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Vardaki MZ, Georg Schulze H, Serrano K, Blades MW, Devine DV, F B Turner R. Assessing the quality of stored red blood cells using handheld Spatially Offset Raman spectroscopy with multisource correlation analysis. SPECTROCHIMICA ACTA. PART A, MOLECULAR AND BIOMOLECULAR SPECTROSCOPY 2022; 276:121220. [PMID: 35395462 DOI: 10.1016/j.saa.2022.121220] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/09/2022] [Revised: 03/23/2022] [Accepted: 03/29/2022] [Indexed: 06/14/2023]
Abstract
In this work we employ Spatially Offset Raman Spectroscopy (SORS) to non-invasively identify storage-related changes in red blood cell concentrate (RCC) in-situ within standard plastic transfusion bags. To validate the measurements, we set up a parallel study comparing both bioanalytical data (obtained by blood-gas analysis, hematology analysis and spectrophotometric assays), and Raman spectrometry data from the same blood samples. We then employ Multisource Correlation Analysis (MuSCA) to correlate the different types of data in RCC. Our analysis confirmed a strong correlation of glucose, methemoglobin and oxyhemoglobin with their respective bioassay values in RCC units. Finally, by combining MuSCA with k-means clustering, we assessed changes in all Raman wavenumbers during cold storage in both RCC Raman data from the current study and parallel RCC supernatant Raman data previously acquired from the same units. Direct RCC quality monitoring during storage, would help to establish a basis for improved inventory management of blood products in blood banks and hospitals based on analytical data.
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Affiliation(s)
- Martha Z Vardaki
- Institute of Chemical Biology, National Hellenic Research Foundation, 48 Vassileos Constantinou Avenue, Athens 11635, Greece
| | - H Georg Schulze
- Monte do Tojal, Caixa Postal 128, Hortinhas, Terena 7250-069, Portugal
| | - Katherine Serrano
- Department of Pathology and Laboratory Medicine, The University of British Columbia, 2211 Wesbrook Mall, Vancouver, BC V6 T 2B5, Canada; Centre for Blood Research, The University of British Columbia, 2350 Health Sciences Mall, Vancouver, BC V6 T 1Z3, Canada; Centre for Innovation, Canadian Blood Services
| | - Michael W Blades
- Department of Chemistry, The University of British Columbia, 2036 Main Mall, Vancouver, BC V6 T 1Z1, Canada
| | - Dana V Devine
- Department of Pathology and Laboratory Medicine, The University of British Columbia, 2211 Wesbrook Mall, Vancouver, BC V6 T 2B5, Canada; Centre for Blood Research, The University of British Columbia, 2350 Health Sciences Mall, Vancouver, BC V6 T 1Z3, Canada; Centre for Innovation, Canadian Blood Services
| | - Robin F B Turner
- Michael Smith Laboratories, The University of British Columbia, 2185 East Mall, Vancouver, BC V6 T 1Z4, Canada; Department of Chemistry, The University of British Columbia, 2036 Main Mall, Vancouver, BC V6 T 1Z1, Canada; Department of Electrical and Computer Engineering, The University of British Columbia, 2332 Main Mall, Vancouver, BC V6 T 1Z4, Canada
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2
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Li X, Zhang S, Chen Y, Wang S, Xu Q, Xu J. Designing anisotropic inorganic nanocapsules via self-assembly of polymer-like ultrathin Au nanowires. NANOSCALE 2022; 14:10060-10066. [PMID: 35791869 DOI: 10.1039/d2nr01749k] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Anisotropic assembly of nanomaterials into hollow structures is an attractive technique in biomedicine and biosensing. Commonly used polymer materials are easy to assemble yet it is hard to form anisotropic morphologies. Here in this work, we successfully prepared a novel gold nanocapsule with an anisotropic ellipsoidal shape and cavity structure by the self-assembly of ultrathin Au nanowires. The assembly mechanism is further studied by tuning the assembly conditions such as nanowire concentration, solvent composition, and temperature. It is found that the controlling forces of the nanowire assembly process are mainly the symmetric interfacial tension and the asymmetric nanowire deformation potential, which contribute together to result in anisotropic nanocapsules. Finally, the obtained Au nanocapsules were used as nanocarriers to load pyrene as a model drug, showing great drug loading ability and pH-responsive drug release behavior. We believe that this unique anisotropic assembly product will bring new insights into nanostructure design and soft matter research.
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Affiliation(s)
- Xingyun Li
- Department of Physics, Research Institute for Biomimetics and Soft Matter, Fujian Provincial Key Laboratory for Soft Functional Materials, Xiamen University, Xiamen 361005, Fujian, China.
| | - Sai Zhang
- Department of Physics, Research Institute for Biomimetics and Soft Matter, Fujian Provincial Key Laboratory for Soft Functional Materials, Xiamen University, Xiamen 361005, Fujian, China.
| | - Yuan Chen
- Department of Biomedical Engineering, College of Design and Engineering, National University of Singapore, Singapore 119077
| | - Shanshan Wang
- Department of Chemistry, College of Materials, Xiamen University, Xiamen 361005, Fujian, China
| | - Qingchi Xu
- Department of Physics, Research Institute for Biomimetics and Soft Matter, Fujian Provincial Key Laboratory for Soft Functional Materials, Xiamen University, Xiamen 361005, Fujian, China.
| | - Jun Xu
- Department of Physics, Research Institute for Biomimetics and Soft Matter, Fujian Provincial Key Laboratory for Soft Functional Materials, Xiamen University, Xiamen 361005, Fujian, China.
- Shenzhen Research Institute of Xiamen University, Shenzhen 518057, Guangdong, China
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3
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Vardaki MZ, Schulze HG, Serrano K, Blades MW, Devine DV, Turner RFB. Non-invasive monitoring of red blood cells during cold storage using handheld Raman spectroscopy. Transfusion 2021; 61:2159-2168. [PMID: 33969894 DOI: 10.1111/trf.16417] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2021] [Revised: 04/02/2021] [Accepted: 04/14/2021] [Indexed: 11/30/2022]
Abstract
BACKGROUND The current best practices allow for the red blood cells (RBCs) to be stored for prolonged periods in blood banks worldwide. However, due to the individual-related variability in donated blood and RBCs continual degradation within transfusion bags, the quality of stored blood varies considerably. There is currently no method for assessing the blood product quality without compromising the sterility of the unit. This study demonstrates the feasibility of monitoring storage lesion of RBCs in situ while maintaining sterility using an optical approach. STUDY DESIGN AND METHODS A handheld spatially offset Raman spectroscopy (RS) device was employed to non-invasively monitor hemolysis and metabolic changes in 12 red cell concentrate (RCC) units within standard sealed transfusion bags over 7 weeks of cold storage. The donated blood was analyzed in parallel by biochemical (chemical analysis, spectrophotometry, hematology analysis) and RS measurements, which were then correlated through multisource correlation analysis. RESULTS Raman bands of lactate (857 cm-1 ), glucose (787 cm-1 ), and hemolysis (1003 cm-1 ) were found to correlate strongly with bioanalytical data over the length of storage, with correlation values 0.98 (95% confidence interval [CI]: 0.86-1.00; p = .0001), 0.95 (95% CI: 0.71-0.99; p = .0008) and 0.97 (95% CI: 0.79-1.00; p = .0004) respectively. DISCUSSION This study demonstrates the potential of collecting information on the clinical quality of blood units without breaching the sterility using Raman technology. This could significantly benefit quality control of RCC units, patient safety and inventory management in blood banks and hospitals.
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Affiliation(s)
- Martha Z Vardaki
- Michael Smith Laboratories, The University of British Columbia, Vancouver, British Columbia, Canada
| | - Hans Georg Schulze
- Michael Smith Laboratories, The University of British Columbia, Vancouver, British Columbia, Canada
| | - Katherine Serrano
- Department of Pathology and Laboratory Medicine, The University of British Columbia, Vancouver, British Columbia, Canada.,Centre for Blood Research, The University of British Columbia, Vancouver, British Columbia, Canada.,Canadian Blood Services, Centre for Innovation, Ottawa, Ontario, Canada
| | - Michael W Blades
- Department of Chemistry, The University of British Columbia, Vancouver, British Columbia, Canada
| | - Dana V Devine
- Department of Pathology and Laboratory Medicine, The University of British Columbia, Vancouver, British Columbia, Canada.,Centre for Blood Research, The University of British Columbia, Vancouver, British Columbia, Canada.,Canadian Blood Services, Centre for Innovation, Ottawa, Ontario, Canada
| | - Robin F B Turner
- Michael Smith Laboratories, The University of British Columbia, Vancouver, British Columbia, Canada.,Department of Chemistry, The University of British Columbia, Vancouver, British Columbia, Canada.,Department of Electrical and Computer Engineering, The University of British Columbia, Vancouver, British Columbia, Canada
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4
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Stefani A, Capello K, Carminato A, Wurzburger W, Furlanello T, Bertazzo V, Marsilio E, Albertin E, La Pietra G, Bozzato E, Mutinelli F, Vascellari M. Effects of leukoreduction on storage lesions in whole blood and blood components of dogs. J Vet Intern Med 2021; 35:936-945. [PMID: 33591603 PMCID: PMC7995433 DOI: 10.1111/jvim.16039] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2020] [Revised: 01/11/2021] [Accepted: 01/15/2021] [Indexed: 12/15/2022] Open
Abstract
Background Leukoreduction is a routine procedure in human transfusion medicine but is uncommon in veterinary. Objectives To evaluate the effect of leukoreduction on the quality of canine whole blood (WB) and blood products during storage. Animals Ten canine blood donors. Methods This is a case series study. An amount of 450 mL of blood was collected from each dog. Five WB and 5 packed red blood cells (pRBC) bags were divided into 2 units each: leukoreduced (LR) and non‐leukoreduced (nLR). RBC count, erythrocytes' mean osmotic fragility (MOF), 2,3‐diphosphoglycerate (2,3‐DPG), adenosine triphosphate (ATP), percentage of hemolysis, potassium (K), lactate, glucose, and cytokines were measured weekly from day of donation (T0) to day 35 (T35); pH, coagulation times, and clotting factors were evaluated at T0 and T35 from WB and in fresh frozen plasma after 1 year of storage. Results Leukoreduction showed positive effects on lactate (T35: LR WB 14.42 mmol/L SD 2.71, nLR WB 22.42 mmol/L SD 1.86, LR pRBC 20.88 mmol/L SD 2.65, nLR pRBC 36.81 mmol/L SD 2.34; P < .0001), pH (T35: LR WB 6.88 SD 0.16, nLR WB 6.69 SD 0.20, P = .02; LR pRBC 6.57 SD 0.23, nLR pRBC 6.22 SD 0.11; P < .001), and K (LR pRBC 4.08 mmol/L SD 0.88, nLR pRBC 5.48 mmol/L SD 0.90; P < .001). Increasing values of IL8 were observed in nLR units during storage (T0: 4167 ± 11 888 pg/mL; T35: 6367 ± 11 612 pg/mL). Conclusion and Clinical Importance LR blood units are recommended to critically ill dogs with marked inflammatory conditions.
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Affiliation(s)
- Annalisa Stefani
- SCS3 - Special Diagnostics, Histopathology and Parasitology, Istituto Zooprofilattico Sperimentale delle Venezie, Legnaro, Padua, Italy
| | - Katia Capello
- SCS3 - Special Diagnostics, Histopathology and Parasitology, Istituto Zooprofilattico Sperimentale delle Venezie, Legnaro, Padua, Italy
| | - Antonio Carminato
- Internal Medicine Section, Veterinary Medical Center "della Riviera", Camponogara, Venice, Italy
| | - Wendy Wurzburger
- SCS3 - Special Diagnostics, Histopathology and Parasitology, Istituto Zooprofilattico Sperimentale delle Venezie, Legnaro, Padua, Italy
| | - Tommaso Furlanello
- Laboratory of Veterinary Diagnostics, San Marco Veterinary Private Clinic, Veggiano, Padua, Italy
| | - Valentina Bertazzo
- SCS3 - Special Diagnostics, Histopathology and Parasitology, Istituto Zooprofilattico Sperimentale delle Venezie, Legnaro, Padua, Italy
| | - Elisabetta Marsilio
- SCS3 - Special Diagnostics, Histopathology and Parasitology, Istituto Zooprofilattico Sperimentale delle Venezie, Legnaro, Padua, Italy
| | - Elena Albertin
- SCS3 - Special Diagnostics, Histopathology and Parasitology, Istituto Zooprofilattico Sperimentale delle Venezie, Legnaro, Padua, Italy
| | - Giacomo La Pietra
- SCS3 - Special Diagnostics, Histopathology and Parasitology, Istituto Zooprofilattico Sperimentale delle Venezie, Legnaro, Padua, Italy
| | - Elisa Bozzato
- SCS3 - Special Diagnostics, Histopathology and Parasitology, Istituto Zooprofilattico Sperimentale delle Venezie, Legnaro, Padua, Italy
| | - Franco Mutinelli
- SCS3 - Special Diagnostics, Histopathology and Parasitology, Istituto Zooprofilattico Sperimentale delle Venezie, Legnaro, Padua, Italy
| | - Marta Vascellari
- SCS3 - Special Diagnostics, Histopathology and Parasitology, Istituto Zooprofilattico Sperimentale delle Venezie, Legnaro, Padua, Italy
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Larsson L, Sandgren P, Ohlsson S, Derving J, Friis-Christensen T, Daggert F, Frizi N, Reichenberg S, Chatellier S, Diedrich B, Antovic J, Larsson S, Uhlin M. Non-phthalate plasticizer DEHT preserves adequate blood component quality during storage in PVC blood bags. Vox Sang 2020; 116:60-70. [PMID: 32918773 DOI: 10.1111/vox.12982] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2020] [Revised: 06/02/2020] [Accepted: 07/01/2020] [Indexed: 11/29/2022]
Abstract
BACKGROUND AND OBJECTIVES Commercial blood bags are predominantly made of polyvinyl chloride (PVC) plasticized with di(2-ethylhexyl) phthalate (DEHP). DEHP is favourable for storage of red blood cells (RBC). Historically, removal of DEHP from blood bags has been linked to unacceptable haemolysis levels. Oncoming regulatory restrictions for DEHP due to toxicity concerns increase the urgency to replace DEHP without compromising RBC quality. Di(2-ethylhexyl) terephthalate (DEHT) is one suggested substitute. The aim of this study was to compare PVC-DEHT to PVC-DEHP blood bags using additive solutions saline-adenine-glucose-mannitol (SAGM) and phosphate-adenine-glucose-guanosine-saline-mannitol (PAGGSM), to determine whether DEHT can maintain acceptable component quality. MATERIALS AND METHODS RBC concentrates (N = 64), platelet concentrates (N = 16) and fresh frozen plasma (N = 32) were produced from whole blood collected into either DEHT or DEHP plasticized systems. Using a pool-and-split study design, pairs of identical RBC content were created within each plasticizer arm and assigned either SAGM or PAGGSM. Storage effects were assessed weekly for 49 days (RBC), 7 days (platelets) and before/after freezing (plasma). RESULTS Though haemolysis was slightly higher in DEHT, all study arms remained below half of the European limit 0·8%. K+ was lower in DEHT than in DEHP independent of additive solution. The metabolic parameters were not influenced by choice of plasticizer. Platelet activation/metabolism and plasma content were similarly preserved. CONCLUSION Our study demonstrates that the plasticizer DEHT provides adequate blood component quality. We propose DEHT as a strong future candidate for replacement of DEHP in blood bags.
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Affiliation(s)
- Linda Larsson
- Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institutet, Stockholm, Sweden.,Department of Clinical Immunology and Transfusion Medicine, Karolinska University Hospital, Stockholm, Sweden
| | - Per Sandgren
- Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institutet, Stockholm, Sweden.,Department of Clinical Immunology and Transfusion Medicine, Karolinska University Hospital, Stockholm, Sweden
| | - Sara Ohlsson
- Department of Clinical Immunology and Transfusion Medicine, Karolinska University Hospital, Stockholm, Sweden
| | - Julia Derving
- Department of Clinical Immunology and Transfusion Medicine, Karolinska University Hospital, Stockholm, Sweden
| | | | | | | | | | | | - Beatrice Diedrich
- Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institutet, Stockholm, Sweden.,Department of Clinical Immunology and Transfusion Medicine, Karolinska University Hospital, Stockholm, Sweden
| | - Jovan Antovic
- Department of Coagulation Research, Institute for Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.,Department of Clinical Chemistry, Karolinska University Hospital, Stockholm, Sweden
| | - Stella Larsson
- Department of Clinical Immunology and Transfusion Medicine, Karolinska University Hospital, Stockholm, Sweden
| | - Michael Uhlin
- Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institutet, Stockholm, Sweden.,Department of Clinical Immunology and Transfusion Medicine, Karolinska University Hospital, Stockholm, Sweden
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6
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McVey MJ, Kuebler WM, Orbach A, Arbell D, Zelig O, Barshtein G, Yedgar S. Reduced deformability of stored red blood cells is associated with generation of extracellular vesicles. Transfus Apher Sci 2020; 59:102851. [PMID: 32571640 DOI: 10.1016/j.transci.2020.102851] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2020] [Revised: 04/12/2020] [Accepted: 06/03/2020] [Indexed: 02/08/2023]
Abstract
Throughout storage, red blood cells (RBCs) undergo detrimental changes in viability and their ability to effectively transport oxygen. RBC storage lesions are mediated, in part, by a progressive loss of cell deformability, and associated with the release of extracellular vesicles (EVs). Accumulation of EVs during the storage of RBCs correlates with a decrease in RBC surface area to volume ratio. Similarly, the loss of RBC-deformability is associated with loss of RBC surface area to volume ratio. In this study we thus tested whether loss of RBC-deformability is associated with increased RBC-EV production during blood storage. EVs obtained by differential centrifugation of stored RBCs (non-leukoreduced non-irradiated or leukoreduced γ-irradiated RBCs stored 35 or 28 days respectively) were enumerated by high-sensitivity flow cytometry. RBC deformability was quantified, using a cell-flow-properties-analyzer, by measuring the median cell elongation ratio (MER) and percentage of low and high deformable cells in the population (%, LDFC, and HDFC, respectively). The number of EVs was inversely correlated with the MER and positively correlated with the %LDFC with both measures showing highly significant logarithmic dependence with EV levels in stored RBCs. Considering how highly deformable cells did not correlate with EV formation as compared with low deformable RBCs we propose that the formation of EVs is a key factor leading to increased RBC-rigidity.
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Affiliation(s)
- M J McVey
- Keenan Research Centre for Biomedical Science, St. Michael's Hospital, Toronto, ON, United States; Departments of Physiology and Anesthesia, University of Toronto, Toronto, ON, United States; Hospital for Sick Children, Department of Anesthesia and Pain Medicine, United States; Department of Physics, Ryerson University, Toronto, ON, United States
| | - W M Kuebler
- Keenan Research Centre for Biomedical Science, St. Michael's Hospital, Toronto, ON, United States; Departments of Physiology and Surgery, University of Toronto, Toronto, ON, United States; Institute of Physiology, Charité-Universitätsmedizin Berlin, Germany
| | - A Orbach
- Department of Biochemistry, Hebrew University, Faculty of Medicine, Jerusalem, Israel
| | - D Arbell
- Department of Pediatric Surgery, Hadassah- Hebrew University Hospital, Jerusalem, Israel
| | - O Zelig
- Blood Bank, Hadassah University Hospital, Jerusalem, Israel
| | - G Barshtein
- Department of Biochemistry, Hebrew University, Faculty of Medicine, Jerusalem, Israel.
| | - S Yedgar
- Department of Biochemistry, Hebrew University, Faculty of Medicine, Jerusalem, Israel
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7
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Chong F, Rooks KM, Flower RL, Dean MM. Soluble mediators in packed red blood cells augment lipopolysaccharide-induced monocyte interleukin-1β production. Vox Sang 2020; 115:562-569. [PMID: 32390268 DOI: 10.1111/vox.12915] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2019] [Revised: 03/02/2020] [Accepted: 03/06/2020] [Indexed: 12/27/2022]
Abstract
BACKGROUND AND OBJECTIVES Soluble mediators in packed red-blood-cell (PRBC) units have been hypothesized as a mechanism associated with transfusion-related immune modulation. Soluble mediators including damage-associated molecular patterns (DAMPs) are known to activate inflammasomes. Inflammasome complexes maturate caspase-1 and interleukin (IL)-1β. We assessed whether PRBC supernatants (SN) modulated IL-1β driven inflammation and whether macrophage migration inhibitory factor (MIF) was a contributing factor. MATERIALS AND METHODS Isolated monocytes were incubated with PRBC-SN in an in vitro transfusion model. Lipopolysaccharide (LPS) was added in parallel to model a bacterial infection. Separately, recombinant MIF was used in the model to assess its role in IL-1β driven inflammation. IL-1β and caspase-1 were quantified in the PRBC-SN and culture SN from the in vitro model. RESULTS PRBC-SN alone did not induce IL-1β production from monocytes. However, PRBC-SN alone increased caspase-1 production. LPS alone induced both IL-1β and caspase-1 production. PRBC-SN augmented LPS-driven IL-1β and caspase-1 production. Recombinant MIF did not modulate IL-1β production in our model. CONCLUSIONS Soluble mediators in PRBC modulate monocyte IL-1β inflammation, which may be a contributing factor to adverse effects of transfusion associated with poor patient outcomes. While MIF was present in PRBC-SN, we found no evidence that MIF was responsible for IL-1β associated immune modulation.
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Affiliation(s)
- Fenny Chong
- Research and Development, Clinical Services and Research, Australian Red Cross Lifeblood, Brisbane, Australia
| | - Kelly M Rooks
- Research and Development, Clinical Services and Research, Australian Red Cross Lifeblood, Brisbane, Australia
| | - Robert L Flower
- Research and Development, Clinical Services and Research, Australian Red Cross Lifeblood, Brisbane, Australia
| | - Melinda M Dean
- Research and Development, Clinical Services and Research, Australian Red Cross Lifeblood, Brisbane, Australia.,School of Health and Sport Sciences, University of the Sunshine Coast Moreton Bay, Petrie, Australia
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8
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Larsson L, Larsson S, Derving J, Watz E, Uhlin M. A novel protocol for cryopreservation of paediatric red blood cell units allows increased availability of rare blood types. Vox Sang 2019; 114:711-720. [DOI: 10.1111/vox.12829] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2019] [Revised: 07/02/2019] [Accepted: 07/02/2019] [Indexed: 12/29/2022]
Affiliation(s)
- Linda Larsson
- Department of Clinical Science, Intervention and Technology (CLINTEC) Karolinska Institutet Stockholm Sweden
- Department of Clinical Immunology and Transfusion Medicine Karolinska University Hospital Stockholm Sweden
| | - Stella Larsson
- Department of Clinical Immunology and Transfusion Medicine Karolinska University Hospital Stockholm Sweden
| | - Julia Derving
- Department of Clinical Immunology and Transfusion Medicine Karolinska University Hospital Stockholm Sweden
| | - Emma Watz
- Department of Clinical Science, Intervention and Technology (CLINTEC) Karolinska Institutet Stockholm Sweden
- Department of Clinical Immunology and Transfusion Medicine Karolinska University Hospital Stockholm Sweden
| | - Michael Uhlin
- Department of Clinical Science, Intervention and Technology (CLINTEC) Karolinska Institutet Stockholm Sweden
- Department of Clinical Immunology and Transfusion Medicine Karolinska University Hospital Stockholm Sweden
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9
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Hunsicker O, Hessler K, Krannich A, Boemke W, Braicu I, Sehouli J, Meyer O, Pruß A, Spies C, Feldheiser A. Duration of storage influences the hemoglobin rising effect of red blood cells in patients undergoing major abdominal surgery. Transfusion 2018; 58:1870-1880. [DOI: 10.1111/trf.14627] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2018] [Revised: 03/05/2018] [Accepted: 03/05/2018] [Indexed: 02/06/2023]
Affiliation(s)
- Oliver Hunsicker
- Department of Anesthesiology and Operative Intensive Care Medicine; Charité-Universitätsmedizin Berlin; Berlin Germany
| | - Katarina Hessler
- Department of Anesthesiology and Operative Intensive Care Medicine; Charité-Universitätsmedizin Berlin; Berlin Germany
| | - Alexander Krannich
- Experimental and Clinical Research Center; Charité-Universitätsmedizin Berlin and Max Delbrueck Center for Molecular Medicine in the Helmholtz Association; Berlin Germany
- Max Delbrueck Center for Molecular Medicine in the Helmholtz Association; Berlin Germany
| | - Willehad Boemke
- Department of Anesthesiology and Operative Intensive Care Medicine; Charité-Universitätsmedizin Berlin; Berlin Germany
| | - Ioana Braicu
- Department of Gynecology; European Competence Center for Ovarian Cancer, Charité-Universitätsmedizin Berlin, Campus Virchow-Klinikum; Berlin Germany
| | - Jalid Sehouli
- Department of Gynecology; European Competence Center for Ovarian Cancer, Charité-Universitätsmedizin Berlin, Campus Virchow-Klinikum; Berlin Germany
| | - Oliver Meyer
- Institute of Transfusion Medicine; Charité-Universitätsmedizin Berlin; Berlin Germany
| | - Axel Pruß
- Institute of Transfusion Medicine; Charité-Universitätsmedizin Berlin; Berlin Germany
| | - Claudia Spies
- Department of Anesthesiology and Operative Intensive Care Medicine; Charité-Universitätsmedizin Berlin; Berlin Germany
| | - Aarne Feldheiser
- Department of Anesthesiology and Operative Intensive Care Medicine; Charité-Universitätsmedizin Berlin; Berlin Germany
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10
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Crestani C, Stefani A, Carminato A, Cro A, Capello K, Corrò M, Bozzato E, Mutinelli F, Vascellari M. In vitro assessment of quality of citrate-phosphate-dextrose-adenine-1 preserved feline blood collected by a commercial closed system. J Vet Intern Med 2018; 32:1051-1059. [PMID: 29635743 PMCID: PMC5980295 DOI: 10.1111/jvim.15056] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2017] [Revised: 10/26/2017] [Accepted: 01/10/2018] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND Optimal procedure for storage of feline blood is needed. Open-collection systems have been employed in feline medicine, thus limiting the possibility for storage. OBJECTIVES To evaluate indicators of quality of feline blood stored for 35 days at +4°C in a closed-collection system specifically designed for cats. ANIMALS Eight healthy adult European domestic shorthair cats with a weight of 5-6.8 kg. METHODS This is a case series study. A bacteriological test, CBC, blood smear, pH, osmotic fragility, 2,3-diphosphoglycerate (2,3-DPG), and adenosine triphosphate (ATP) measurement were performed weekly on whole blood (WB) units from day 1 to day 35 after donation. The hemolysis index, lactate and potassium concentrations, prothrombin time (PT), activated partial thromboplastin time (aPTT), and fibrinogen were measured on plasma aliquots. RESULTS One out of eight blood units (BUs) had bacterial growth (Serratia marcescens) at day 35. No significant differences were found regarding CBC, morphology, pH, and osmotic fragility. Despite high inter-individual variability and low starting levels, significant decreases in the mean concentrations of 2,3-DPG (T0 1.99 mmol/g Hb, SD 0.52, T35 1.25 mmol/g Hb, SD 1.43; P = .003) and ATP (T0 1.45 mmol/g Hb, SD 0.71, T35 0.62 mmol/g Hb, SD 0.51; P < .001) were detected during the study, as opposed to an increase in hemolysis (T0 0.11 mmol/L, SD 0.07, T35 0.84 mmol/L, SD 0.19; P < .001), lactate (T0 3.30 mmol/L, SD 0.86, T35 13.36 mmol/L, SD 2.90; P < .001), and potassium (T0 3.10 mmol/L, SD 0.21, T35 4.12 mmol/L, SD 0.35; P < .001) concentrations. CONCLUSIONS AND CLINICAL IMPORTANCE The commercial BU kit is appropriate for blood collection and conservation of WB in cats. The maintenance of WB quality indicators during storage is essential for future improvements of feline transfusion medicine.
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Affiliation(s)
- Chiara Crestani
- Istituto Zooprofilattico Sperimentale delle Venezie, Legnaro (PD), Italy
| | - Annalisa Stefani
- Istituto Zooprofilattico Sperimentale delle Venezie, Legnaro (PD), Italy
| | - Antonio Carminato
- Istituto Zooprofilattico Sperimentale delle Venezie, Legnaro (PD), Italy.,Veterinary Medical Center "della Riviera", Camponogara (VE), Italy
| | - Angelica Cro
- Istituto Zooprofilattico Sperimentale delle Venezie, Legnaro (PD), Italy
| | - Katia Capello
- Istituto Zooprofilattico Sperimentale delle Venezie, Legnaro (PD), Italy
| | - Michela Corrò
- Istituto Zooprofilattico Sperimentale delle Venezie, Legnaro (PD), Italy
| | - Elisa Bozzato
- Istituto Zooprofilattico Sperimentale delle Venezie, Legnaro (PD), Italy
| | - Franco Mutinelli
- Istituto Zooprofilattico Sperimentale delle Venezie, Legnaro (PD), Italy
| | - Marta Vascellari
- Istituto Zooprofilattico Sperimentale delle Venezie, Legnaro (PD), Italy
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11
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Yurkovich JT, Bordbar A, Sigurjónsson ÓE, Palsson BO. Systems biology as an emerging paradigm in transfusion medicine. BMC SYSTEMS BIOLOGY 2018. [PMID: 29514691 PMCID: PMC5842607 DOI: 10.1186/s12918-018-0558-x] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Blood transfusions are an important part of modern medicine, delivering approximately 85 million blood units to patients annually. Recently, the field of transfusion medicine has started to benefit from the “omic” data revolution and corresponding systems biology analytics. The red blood cell is the simplest human cell, making it an accessible starting point for the application of systems biology approaches. In this review, we discuss how the use of systems biology has led to significant contributions in transfusion medicine, including the identification of three distinct metabolic states that define the baseline decay process of red blood cells during storage. We then describe how a series of perturbations to the standard storage conditions characterized the underlying metabolic phenotypes. Finally, we show how the analysis of high-dimensional data led to the identification of predictive biomarkers. The transfusion medicine community is in the early stages of a paradigm shift, moving away from the measurement of a handful of chosen variables to embracing systems biology and a cell-scale point of view.
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Affiliation(s)
- James T Yurkovich
- Department Bioengineering, University of California, San Diego, 9500 Gilman Drive, La Jolla, 92093, USA.,Bioinformatics and Systems Biology Program, University of California, San Diego, 9500 Gilman Drive, La Jolla, 92093, USA
| | - Aarash Bordbar
- Sinopia Biosciences, 600 W Broadway Suite 700, San Diego, 92101, USA
| | - Ólafur E Sigurjónsson
- School of Science and Engineering, Reykjavík University, Hringbraut 101, Reykjavík, 101, Iceland.,The Blood Bank, Landspítali-University Hospital, 9500 Gilman Drive, Reykjavík, 101, Iceland
| | - Bernhard O Palsson
- Department Bioengineering, University of California, San Diego, 9500 Gilman Drive, La Jolla, 92093, USA. .,Bioinformatics and Systems Biology Program, University of California, San Diego, 9500 Gilman Drive, La Jolla, 92093, USA. .,Department of Pediatrics, University of California, San Diego, 9500 Gilman Drive, La Jolla, 92093, USA.
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12
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13
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Chen D, Schubert P, Devine DV. Proteomic analysis of red blood cells from donors exhibiting high hemolysis demonstrates a reduction in membrane-associated proteins involved in the oxidative response. Transfusion 2017. [PMID: 28634986 DOI: 10.1111/trf.14188] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND The development of hemolysis during ex vivo hypothermic storage is multifaceted. Standardization of collection and production processes is used to minimize variability in biologics manufacturing and to maximize product quality. However, the influence of various donor characteristics on product quality is often difficult to evaluate and to control. Using a proteomic approach, we aimed to decipher relevant donor characteristics that may predict red blood cell (RBC) quality during storage. STUDY DESIGN AND METHODS Ten healthy volunteer donors exhibiting repeated high hemolysis at outdate (>0.8%; RBCHH ) and 10 age- and sex-matched control donors (RBCCtrl ) were studied. Common quality variables were measured on Days 5, 14, 21, 28, and 42 of storage. Protein profiles of hemoglobin-depleted membrane fractions from RBCHH and RBCCtrl donors were analyzed using a quantitative proteomics approach based on iTRAQ (isobaric tags for relative and absolute quantitation). RESULTS Time-dependent lesion development was apparent in both donor populations. RBCHH exhibited reduced 2,3-bisphosphoglycerate levels (p < 0.001) and morphologic score (p < 0.001), but displayed elevated hemolysis level (p < 0.001), RBC-derived microvesicle formation (p < 0.001), and mean corpuscular fragility (p < 0.001) compared to RBCCtrl , indicating notable differences at the membrane between the two donor populations. Proteomic findings revealed a significant reduction in the level of proteins involved in oxidative response pathways at early time points in RBCHH compared to that of RBCCtrl . CONCLUSION The recruitment of these candidate proteins might be part of a response mechanism altered in RBCHH donors and therefore may be useful as a donor screening tool.
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Affiliation(s)
- Deborah Chen
- Department of Pathology and Laboratory Medicine, Vancouver, British Columbia, Canada.,Centre for Blood Research, University of British Columbia, Vancouver, British Columbia, Canada
| | - Peter Schubert
- Department of Pathology and Laboratory Medicine, Vancouver, British Columbia, Canada.,Centre for Blood Research, University of British Columbia, Vancouver, British Columbia, Canada.,Canadian Blood Services' Centre for Innovation, Vancouver, British Columbia, Canada
| | - Dana V Devine
- Department of Pathology and Laboratory Medicine, Vancouver, British Columbia, Canada.,Centre for Blood Research, University of British Columbia, Vancouver, British Columbia, Canada.,Canadian Blood Services' Centre for Innovation, Vancouver, British Columbia, Canada
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14
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Buckley K, Atkins CG, Chen D, Schulze HG, Devine DV, Blades MW, Turner RFB. Non-invasive spectroscopy of transfusable red blood cells stored inside sealed plastic blood-bags. Analyst 2017; 141:1678-85. [PMID: 26844844 DOI: 10.1039/c5an02461g] [Citation(s) in RCA: 37] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
After being separated from (donated) whole blood, red blood cells are suspended in specially formulated additive solutions and stored (at 4 °C) in polyvinyl chloride (PVC) blood-bags until they are needed for transfusion. With time, the prepared red cell concentrate (RCC) is known to undergo biochemical changes that lower effectiveness of the transfusion, and thus regulations are in place that limit the storage period to 42 days. At present, RCC is not subjected to analytical testing prior to transfusion. In this study, we use Spatially Offset Raman Spectroscopy (SORS) to probe, non-invasively, the biochemistry of RCC inside sealed blood-bags. The retrieved spectra compare well with conventional Raman spectra (of sampled aliquots) and are dominated by features associated with hemoglobin. In addition to the analytical demonstration that SORS can be used to retrieve RCC spectra from standard clinical blood-bags without breaking the sterility of the system, the data reveal interesting detail about the oxygenation-state of the stored cells themselves, namely that some blood-bags unexpectedly contain measurable amounts of deoxygenated hemoglobin after weeks of storage. The demonstration that chemical information can be obtained non-invasively using spectroscopy will enable new studies of RCC degeneration, and points the way to a Raman-based instrument for quality-control in a blood-bank or hospital setting.
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Affiliation(s)
- K Buckley
- Michael Smith Laboratories, The University of British Columbia, 2185 East Mall, Vancouver, BC, Canada V6 T 1Z4.
| | - C G Atkins
- Michael Smith Laboratories, The University of British Columbia, 2185 East Mall, Vancouver, BC, Canada V6 T 1Z4. and Department of Chemistry, The University of British Columbia, 2036 Main Mall, Vancouver, BC, Canada V6 T 1Z1.
| | - D Chen
- Department of Pathology and Laboratory Medicine, The University of British Columbia, 2211 Wesbrook Mall, Vancouver, BC, Canada V6 T 2B5 and Centre for Blood Research, The University of British Columbia, 2350 Health Sciences Mall, Vancouver, BC, Canada V6 T 1Z3
| | - H G Schulze
- Michael Smith Laboratories, The University of British Columbia, 2185 East Mall, Vancouver, BC, Canada V6 T 1Z4.
| | - D V Devine
- Department of Pathology and Laboratory Medicine, The University of British Columbia, 2211 Wesbrook Mall, Vancouver, BC, Canada V6 T 2B5 and Centre for Blood Research, The University of British Columbia, 2350 Health Sciences Mall, Vancouver, BC, Canada V6 T 1Z3
| | - M W Blades
- Department of Chemistry, The University of British Columbia, 2036 Main Mall, Vancouver, BC, Canada V6 T 1Z1.
| | - R F B Turner
- Michael Smith Laboratories, The University of British Columbia, 2185 East Mall, Vancouver, BC, Canada V6 T 1Z4. and Department of Chemistry, The University of British Columbia, 2036 Main Mall, Vancouver, BC, Canada V6 T 1Z1. and Department of Electrical and Computer Engineering, The University of British Columbia, 2332 Main Mall, Vancouver, BC, Canada V6 T 1Z4
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15
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Barshtein G, Pries AR, Goldschmidt N, Zukerman A, Orbach A, Zelig O, Arbell D, Yedgar S. Deformability of transfused red blood cells is a potent determinant of transfusion-induced change in recipient's blood flow. Microcirculation 2016; 23:479-486. [DOI: 10.1111/micc.12296] [Citation(s) in RCA: 38] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2016] [Accepted: 07/06/2016] [Indexed: 12/16/2022]
Affiliation(s)
- Gregory Barshtein
- Department of Biochemistry; Hebrew University Faculty of Medicine; Jerusalem Israel
| | | | - Neta Goldschmidt
- Department of Hematology; Hadassah University Hospital; Jerusalem Israel
| | - Ayelet Zukerman
- Department of Biochemistry; Hebrew University Faculty of Medicine; Jerusalem Israel
| | - Ariel Orbach
- Department of Biochemistry; Hebrew University Faculty of Medicine; Jerusalem Israel
| | - Orly Zelig
- Blood Bank; Hadassah-Hebrew University Hospital; Jerusalem Israel
| | - Dan Arbell
- Department of Pediatric Surgery; Hadassah- Hebrew University Hospital; Jerusalem Israel
| | - Saul Yedgar
- Department of Biochemistry; Hebrew University Faculty of Medicine; Jerusalem Israel
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16
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Tzounakas VL, Kriebardis AG, Papassideri IS, Antonelou MH. Donor-variation effect on red blood cell storage lesion: A close relationship emerges. Proteomics Clin Appl 2016; 10:791-804. [PMID: 27095294 DOI: 10.1002/prca.201500128] [Citation(s) in RCA: 63] [Impact Index Per Article: 7.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2015] [Revised: 03/24/2016] [Accepted: 04/11/2016] [Indexed: 12/20/2022]
Abstract
Although the molecular pathways leading to the progressive deterioration of stored red blood cells (RBC storage lesion) and the clinical relevance of storage-induced changes remain uncertain, substantial donor-specific variability in RBC performance during storage, and posttransfusion has been established ("donor-variation effect"). In-bag hemolysis and numerous properties of the RBC units that may affect transfusion efficacy have proved to be strongly donor-specific. Donor-variation effect may lead to the production of highly unequal blood labile products even when similar storage strategy and duration are applied. Genetic, undiagnosed/subclinical medical conditions and lifestyle factors that affect RBC characteristics at baseline, including RBC lifespan, energy metabolism, and sensitivity to oxidative stress, are all likely to influence the storage capacity of individual donors' cells, although not evident by the donor's health or hematological status at blood donation. Consequently, baseline characteristics of the donors, such as membrane peroxiredoxin-2 and serum uric acid concentration, have been proposed as candidate biomarkers of storage quality. This review article focuses on specific factors that might contribute to the donor-variation effect and emphasizes the emerging need for using omics-based technologies in association with in vitro and in vivo transfusion models and clinical trials to discover biomarkers of storage quality and posttransfusion recovery in donor blood.
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Affiliation(s)
- Vassilis L Tzounakas
- Department of Cell Biology and Biophysics, Faculty of Biology, NKUA, Athens, Greece
| | - Anastasios G Kriebardis
- Department of Medical Laboratories, Faculty of Health and Caring Professions, Technological and Educational Institute of Athens, Greece
| | | | - Marianna H Antonelou
- Department of Cell Biology and Biophysics, Faculty of Biology, NKUA, Athens, Greece
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