1
|
D’Alessandro A, Thomas KA, Stefanoni D, Gamboni F, Shea SM, Reisz JA, Spinella PC. Metabolic phenotypes of standard and cold-stored platelets. Transfusion 2020; 60 Suppl 3:S96-S106. [PMID: 31880330 PMCID: PMC7971209 DOI: 10.1111/trf.15651] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2019] [Revised: 12/10/2019] [Accepted: 12/10/2019] [Indexed: 12/18/2022]
Abstract
BACKGROUND Conventional platelet (PLT) storage at room temperature under continuous agitation results in a limited shelf life (5 days) and an increased risk of bacterial contamination. However, both of these aspects can be ameliorated by cold storage. Preliminary work has suggested that PLTs can be cold stored for up to 3 weeks, while preserving their metabolic activity longer than in PLTs stored at room temperature. As such, in the present study, we hypothesized that the metabolic phenotypes of PLTs stored at 4°C for 3 weeks could be comparable to that of room temperature-stored PLTs at 22°C for 5 days. STUDY DESIGN AND METHODS Metabolomics analyses were performed on nine apheresis PLT concentrates stored either at room temperature (22°C) for 5 days or refrigerated conditions (4°C) for up to 3 weeks. RESULTS Refrigeration did not impact the rate of decline in glutamine or the intracellular levels of Krebs cycle metabolites upstream to fumarate and malate. It did, however, decrease oxidant stress (to glutathione and purines) and slowed down the activation of the pentose phosphate pathway, glycolysis, and fatty acid metabolism (acyl-carnitines). CONCLUSION The overall metabolic phenotypes of 4°C PLTs at Storage Day 10 are comparable to PLTs stored at 22°C at the end of their 5-day shelf life, while additional changes in glycolysis, purine, and fatty acid metabolism are noted by Day 21.
Collapse
Affiliation(s)
- Angelo D’Alessandro
- Department of Biochemistry and Molecular Genetics, University of Colorado Denver – Anschutz Medical Campus, Aurora, Colorado
| | - Kimberly A. Thomas
- Department of Pediatrics, Division of Critical Care, Washington University School of Medicine, St. Louis, Missouri
| | - Davide Stefanoni
- Department of Biochemistry and Molecular Genetics, University of Colorado Denver – Anschutz Medical Campus, Aurora, Colorado
| | - Fabia Gamboni
- Department of Biochemistry and Molecular Genetics, University of Colorado Denver – Anschutz Medical Campus, Aurora, Colorado
| | - Susan M. Shea
- Department of Pediatrics, Division of Critical Care, Washington University School of Medicine, St. Louis, Missouri
| | - Julie A. Reisz
- Department of Biochemistry and Molecular Genetics, University of Colorado Denver – Anschutz Medical Campus, Aurora, Colorado
| | - Philip C. Spinella
- Department of Pediatrics, Division of Critical Care, Washington University School of Medicine, St. Louis, Missouri
| |
Collapse
|
2
|
Scorer T, Williams A, Reddoch-Cardenas K, Mumford A. Manufacturing variables and hemostatic function of cold-stored platelets: a systematic review of the literature. Transfusion 2019; 59:2722-2732. [PMID: 31184775 DOI: 10.1111/trf.15396] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2019] [Revised: 05/09/2019] [Accepted: 05/11/2019] [Indexed: 01/09/2023]
Affiliation(s)
- Thomas Scorer
- School of Cellular and Molecular Medicine, University of Bristol, Bristol, United Kingdom.,Centre of Defence Pathology, RCDM, Birmingham, United Kingdom.,Coagulation and Blood Research, U.S. Army Institute of Surgical Research, JBSA Ft Sam Houston, San Antonio, Texas
| | - Ashleigh Williams
- Department of Anaesthesia, Derriford Hospital, Plymouth, United Kingdom
| | - Kristin Reddoch-Cardenas
- Coagulation and Blood Research, U.S. Army Institute of Surgical Research, JBSA Ft Sam Houston, San Antonio, Texas
| | - Andrew Mumford
- School of Cellular and Molecular Medicine, University of Bristol, Bristol, United Kingdom
| |
Collapse
|
3
|
Abstract
A goal of platelet storage is to maintain the quality of platelets from the point of donation to the point of transfusion - to suspend the aging process. This effort is judged by clinical and laboratory measures with varying degrees of success. Recent work gives encouragement that platelets can be maintained ex vivo beyond the current 5 -7 day shelf life whilst maintaining their quality, as measured by posttransfusion recovery and survival. However, additional measures are needed to validate the development of technologies that may further reduce the aging of stored platelets, or enhance their hemostatic properties.
Collapse
Affiliation(s)
- Peter A Smethurst
- a Components Development Laboratory, NHS Blood and Transplant, Cambridge, UK, and Department of Haematology , University of Cambridge , Cambridge , UK
| |
Collapse
|
4
|
Comments on "Glucose ameliorates the metabolic profile and mitochondrial function of platelet concentrates during storage in autologous plasma". BLOOD TRANSFUSION = TRASFUSIONE DEL SANGUE 2013; 12:133. [PMID: 24333064 DOI: 10.2450/2013.0110-13] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Subscribe] [Scholar Register] [Received: 04/02/2013] [Accepted: 05/23/2013] [Indexed: 11/21/2022]
|
5
|
Hossien TN, Farhad R, Gharib K. The effect of 24 h resting of old PCs at 22-24°С in permeable bags on in vitro platelet parameters. Transfus Apher Sci 2013; 50:106-10. [PMID: 24268768 DOI: 10.1016/j.transci.2013.10.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2013] [Revised: 09/22/2013] [Accepted: 10/23/2013] [Indexed: 10/26/2022]
Abstract
BACKGROUND During transporting periods, platelet (PLT) concentrates (PCs) usually undergo a long period without agitation. Whether this interruption, improves quality and viability, or has deleterious effect at 72 h stored PCs, is here investigated. The aim of our study is to investigate effect of metabolic resting (24 h interruption of agitation) versus continue agitation of 72 h-stored PCs (old), prior to transfusion in the blood bank of Tehran. STUDY DESIGN AND METHODS PCs were prepared using the platelet-rich plasma (PRP) method and stored in the permeable bags in the shaker/incubator, for 72 h at 20-24°C. Then by simply stopping the agitator, PCs remained at stationary condition without agitation for 24 h (WA24h) before sampling. In vitro measurements of PLT quality were carried out just after the termination of interruption period, and the results were compared with continuously agitated platelet within the same day (designated as control group, CA). In vitro variables which are measured were pH, Platelet count, swirling, Ristocetin-induced aggregation (GPIb-related function), LDH, PF4 release and P-selectin expression (activation marker). RESULTS Compared with control group, the mean platelets PF4 release and P-selectin expression showed no significant differences (p=0.101, p=0.739 respectively). The mean level of pH was not significant (p=0.156); WA24h (7.12±0.14) and CA (7.17±0.11). Also Ristocetin-induced aggregation study showed significant differences (p=0.0281) between CA (76.6±3.2) and WA24h (62.69±21.43). Other in vitro variables between CA and WA groups including swirling, Platelet count and LDH showed no significant differences after 72 h of storage. CONCLUSIONS We observed that 24 h resting of old PCs (WA24h) at 22-24°С in permeable bags preserved pH, swirling, LDH, Ristocetin-induced aggregation and platelet's activation as good as control group after 72 h of storage.
Collapse
Affiliation(s)
- Timori Naghadeh Hossien
- Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, IBTO, Tehran, Iran.
| | - Razjou Farhad
- Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, IBTO, Tehran, Iran.
| | - Karimi Gharib
- Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, IBTO, Tehran, Iran
| |
Collapse
|
6
|
Perales Villarroel JP, Figueredo R, Guan Y, Tomaiuolo M, Karamercan MA, Welsh J, Selak MA, Becker LB, Sims C. Increased platelet storage time is associated with mitochondrial dysfunction and impaired platelet function. J Surg Res 2013; 184:422-9. [PMID: 23830370 DOI: 10.1016/j.jss.2013.05.097] [Citation(s) in RCA: 59] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2013] [Revised: 05/13/2013] [Accepted: 05/16/2013] [Indexed: 01/24/2023]
Abstract
BACKGROUND Hemorrhagic shock is a leading cause of death following severe trauma, and platelet transfusions are frequently necessary to achieve hemostasis. Platelets, however, require special storage conditions, and storage time has been associated with loss of platelet quality. We hypothesized that standard storage conditions have a deleterious effect on platelet mitochondrial function and platelet activation. MATERIALS AND METHODS Platelet donations were collected from healthy donors (n = 5) and stored in gas-permeable collection bags according to American Association of Blood Bank recommendations. Platelet units were sampled from day of collection (day 0) until day 7. High-resolution respirometry was used to assess baseline mitochondrial respiration, maximal oxygen utilization, and individual mitochondrial complex-dependent respiration. Fluorescence-activated cell sorting was performed to analyze mitochondrial content, mitochondrial reactive oxygen species, the expression of P-selectin (both before and after challenge with thrombin receptor-activating peptide), and apoptosis. Data were analyzed using analysis of variance and Pearson correlation (P < 0.05 significant). RESULTS Mitochondrial respiration decreased significantly in platelets stored longer than 2 d (P < 0.05). Platelets also demonstrated a persistent decrease in response to stimulation with thrombin receptor-activating peptide by the third day of storage (P < 0.05) as well as an increase in mitochondrial reactive oxygen species and apoptosis (P < 0.05). Mitochondrial respiration significantly correlated with platelet capacity to activate (r = 0.8, P < 0.05). CONCLUSIONS Platelet mitochondrial respiratory function and activation response decrease significantly in platelets stored for 3 d or more. Because platelet transfusions almost universally occur between the third and fifth day of storage, our findings may have significant clinical importance and warrant further in vivo analysis.
Collapse
Affiliation(s)
- José Paul Perales Villarroel
- Division of Traumatology, Department of Surgery, Critical Care and Acute Care Surgery, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA
| | | | | | | | | | | | | | | | | |
Collapse
|
7
|
Glucose ameliorates the metabolic profile and mitochondrial function of platelet concentrates during storage in autologous plasma. BLOOD TRANSFUSION = TRASFUSIONE DEL SANGUE 2012; 11:61-70. [PMID: 22682337 DOI: 10.2450/2012.0145-11] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Subscribe] [Scholar Register] [Received: 11/09/2011] [Accepted: 12/27/2011] [Indexed: 11/21/2022]
Abstract
BACKGROUND It is essential that the quality of platelet metabolism and function remains high during storage in order to ensure the clinical effectiveness of a platelet transfusion. New storage conditions and additives are constantly evaluated in order to achieve this. Using glucose as a substrate is controversial because of its potential connection with increased lactate production and decreased pH, both parameters triggering the platelet lesion during storage. MATERIALS AND METHODS In this study, we analysed the morphological status and metabolic profile of platelets stored for various periods in autologous plasma enriched with increasing glucose concentrations (13.75, 27.5 and 55 mM). After 0, 2, 4, 6 and 8 days, high energy phosphates (ATP, GTP, ADP, AMP), oxypurines (hypoxanthine, xanthine, uric acid), lactate, pH, mitochondrial function, cell lysis and morphology, were evaluated. RESULTS The data showed a significant dose-dependent improvement of the different parameters in platelets stored with increasing glucose, compared to what detected in controls. Interestingly, this phenomenon was more marked at the highest level of glucose tested and in the period of time generally used for platelet transfusion (0-6 days). CONCLUSION These results indicate that the addition of glucose during platelet storage ameliorates, in a dose-dependent manner, the biochemical parameters related to energy metabolism and mitochondrial function. Since there was no correspondence between glucose addition, lactate increase and pH decrease in our experiments, it is conceivable that platelet derangement during storage is not directly caused by glucose through an increase of anaerobic glycolysis, but rather to a loss of mitochondrial functions caused by reduced substrate availability.
Collapse
|
8
|
Response to H. Ohto and K.E. Nollet article entitled 'Overview on platelet preservation: better controls over storage lesion', Transfusion and Apheresis Science 44(2011) 321-325. Transfus Apher Sci 2011; 46:105-6; author reply 107. [PMID: 22015251 DOI: 10.1016/j.transci.2011.08.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2011] [Accepted: 08/09/2011] [Indexed: 11/21/2022]
|
9
|
|
10
|
Hornsey VS, Drummond O, McMillan L, Morrison A, Morrison L, MacGregor IR, Prowse CV. Cold storage of pooled, buffy-coat-derived, leucoreduced platelets in plasma. Vox Sang 2008; 95:26-32. [DOI: 10.1111/j.1423-0410.2008.01052.x] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
11
|
Störmer M, Kleesiek K, Dreier J. pH value promotes growth of Staphylococcus epidermidis in platelet concentrates. Transfusion 2008; 48:836-46. [PMID: 18298602 DOI: 10.1111/j.1537-2995.2008.01644.x] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
BACKGROUND The platelet (PLT) storage lesion is characterized metabolically by a pH value associated with lactic acid generation. PLT storage conditions support the growth of Staphylococcus epidermidis, the most common organism implicated in bacterial contamination of PLT concentrates (PCs). Here, different factors that influence bacterial growth in PCs are discussed and the relation between pH values of PCs and citrate plasma (CP) is studied, with emphasis on bacterial proliferation. STUDY DESIGN AND METHODS The PLT lesion with regard to pH decrease and lactic acid production was monitored during storage and correlated to bacterial proliferation properties. A total of 115 coagulase-negative staphylococci, especially S. epidermidis isolates, were characterized for their proliferation in different blood components (CP, buffy coat-derived, and apheresis PCs). Furthermore, the influence of donor-specific, product-specific, species-specific, and strain-specific factors on bacterial proliferation was investigated. RESULTS PCs showed a lower pH value in comparison to plasma during storage. Bacterial proliferation in PCs and the failure to grow in CP were determined with all organisms tested. No correlation to donor-specific, species-specific, or strain-specific factors was observed. Lowering the pH of CP resulted in bacterial proliferation, whereas a pH increase in the PC unit inhibited the proliferation of S. epidermidis. CONCLUSION With emphasis on bacterial proliferation, the significant difference between PC and CP is the presence of metabolizing PLTs. The pH values of stored PLTs, but not those of stored plasma, support the growth of S. epidermidis.
Collapse
Affiliation(s)
- Melanie Störmer
- Institut für Laboratoriums- und Transfusionsmedizin, Herz- und Diabeteszentrum Nordrhein-Westfalen, Universitätsklinik der Ruhr-Universität Bochum, Bad Oeynhausen, Germany
| | | | | |
Collapse
|