diminished release reaction. Additionally, the GP IIb/IIIa receptor complex and its fibrinogen-induced binding site (LIBS1) are reduced by storage time, demonstrating a diminished fibrinogen binding. Further experiments have to clarify whether these changes observed in vitro translate into a reduced hemostatic capacity after transfusion in vivo.
单供体血小板的储存目前限于5天。然而,在此期间,已观察到许多形态学和生化变化。本研究描述了抗GMP 140与储存的单供体血小板浓缩物的结合增加;这揭示了一个渐进的激活过程。相比之下,当用ADP刺激储存的血小板时,GMP 140的表达降低,表明释放反应减弱。此外,GP IIb/IIIa受体复合物及其纤维蛋白原诱导的结合位点(LIBS1)会因储存时间而减少,这表明纤维蛋白原结合能力减弱。进一步的实验必须阐明这些体外观察到的变化在体内输血后是否会转化为止血能力的降低。