Optimized processing for pathogen inactivation of double-dose buffy-coat platelet concentrates: maintained in vitro

S Ohlsson1, B Diedrich1,2, M Uhlin1,3

  • 1Department of Clinical Immunology and Transfusion Medicine (KITM), Karolinska University Hospital, Stockholm, Sweden.

Vox Sanguinis
|August 30, 2018
PubMed
Abstract

Insights

Pathogen inactivation (PI) using alternate supplier (AS) plastic sets maintained platelet quality. This method allows for increased buffy coat pooling without compromising safety or efficacy over seven days.

Area of Science:

  • Blood banking and transfusion medicine
  • Platelet processing and storage
  • Infectious disease control in blood products

Background:

  • Efficient pathogen inactivation (PI) can increase buffy coat pooling for platelet concentrates.
  • This study evaluates platelets processed using alternate supplier (AS) plastic materials.

Purpose of the Study:

  • To assess the in vitro quality of platelets processed with AS plastic materials and a new pooling set.
  • To determine if AS sets maintain platelet quality over a 7-day storage period.

Main Methods:

  • Platelet concentrates were prepared from pooled buffy coats using new 8-lead pooling sets and PI processing sets with AS plastics.
  • Platelets were treated with the INTERCEPT Blood System and stored for up to 7 days.
  • In vitro quality parameters, including glucose, lactate, CD62P, CD42b, JC-positive cells, PAC-1, sCD40L, and PDGF, were analyzed.

Main Results:

  • All tested units met European guidelines.
  • AS sets significantly improved glucose reserves, reduced lactate production, and decreased CD62P and CD42b expression.
  • AS sets maintained JC-positive cells and platelet integrin activation (PAC-1) throughout storage.

Conclusions:

  • Pathogen inactivation using AS sets and the new pooling set effectively maintains platelet in vitro quality for 7 days.
  • This approach supports increased buffy coat pooling for platelet preparation without compromising quality.

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