Profiling alterations in platelets induced by Amotosalen/UVA pathogen reduction and gamma irradiation--a

Thomas Thiele1, Armin Sablewski, Christina Iuga

  • 1Institute for Immunology and Transfusion Medicine, Ernst-Moritz-Arndt University, Sauerbruchstrasse, Greifswald, Germany. thomas.thiele@uni-greifswald.de

Abstract

Insights

Amotosalen/UVA-light pathogen reduction in platelet concentrates causes fewer initial proteome changes than gamma irradiation. However, it leads to increased storage lesions in platelets after five days, impacting their therapeutic efficacy.

Area of Science:

  • Biochemistry
  • Hematology
  • Transfusion Medicine

Background:

  • Pathogen reduction technologies (PRT) like Amotosalen/UVA-light decrease transfusion-transmitted infections but may affect platelet quality.
  • The impact of Amotosalen/UVA-light on platelet lesions and therapeutic efficacy requires further investigation.

Purpose of the Study:

  • To investigate the proteomic changes in platelet concentrates (PCs) after Amotosalen/UVA-light treatment and gamma irradiation.
  • To compare the effects of Amotosalen/UVA-light and gamma irradiation on platelet storage lesions.

Main Methods:

  • Platelet concentrates (PCs) were divided into three groups: untreated (control), Amotosalen/UVA-light treated, and gamma irradiated.
  • Proteomic analysis using LC-ESI-MS/MS was performed at one and five days post-production.
  • Proteins with treatment-dependent changes were classified using Gene Ontology.

Main Results:

  • Amotosalen/UVA-treatment altered 23 proteins at day 1, compared to 49 for gamma irradiation.
  • By day 5, Amotosalen/UVA-treated platelets showed 58 proteomic changes versus 50 for gamma-irradiated and 36 for controls.
  • Specific proteins like platelet endothelial aggregation receptor 1 precursor were uniquely altered in Amotosalen/UVA-treated platelets.

Conclusions:

  • Amotosalen/UVA-light treatment induces fewer immediate proteomic changes than gamma irradiation.
  • This pathogen reduction method appears to increase platelet storage lesions by day 5, potentially affecting PC efficacy.

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