1
|
Saito-Benz M, Bennington K, Gray CL, Murphy WG, Flanagan P, Steiner F, Atkinson G, Berry MJ. Effects of Freshly Irradiated vs Irradiated and Stored Red Blood Cell Transfusion on Cerebral Oxygenation in Preterm Infants: A Randomized Clinical Trial. JAMA Pediatr 2022; 176:e220152. [PMID: 35344031 PMCID: PMC8961404 DOI: 10.1001/jamapediatrics.2022.0152] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
IMPORTANCE Gamma irradiation of leukoreduced red blood cells (RBCs) prevents transfusion-associated graft-vs-host disease but also exacerbates storage lesion formation in RBCs. It is unknown whether freshly irradiated RBCs are more efficacious than irradiated and stored RBCs in preterm infants with high transfusion requirements. OBJECTIVE To examine whether transfusion of freshly irradiated vs irradiated and stored RBC components improves cerebral oxygen delivery in preterm infants with anemia. DESIGN, SETTING, AND PARTICIPANTS This single-center, double-blinded, proof-of-concept randomized clinical trial was conducted at the neonatal intensive care unit of Wellington Regional Hospital in Wellington, New Zealand, between December 1, 2017, and November 30, 2018. Participants were preterm infants (<34 weeks' gestation at birth) who were at least 14 days of age and had anemia. Participants underwent nonurgent transfusions, and these episodes were randomized to the intervention group (in which the infants received a transfusion of RBCs that were freshly irradiated on the day of transfusion) or control group (in which the infants received a transfusion of RBCs that were irradiated and stored for up to 14 days). Data were analyzed using the evaluable population approach. INTERVENTION Transfusion of freshly irradiated RBCs. MAIN OUTCOMES AND MEASURES The prespecified primary outcome was the change in cerebral regional oxygen saturation (crSO2) from baseline (immediately before) to immediately after the transfusion. The prespecified secondary outcomes were the change in cerebral fractional tissue oxygen extraction (cFTOE) at different time points (immediately after, 24 hours after, and 120 hours or 5 days after transfusion). Outcomes were measured by blinded clinicians using near-infrared spectroscopy. A covariate-adjusted linear mixed model was used to quantify mean treatment effects and account for multiple transfusions in some infants. RESULTS A total of 42 infants (mean [SD] gestational age, 26 [10] weeks and 3 days; 29 [69%] boys) were enrolled in the trial and underwent 64 transfusion episodes, which were randomized to the intervention (n = 31) or control (n = 33) group. Compared with infants in the control group, those in the intervention group showed a covariate-adjusted mean increase in crSO2 (2.0 percentage points; 95% CI, 1.2-2.8 percentage points) and a mean decrease in cFTOE (0.02; 95% CI, 0.01-0.04) immediately after transfusion. These differences were sustained up to 120 hours or 5 days after transfusion. There were negligible mean changes in crSO2 or cFTOE in infants in the control group at any of the follow-up time points. CONCLUSIONS AND RELEVANCE Results of this trial showed that transfusion of freshly irradiated RBCs conferred a small advantage in cerebral oxygenation for at least 5 days after transfusion compared with transfusion of irradiated and stored RBC components. On-demand irradiation of RBC components may be considered to optimize oxygen delivery in the recipient, but this physiological finding requires further research. TRIAL REGISTRATION ANZCTR Identifier: ACTRN12617001581358.
Collapse
Affiliation(s)
- Maria Saito-Benz
- Department of Pediatrics and Child Health, University of Otago, Wellington, New Zealand,Neonatal Intensive Care Unit, Wellington Regional Hospital, Wellington, New Zealand
| | - Karen Bennington
- Neonatal Intensive Care Unit, Wellington Regional Hospital, Wellington, New Zealand
| | - Clint L. Gray
- Department of Pediatrics and Child Health, University of Otago, Wellington, New Zealand,Centre for Translational Physiology, University of Otago, Wellington, New Zealand
| | - William G. Murphy
- New Zealand Blood Service, Wellington Regional Hospital, Wellington, New Zealand,School of Medical Science, University College, Dublin, Ireland
| | - Peter Flanagan
- New Zealand Blood Service, Wellington Regional Hospital, Wellington, New Zealand
| | - Frederica Steiner
- Neonatal Intensive Care Unit, Wellington Regional Hospital, Wellington, New Zealand
| | - Greg Atkinson
- Faculty of Science, Liverpool John Moores University, Liverpool, United Kingdom
| | - Mary J. Berry
- Department of Pediatrics and Child Health, University of Otago, Wellington, New Zealand,Neonatal Intensive Care Unit, Wellington Regional Hospital, Wellington, New Zealand,Centre for Translational Physiology, University of Otago, Wellington, New Zealand
| |
Collapse
|
2
|
Nollet KE, Ngoma AM, Ohto H. Transfusion-associated graft-versus-host disease, transfusion-associated hyperkalemia, and potassium filtration: Advancing safety and sufficiency of the blood supply. Transfus Apher Sci 2022; 61:103408. [DOI: 10.1016/j.transci.2022.103408] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
|
3
|
Saeed A, Abolaban F. Spectroscopic study of the effect of low dose fast neutrons on the hemoglobin structure. SPECTROCHIMICA ACTA. PART A, MOLECULAR AND BIOMOLECULAR SPECTROSCOPY 2021; 261:120082. [PMID: 34153551 DOI: 10.1016/j.saa.2021.120082] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/06/2021] [Revised: 06/06/2021] [Accepted: 06/10/2021] [Indexed: 06/13/2023]
Abstract
Cosmic rays, nuclear accidents, and neutron therapy could be sources for exposure to low-dose fast neutrons. However, the study of low dose effects needs sentient techniques to detect slight alteration happen by this low dose. Herein, the effects of low-dose fast neutrons on the structure of hemoglobin (Hb) using spectroscopic techniques, namely, Fourier transform infrared (FTIR), Raman, and ultraviolet-visible (UV-Vis) spectroscopic. Forty (20 control/20 irradiated) female Wistar rats were used in this work. The irradiated rats were irradiated to low-dose at a total dose of 10 mGy from a fast neutron source (241Am-Be, 0.2 mGy/h). Multivariate analyses were applied to differentiate between the control and irradiated rats' Raman spectra. The erythrocytes samples were isolated from whole blood to explore the Hb structure. FTIR results revealed changes in the ν(S-H) bond of α-104 and β-93 cysteines by low-dose fast neutrons. Raman spectra showed changes in the spin state and oxidation state of the iron atom of the Hb. Besides, deformation in methine C-H was recorded. UV-Vis spectroscopy disclosed that the irradiated rats might be more susceptive to oxidation than control rats. The study deduced that the low dose fast neutron could cause tiny Hb structure changes by indirect effects. Besides, the spectroscopic techniques showed a potent ability to reveal tiny changes in the Hb structure that happened by a low dose of fast neutrons.
Collapse
Affiliation(s)
- Abdu Saeed
- Department of Physics, Faculty of Science, King Abdulaziz University, Jeddah 21589, Saudi Arabia; Department of Physics, Thamar University, Thamar, Yemen.
| | - Fouad Abolaban
- Nuclear Engineering Department, College of Engineering, King Abdulaziz University, Jeddah 21589, Saudi Arabia
| |
Collapse
|
4
|
Bulat K, Dybas J, Kaczmarska M, Rygula A, Jasztal A, Szczesny-Malysiak E, Baranska M, Wood BR, Marzec KM. Multimodal detection and analysis of a new type of advanced Heinz body-like aggregate (AHBA) and cytoskeleton deformation in human RBCs. Analyst 2020; 145:1749-1758. [PMID: 31913373 DOI: 10.1039/c9an01707k] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
A new type of aggregate, formed in human red blood cells (RBCs) in response to glutaraldehyde treatment, was discovered and analyzed with the classical and advanced biomolecular imaging techniques. Advanced Heinz body-like aggregates (AHBA) formed in a single human RBC are characterized by a higher level of hemoglobin (Hb) degradation compared to typical Heinz bodies, which consist of hemichromes. The complete destruction of the porphyrin structure of Hb and the aggregation of the degraded proteins in the presence of Fe3+ ions are observed. The presence of such aggregated, highly degraded proteins inside RBCs, without cell membrane destruction, has been never reported before. For the first time the spatial differentiation of two kinds of protein mixtures inside a single RBC, with different phenylalanine (Phe) conformations, is visualized. The non-resonant Raman spectra of altered RBCs with AHBA are characterized by the presence of a strong band located at 1037 cm-1, which confirms that glutaraldehyde interacts strongly with Phe. The shape-shifting of RBCs from a biconcave disk to a spherical structure and sinking of AHBA to the bottom of the cell are observed. Results reveal that the presence of AHBA should be considered when fixing RBCs and indicate the analytical potential of Raman spectroscopy, atomic force microscopy and scanning near-field optical microscopy in AHBA detection and analysis.
Collapse
Affiliation(s)
- Katarzyna Bulat
- Jagiellonian Center for Experimental Therapeutics, Jagiellonian University, 14 Bobrzynskiego Str., 30-348 Krakow, Poland.
| | | | | | | | | | | | | | | | | |
Collapse
|
5
|
Cellular response of blood and hepatic tissue to gamma irradiation. JOURNAL OF RADIATION RESEARCH AND APPLIED SCIENCES 2019. [DOI: 10.1016/j.jrras.2015.12.001] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
|
6
|
Saito-Benz M, Murphy WG, Tzeng YC, Atkinson G, Berry MJ. Storage after gamma irradiation affects in vivo oxygen delivery capacity of transfused red blood cells in preterm infants. Transfusion 2018; 58:2108-2112. [DOI: 10.1111/trf.14764] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2017] [Revised: 04/02/2018] [Accepted: 04/04/2018] [Indexed: 12/01/2022]
Affiliation(s)
- Maria Saito-Benz
- Department of Paediatrics and Child Health
- Centre for Translational Physiology; University of Otago
| | - William G. Murphy
- NZ Blood Service, Wellington Regional Hospital; Wellington New Zealand
- School of Medicine and Medical Science; University College; Dublin Ireland
| | - Yu-Chieh Tzeng
- Centre for Translational Physiology; University of Otago
| | - Greg Atkinson
- School of Health and Social Care; Teesside University; Middlesbrough North Yorkshire United Kingdom
| | - Mary J. Berry
- Department of Paediatrics and Child Health
- Centre for Translational Physiology; University of Otago
| |
Collapse
|
7
|
Saliev T, Begimbetova D, Masoud AR, Matkarimov B. Biological effects of non-ionizing electromagnetic fields: Two sides of a coin. PROGRESS IN BIOPHYSICS AND MOLECULAR BIOLOGY 2018; 141:25-36. [PMID: 30030071 DOI: 10.1016/j.pbiomolbio.2018.07.009] [Citation(s) in RCA: 56] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/11/2018] [Revised: 07/12/2018] [Accepted: 07/16/2018] [Indexed: 12/12/2022]
Abstract
Controversial, sensational and often contradictory scientific reports have triggered active debates over the biological effects of electromagnetic fields (EMFs) in literature and mass media the last few decades. This could lead to confusion and distraction, subsequently hampering the development of a univocal conclusion on the real hazards caused by EMFs on humans. For example, there are lots of publications indicating that EMF can induce apoptosis and DNA strand-breaks in cells. On the other hand, these effects could rather be beneficial, in that they could be effectively harnessed for treatment of various disorders, including cancer. This review discusses and analyzes the results of various in vitro, in vivo and epidemiological studies on the effects of non-ionizing EMFs on cells and organs, including the consequences of exposure to the low and high frequencies EM spectrum. Emphasis is laid on the analysis of recent data on the role of EMF in the induction of oxidative stress and DNA damage. Additionally, the impact of EMF on the reproductive system has been discussed, as well as the relationship between EM radiation and blood cancer. Apart from adverse effects, the therapeutic potential of EMFs for clinical use in different pathologies is also highlighted.
Collapse
Affiliation(s)
- Timur Saliev
- Kazakh National Medical University Named After S.D. Asfendiyarov, Tole Bi Street 94, Almaty, 050000, Kazakhstan; National Laboratory Astana, Nazarbayev University, 53 Kabanbay batyr Ave., Astana, 010000, Kazakhstan.
| | - Dinara Begimbetova
- National Laboratory Astana, Nazarbayev University, 53 Kabanbay batyr Ave., Astana, 010000, Kazakhstan
| | - Abdul-Razak Masoud
- National Laboratory Astana, Nazarbayev University, 53 Kabanbay batyr Ave., Astana, 010000, Kazakhstan
| | - Bakhyt Matkarimov
- National Laboratory Astana, Nazarbayev University, 53 Kabanbay batyr Ave., Astana, 010000, Kazakhstan
| |
Collapse
|
8
|
Red blood cells metabolome changes upon treatment with different X-ray irradiation doses. Ann Hematol 2018; 97:1909-1917. [DOI: 10.1007/s00277-018-3386-6] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2018] [Accepted: 05/27/2018] [Indexed: 12/22/2022]
|
9
|
Rafiei J, Yavari K, Moosavi-Movahedi AA. Preferential role of iron in heme degradation of hemoglobin upon gamma irradiation. Int J Biol Macromol 2017; 103:1087-1095. [DOI: 10.1016/j.ijbiomac.2017.05.153] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2017] [Revised: 05/10/2017] [Accepted: 05/25/2017] [Indexed: 11/29/2022]
|
10
|
Zhang XH, Hu XD, Zhao SY, Xie LH, Miao YJ, Li Q, Min R, Liu PD, Zhang HQ. Methemoglobin-Based Biological Dose Assessment for Human Blood. HEALTH PHYSICS 2016; 111:30-36. [PMID: 27218292 DOI: 10.1097/hp.0000000000000522] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Methemoglobin is an oxidative form of hemoglobin in erythrocytes. The authors' aim was to develop a new biological dosimeter based on a methemoglobin assay. Methemoglobin in peripheral blood (of females or males) that was exposed to a Co source (0.20 Gy min) was quantified using an enzyme-linked immunosorbent assay. The dose range was 0.5-8.0 Gy. In a time-course experiment, the time points 0, 0.02, 1, 2, 3, 7, 15, 21, and 30 d after 4-Gy irradiation of heparinized peripheral blood were used. Methemoglobin levels in a lysed erythrocyte pellet from the irradiated blood of females and males increased with the increasing dose. Methemoglobin levels in female blood irradiated with γ-doses more than 4 Gy were significantly higher than those in male samples at the same doses. Two dose-response relations were fitted to the straight line: one is with the correlation coefficient of 0.98 for females, and the other is with the correlation coefficient of 0.99 for males. The lower limit of dose assessment based on methemoglobin is about 1 Gy. Methemoglobin levels in blood as a result of auto-oxidation increase after 7-d storage at -20 °C. The upregulation of methemoglobin induced by γ-radiation persists for ∼3 d. The absorbed doses that were estimated using the two dose-response relations were close to the actual doses. The results suggest that methemoglobin can be used as a rapid and accurate biological dosimeter for early assessment of absorbed γ-dose in human blood.
Collapse
Affiliation(s)
- Xiao-Hong Zhang
- *Department of Nuclear Science and Engineering, Nanjing University of Aeronautics and Astronautics, Nanjing 210006, P.R. China; †Clincal Laboratory, Jiangsu Province Hospital of Traditional Chinese Medicine, Nanjing, Jiangsu 210029, P.R. China; ‡Division of Radiation Medicine, Department of Naval Medicine, Second Military Medical University, Shanghai 200433, P.R. China; §Jiangsu Laboratory for Biomaterials and Devices, Southeast University, Nanjing 210018, P.R. China
| | | | | | | | | | | | | | | | | |
Collapse
|
11
|
Maia GAS, Renó CDO, Medina JM, Silveira ABD, Mignaco JA, Atella GC, Cortes VF, Barbosa LA, Santos HDL. The effect of gamma radiation on the lipid profile of irradiated red blood cells. Ann Hematol 2013; 93:753-60. [PMID: 24218190 DOI: 10.1007/s00277-013-1944-5] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2013] [Accepted: 10/22/2013] [Indexed: 01/10/2023]
Abstract
An investigation into the effects of irradiation and of the storage time on aging and quality are a relevant issue to ensure the safety and the efficiency of irradiation in the prevention of transfusion-associated graft-versus-host disease (TA-GVHD). In this work, the biochemical properties and alterations presented by erythrocyte membranes, up to 28-days post-irradiation, with a dose of 25 Gy, were studied as a function of storage and post-irradiation time. There was a considerable variation in the total of phospholipid content, when comparing the control and irradiated samples, mostly from the third day onwards; and at the same time, the effect occurred as a function on the storage time of blood bags. The levels of total cholesterol decreased 3-9 days after irradiation. TBARS levels were increased after irradiation and 7 days of storage, but no increment of catalase activity was observed after the irradiation. Furthermore, the protein profile was maintained throughout the irradiation and storage time, until the 21st day, with the presence of a protein fragmentation band of around 28 kDa on the 28th day. In conclusion, although gamma irradiation is the main agent for the prevention of TA-GVHD, a better understanding of the physical and biochemical properties of erythrocytes are necessary to better assess their viability, and to be able to issue more secure recommendations on the shelf life of blood bags, and the safe use of the irradiated red cells therein.
Collapse
Affiliation(s)
- Grazielle Aparecida Silva Maia
- Faculdade de Bioquímica, Programa de Pós-Graduação em Ciências da Saúde, Universidade Federal de São João del Rei, Campus Centro-Oeste Dona Lindú, Av Sebastião Gonçalves Coelho, 400, Bairro Chanadour, CEP, 35501-296, Divinópolis, Minas Gerais, Brazil
| | | | | | | | | | | | | | | | | |
Collapse
|