Effect of Mirasol pathogen reduction technology system on in vitro quality of MCS+ apheresis platelets

Maria Adele Mastroianni1, Abid Hussain Llohn, Çiğdem Akalın Akkök

  • 1Department of Immunology and Transfusion Medicine, Akershus University Hospital, University of Oslo, Norway.

Insights

Mirasol pathogen reduction technology (PRT) effectively maintains apheresis platelet quality for 5 days. While PRT increases metabolic activity and slightly alters pH, it ensures adequate in vitro properties for transfusion safety.

Area of Science:

  • Transfusion Medicine
  • Blood Component Processing
  • Pathogen Safety

Background:

  • Pathogen transmission is a significant risk in transfusion medicine.
  • Pathogen Reduction Technology (PRT) systems are crucial for minimizing this risk.
  • Evaluating the impact of PRT on platelet concentrate (PC) quality is essential.

Purpose of the Study:

  • To assess the in vitro quality of Mirasol PRT-treated apheresis platelets (platelet concentrates) over a 7-day storage period.
  • To compare the quality of treated platelets against untreated controls.
  • To determine the suitability of Mirasol PRT-treated platelets for clinical use.

Main Methods:

  • MCS+ apheresis platelets were treated with the Mirasol PRT system.
  • In vitro quality measures, including platelet concentration, glucose, lactate, pH, P-selectin expression, and swirling, were assessed over 7 days at 22°C.
  • Statistical analyses were performed to compare control and treated groups.

Main Results:

  • Platelet concentration remained comparable between control and treated groups throughout storage.
  • Mirasol PRT treatment led to significantly higher glucose consumption and lactate production.
  • Treated platelets showed a decrease in pH, remaining within acceptable limits, and increased P-selectin expression, indicating activation.
  • Platelet shape change was observed post-treatment.

Conclusions:

  • Mirasol PRT-treated apheresis platelets maintain adequate in vitro quality for at least 5 days of storage.
  • The observed changes in metabolism, pH, and P-selectin expression require consideration but do not preclude clinical use.
  • Mirasol PRT is a viable option for enhancing the safety of platelet transfusions.

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