新技术新方法

血细胞处理仪制备洗涤混合血小板及对生物活性的影响

  • 陈小光 ,
  • 陈茵 ,
  • 谭爱玲 ,
  • 梁明月 ,
  • 黄小敏 ,
  • 杨子曜 ,
  • 何博
展开
  • 广州血液中心,广州市血液安全重点实验室 (广州 510095 )

收稿日期: 2023-11-29

  网络出版日期: 2024-05-21

基金资助

广东省自然科学基金项目(2023A1515010924);广东省医学科研基金项目(B2023319);广州市医学重点学科(2021-2023年)项目

Preparation of washed mixed platelets by blood cell processing apparatus and its effect on biological activity

  • Xiaoguang CHEN ,
  • Yin CHEN ,
  • Ailing TAN ,
  • Mingyue LIANG ,
  • Xiaomin HUANG ,
  • Ziyao YANG ,
  • Bo. HE
Expand
  • Guangzhou Blood Center,the Key Medical Laboratory of Guangzhou,Guangzhou 510095,China

Received date: 2023-11-29

  Online published: 2024-05-21

摘要

目的 建立血细胞处理仪(NGL-BBS)新程序制备洗涤混合血小板,与传统手工法比较对血小板生物活性的影响。 方法 用白膜法从无偿献血者捐献的全血中分离并制备混合浓缩血小板,分别采用血细胞处理仪(NGL-BBS)设定的新程序(观察组)和手工法(对照组)进行制备洗涤混合血小板,修改血细胞处理仪原洗涤红细胞程序参数建立新的洗涤血小板程序,具体参数如下:稀释量150 mL,洗涤量150 mL,稀释速度100 r/min,洗涤速度120 r/min。流式细胞术比较两组洗涤混合血小板的生物活化标志物CD62P和CD63的表达率,并使用血栓弹力图仪(TEG)测量和比较两组洗涤混合血小板的MA值。 结果 观察组洗涤混合血小板CD62P和CD63表达率均低于对照组(t = 4.11,P < 0.01;t = 10.78,P < 0.01);观察组血小板的血栓弹力图MA值显著大于对照组(t = 6.67,P < 0.01)。 结论 本研究建立的血细胞处理仪(NGL-BBS)制备洗涤混合血小板的方法对生物活性的影响明显小于手工制备法。

本文引用格式

陈小光 , 陈茵 , 谭爱玲 , 梁明月 , 黄小敏 , 杨子曜 , 何博 . 血细胞处理仪制备洗涤混合血小板及对生物活性的影响[J]. 实用医学杂志, 2024 , 40(10) : 1445 -1449 . DOI: 10.3969/j.issn.1006-5725.2024.10.020

Abstract

Objective To establish a new program of blood cell processing apparatus(NGL-BBS) for the preparation of washed mixed plateletsand to study the effect on biological activity of platelets compared with traditional manual method. Methods Mixed concentrated platelets were separated and prepared from whole blood by white membrane method. Blood cell processing apparatus with new program set(experimental group) and manual method (control group) was used for thepreparation of washed mixed platelets. The expression rate of CD62P and CD63 in the two groups of washed mixed platelets was compared by flow-cytometry. Thrombus elastography (TEG) was used to measure and compare the MA value between the two groups. Results The expression rate of CD62P and CD63 in the experimental group was lower than that in the control group(t = 4.11,P < 0.01; t = 10.78,P < 0.01). TheTEG MA valueof the experimental group was higher than that of the control group(t = 6.67,P < 0.01). Conclusion The present study demonstrates that the use of NGL-BBS for the preparation of washed mixed platelets has a lesser impact on biological activity compared to manual preparation methods.

参考文献

1 陈会友,原耀光,江朝富,等. 洗涤血小板的质量检验和临床疗效观察[J].热带医学杂志, 2007,7(2):163-180. doi:10.3969/j.issn.1672-3619.2007.02.020
2 VAMVAKAS E C, PINEDA A L. Allergic andanaphylactic reactions[M]//POPOVSKY M A. TransfusionReactions. 2nd ed.Bethesda: AABB Press, 2001:83-127.
3 熊水萍. 洗涤红细胞在反复输注红细胞患者输血治疗中的应用效果[J]. 中国当代医药, 2021,28(11):66-68.
4 SALAMA A, TEMMESFELD B, HIPPENSTIEL S, et al. A new strategy for the prevention of IgA anaphylactic transfusionreactions[J]. Transfusion, 2004, 44(4): 509-511. doi:10.1111/j.1537-2995.2004.03316.x
5 WINTERS J L, MOORE S B, SANDESS C, et al. Transfusion of apheresis PLTsfrom IgA-deficient donors with anti-Ig A is not associated with an increase intransfusion reactions [J]. Transfusion, 2004, 44(3): 382-385. doi:10.1111/j.1537-2995.2003.00662.x
6 李宁,叶萍,毕晓琳. 无浆血小板制备的研究[J].临床血液杂志, 2013,26(8):515-520.
7 徐文皓,李志强.非溶血性发热性输血反应[J].中国输血杂志, 2002,15(5):368. doi:10.3969/j.issn.1004-549X.2002.05.049
8 卢莉娟. 去白细胞血液成分在降低输血不良反应中的应用价值[J]. 实用医技杂志, 2022,29(11):1216-1218.
9 李晓华,李建民,鲍雪临,等. 洗涤血小板制备及相关质量功能指标的研究[J]. 中国社区医师, 2022,38(27):60-62.
10 徐文皓,赵佑山,肖超,等. 骨髓增生异常综合征成分输血及部分输血反应分析[J]. 中国输血杂志, 2023,36(8):689-693.
11 王文婷,陈要臻,刘二雄,等. 血小板体外活化后高表达P选择素(CD62P)抑制细菌增殖并诱导其凋亡样改变[J]. 细胞与分子免疫学杂志, 2022,38(9):781-788.
12 徐峰. 探讨β2M、CD62P、CD63表达水平对ITP临床诊断价值的研究[J]. 河北医科大学学报, 2022,43(11):1323-1327.
13 付涌水,钱开诚,陆志刚. 临床输血(第3版)[M]. 北京:人民卫生出版社, 2012:37-40.
14 PIDCOKE H F, ADEN J K, MORA A G, et al. Ten-year analysis of transfusion in Operation Iraqi Freedom and Operation Enduring Freedom: increased plasma and platelet use correlates with improved survival[J].Trauma Acute Care Surg, 2012,73(): S445-S452. doi:10.1097/ta.0b013e3182754796
15 NESSEN S C, EASTRIDGE B J, CRONK D, et al. Fresh whole blood use by forward surgical teams in Afghanistan is associated with improved survival compared to component therapy without platelets[J]. Transfusion, 2013,53():S107-S113. doi:10.1111/trf.12044
16 ROCK G, MOLTZAN C, ALHARBI A, et al. Automated collection of blood components: their storage and transfusion[J]. Transfus Med, 2003,13(4):219-225. doi:10.1046/j.1365-3148.2003.00444.x
17 SOLEIMANY F A. Platelet activation in stored platelet concentrates:comparision of two methods Preparation [J]. Blood Disord Transfusion, 2011,51(2):212-214.
18 王天祥,邹高峰,王锡明,等. 富血小板血浆(PRP)常温保存理化指标变化的研究[J]. 中国保健营养, 2013,1(1):36-37.
19 周永列,张继业. 血小板活化标志物及其临床意义[J]. 国外医学临床生物化学与检验学分册, 2000,21(6):299-301.
20 PFISTERSHAMMER K, MAJDIC O, STOCKL J, et al. CD63 as an activation-linked T cell costimulatory element[J].Immunol, 2004,173(10):6000-6008. doi:10.4049/jimmunol.173.10.6000
21 VETLESEN A, MIRLASHARI M R, TORSHEIM I A, et al.Platelet activation and residual activation potential during storage of hyper concentrated platelet products in two differentplatelet additive solutions[J] . Transfusion, 2005, 45(8): 1349-1355. doi:10.1111/j.1537-2995.2005.00218.x
22 RINGWALD J, ALTHOFF F, ZIMMERMANN R, et al. Washingplatelet with new additive solutions: aspects on the invitro quality after 48 hours of storage[J]. Transfusion, 2006,46(2):236-243. doi:10.1111/j.1537-2995.2006.00716.x
23 石洁,艾俊,徐安琪,等. 微小RNA作为单采血小板储存损伤标志物不同保存期的差异表达谱[J]. 临床血液学杂志, 2023,36(2):16-19.
24 杨惠宽,吴千羽,张嘉仪,等. miRNA作为血小板储存损伤标志物研究初探[J]. 临床输血与检验, 2022,24(2):176-181. doi:10.3969/j.issn.1671-2587.2022.02.008
25 李文娟,何芮,尹湧华,等. 4℃冷藏保存血小板的储存损伤与应用研究进展[J]. 中国输血杂志, 2021,34(8):926-930.
文章导航

/