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Preparation of Washed Human Platelets for Quantitative Metabolic Flux Studies
Published on: January 10, 2025
Function and activation state of platelets in vitro depend on apheresis modality
S Macher1, S Sipurzynski-Budrass, K Rosskopf
1Clinic for Blood Group Serology and Transfusion Medicine, Medical University of Graz, Graz, Austria.
Vox Sanguinis
|June 16, 2010
Summary
Platelets (PLTs) collected using the Amicus(®) system showed higher activation and reduced function compared to the Trima Accel(®) system during storage. Further trials will assess clinical outcomes in patients receiving these apheresis-derived platelets.
Area of Science:
- Transfusion Medicine
- Hematology
- Apheresis Technology
Background:
- Multicomponent apheresis allows simultaneous collection of various blood products.
- Platelets (PLTs) are critical for hemostasis and are collected via apheresis.
- Evaluating PLT quality post-collection is essential for transfusion efficacy.
Purpose of the Study:
- To compare the function, metabolic parameters, and activation state of platelets collected using two different apheresis cell separators.
- To assess the impact of storage on these parameters for each device.
Main Methods:
- Prospective crossover study involving 24 donors using Fenwal Amicus(®) and CaridianBCT Trima Accel(®) systems.
- Collected double dose PLT concentrate (PC) and packed red blood cells.
- Analyzed 48 single unit PCs for metabolic parameters (pH, glucose, lactate, etc.) and PLT function (aggregometry, flow cytometry for CD62P, CD63) over 7 days of storage.
Main Results:
- Metabolic parameters were maintained during storage in both groups.
- Amicus(®)-collected PCs had significantly lower glucose and pH, and higher lactate and LDH.
- Amicus(®)-derived PLTs exhibited higher activation (CD62P, CD63) and reduced in vitro function compared to Trima Accel(®)-derived PLTs.
Conclusions:
- Standardized PLT collection via multicomponent apheresis is effective.
- The Amicus(®) system's centrifugation may lead to higher PLT activation.
- Clinical outcomes in thrombocytopenic patients receiving Amicus(®)-derived PLTs require further investigation.
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