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Erythropoiesis01:14

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Red blood cells  (RBCs) transport oxygen to all body tissues. These cells survive only for 120 days and then need to be replenished. Erythropoiesis is the process of RBC production. In healthy individuals, erythropoiesis ensures all tissues are amply supplied with oxygen. In addition, blood loss due to injury leads to a drop in the physiological oxygen level that will cause erythropoiesis. Any defect in erythropoiesis leads to several physiological disorders, including thalassemia, anemia, and...

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Reticulocyte count in red-blood-cell units stored in AS-1.

A Urbina1, F Palomino

  • 1School of Medicine and Health Sciences, Basic Science Department, Physiology Unit, Universidad del Rosario, Bogotá, DC, Colombia. adriana.urbina@urosario.edu.co

Vox Sanguinis
|January 26, 2013
PubMed
Summary
This summary is machine-generated.

Reticulocyte count significantly decreases in red blood cell units stored in AS-1, suggesting maturation during storage. This study investigated reticulocyte behavior in additive solutions, unlike previous whole blood studies.

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Area of Science:

  • Blood banking and transfusion medicine.
  • Hematology and cell biology.

Background:

  • Previous studies on whole blood stored in CPDA-1 suggested arrested reticulocyte maturation.
  • Reticulocyte behavior in red blood cell units stored in additive solutions (AS-1) remained unstudied.

Purpose of the Study:

  • To determine reticulocyte count and subtypes in red blood cell units stored in AS-1.
  • To investigate reticulocyte maturation during refrigerated storage in additive solutions.

Main Methods:

  • Flow cytometry with thiazole orange was used to analyze reticulocyte percentage and subtypes.
  • Six red blood cell units stored in AS-1 were examined.

Main Results:

  • Reticulocyte count decreased from 26.8 ± 4.6 × 10(9)/l at week 0.5 to 8.2 ± 2.9 × 10(9)/l at week 6.
  • High-fluorescence reticulocytes decreased significantly by week 2, while low-fluorescence reticulocytes decreased by week 4.
  • Total hemolysis was low at 0.19 ± 0.08%.

Conclusions:

  • A significant decrease in reticulocytes occurs during storage in AS-1.
  • Reticulocyte maturation appears to occur during storage, as subtype changes exceed levels explainable by hemolysis alone.