In vitro efficacy of frozen erythrocytes: implementation of new strategicblood stores to alleviate resource shortage (issue revisited)

Background/aim: Currently, the provision of blood products largely depends on walking blood banks and limited amounts of stored blood with short shelf lives. We aimed to compare the efficacy of erythrocyte concentrate (ECs) by pre- and postfreezing in vitro tests. Materials and methods: In our study, 10 ECs were glycerolized, frozen, thawed, and then deglycerolized using the Naval Blood Research Laboratory method. In addition to using the standard tests, ATP and 2,3-DPG levels and the viability of erythrocytes were also determined. Results: The prefreezing mean viability rates of erythrocytes changed from 89.7 ± 13.7% to 98.6 ± 1.8% after thawing and deglycerolization. Prefreezing and day 0 ATP levels (1.64 ± 0.15 µmol/g Hb and 1.81 ± 0.14 µmol/g Hb, respectively) were similar. The 2,3-DPG levels decreased from 18.09 ± 4.78 µmol/g Hb measured before the procedure to 10.41 ± 4.58 µmol/g Hb on day 0. The mean hemolysis rates and supernatant Hb levels changed from 0.21 ± 0.11% to 0.36 ± 0.12% and 1 ± 0.5 g/L to 1.5 ± 0.5 g/L, respectively. Conclusion: The test results showed the efficacy of the frozen-thawed ECs to be used in humans for a broad spectrum of clinical indications. As a part of a contingency plan, national frozen blood reserves need to be established.

In vitro efficacy of frozen erythrocytes: implementation of new strategicblood stores to alleviate resource shortage (issue revisited)

Background/aim: Currently, the provision of blood products largely depends on walking blood banks and limited amounts of stored blood with short shelf lives. We aimed to compare the efficacy of erythrocyte concentrate (ECs) by pre- and postfreezing in vitro tests. Materials and methods: In our study, 10 ECs were glycerolized, frozen, thawed, and then deglycerolized using the Naval Blood Research Laboratory method. In addition to using the standard tests, ATP and 2,3-DPG levels and the viability of erythrocytes were also determined. Results: The prefreezing mean viability rates of erythrocytes changed from 89.7 ± 13.7% to 98.6 ± 1.8% after thawing and deglycerolization. Prefreezing and day 0 ATP levels (1.64 ± 0.15 µmol/g Hb and 1.81 ± 0.14 µmol/g Hb, respectively) were similar. The 2,3-DPG levels decreased from 18.09 ± 4.78 µmol/g Hb measured before the procedure to 10.41 ± 4.58 µmol/g Hb on day 0. The mean hemolysis rates and supernatant Hb levels changed from 0.21 ± 0.11% to 0.36 ± 0.12% and 1 ± 0.5 g/L to 1.5 ± 0.5 g/L, respectively. Conclusion: The test results showed the efficacy of the frozen-thawed ECs to be used in humans for a broad spectrum of clinical indications. As a part of a contingency plan, national frozen blood reserves need to be established.

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  • Pouchet MFA. Recherches expérimentales sur la congélation des animaux. Journ L’Anat Physiol 1866; 3: 1–36 (in French). 2. Huggins CE. Frozen blood. Eur Surg Res 1969; 1: 3–12.
  • Lovelock JE. The protective action of neutral solutes against haemolysis by freezing and thawing. Biochem J 1954; 56: 265– 270.
  • Smith AT. Prevention during haemolysis during freezing and thawing of red blood cells. Lancet 1950; 259: 910–911.
  • Lecak J, Scott K, Young C, Hannon J, Acker JP. Evaluation of red blood cells stored at -80 degrees C in excess of 10 years. Transfusion 2004; 44: 1306–1313. 6. Peyrard T, Pham BN. Transfusion of rare cryopreserved red blood cell units stored at -80 degrees C: the French experience. Immunohematology 2009; 25: 13–17.
  • Hess JR, Hill HR, Oliver CK, Lippert LE, Greenwalt TJ. The effect of two additive solutions on the postthaw storage of RBCs. Transfusion 2001; 41: 923–927.
  • Bohonek M, Petras M, Turek I, Urbanova J, Hradek T, Chmatal P, Staroprazska V, Kostirova J, Horcickova D, Duchkova S et al. Quality evaluation of frozen apheresis red blood cell storage with 21-day postthaw storage in additive solution 3 and saline- adenine-glucose-mannitol: biochemical and chromium-51 recovery measures. Transfusion 2010; 50: 1007–1013.
  • Bohenek M. Cryopreservation of blood. In: Kochhar PK, editor. Blood Transfusion in Clinical Practice. Rijeka, Croatia: InTech; 2012. pp. 233–242.
  • Valeri CR, Ragno G, Pivacek LE, Cassidy GP, Srey R, Hansson- Wicher M, Leavy ME. An experiment with glycerol-frozen red blood cells stored at -80 degrees C for up to 37 years. Vox Sang 2000; 79: 168–174.
  • Erlandsen EJ, Jorgensen PE, Markussen S, Brock A. Determination of porphobilinogen deaminase activity in human erythrocytes: pertinent factors in obtaining optimal conditions for measurements. Scand J Clin Lab Invest 2000; 60: 627–634.
  • Zwart A, Assendelft OW, Bull BS, England JM, Lewis SM, Zijlstra WG. Recommendations for reference method for haemoglobinometry in human blood (ICSH standard 1995) and specifications for international haemiglobincyanide standard (4th edition). J Clin Pathol 1996; 49: 271–274.
  • NCCLS. Reference and Selected Procedures for the Quantitative Determination of Hemoglobin in Blood: Approved Standard. 3rd ed. Wayne, PA, USA: NCCLS, 2000.
  • Valeri CR, Pivacek LE, Cassidy GP, Ragno G. In vitro and in vivo measurements of human RBCs frozen with glycerol and subjected to various storage temperatures before deglycerolization and storage at 4°C for 3 days. Transfusion 2001; 41: 401–405.
  • Chaudhari CN. Frozen red blood cells in transfusion. MJAFI 2009; 65: 55–58.
  • Chaplin H. The proper use of previously frozen red blood cells for transfusion. Blood 1982; 59: 1118–1120.
  • Valeri CR, Ragno G, Van Houten P, Rose L, Egozy Y, Popovsky MA. Automation of the glycerolization of red blood cells with the high-separation bowl in the Haemonetics ACP 215 instrument. Transfusion 2005; 45: 1621–1627.
  • Neuhaus SJ, Wishaw K, Lelkens C. Australian experience with frozen blood products on military operations. Med J Aust 2010; 192: 203–205.
  • Abolghasemi H, Radfar MH, Khatami M, Nia MS, Amid A, Briggs SM. International medical response to a natural disaster: lessons learned from the Bam earthquake experience. Prehosp Disaster Med 2006; 21: 141–147.
Turkish Journal of Medical Sciences-Cover
  • ISSN: 1300-0144
  • Yayın Aralığı: Yılda 6 Sayı
  • Yayıncı: TÜBİTAK
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