Evaluation of bacterial inactivation in random donor platelets and single-donor apheresis platelets by the INTERCEPT

Raj Nath Makroo1, Raman Sardana2, Leena Mediratta2

  • 1Department of Transfusion Medicine, Indraprastha Apollo Hospitals, New Delhi, India.

Abstract

Insights

The INTERCEPT system effectively inactivates bacteria in platelet components, significantly reducing contamination risks. This pathogen inactivation method offers a vital safety measure against bacterial sepsis from transfused platelets.

Area of Science:

  • Transfusion Medicine
  • Microbiology
  • Biotechnology

Background:

  • Bacterial contamination of blood products, particularly platelets, poses a significant risk of sepsis.
  • Platelets are highly susceptible to contamination due to collection and storage methods.
  • Despite interventions, transfusion-transmitted bacterial sepsis remains a common concern.

Purpose of the Study:

  • To evaluate the efficacy of the INTERCEPT (Amotosalen/UVA) pathogen inactivation system.
  • To assess the system's ability to inactivate bacteria in deliberately contaminated platelet units.

Main Methods:

  • Single-donor platelets (SDP) and random-donor platelets (RDP) were intentionally contaminated with Staphylococcus aureus and Escherichia coli.
  • Bacterial concentrations were quantified before and after treatment with the INTERCEPT system.
  • Platelet units underwent pathogen inactivation using the INTERCEPT Blood System for platelets.

Main Results:

  • No bacterial growth was detected in post-illumination test samples.
  • A >6 log10 reduction in Staphylococcus aureus in SDP units was achieved.
  • A >6 log10 reduction in Escherichia coli in RDP units was achieved.

Conclusions:

  • The INTERCEPT system demonstrated high effectiveness in bacterial inactivation in platelet components.
  • Implementing the INTERCEPT system can mitigate the risk of bacterial contamination in platelet transfusions.
  • This technology offers a promising strategy to enhance blood product safety.

Related Concept Videos

Structure and Function of Platelets01:18

Structure and Function of Platelets

The cell fragments known as platelets are disc-shaped, with an average diameter of about 3 μm and a thickness of roughly 1 μm. They play a crucial role in the body's vascular clotting system, which also involves plasma proteins, blood cells, and blood vessel tissues.
Platelets are continually replenished, circulating in the bloodstream for 9-12 days before being removed by phagocytes, primarily in the spleen. A microliter of circulating blood contains between 150,000 and 450,000...
3.5K
Formation of the Platelet Plug01:22

Formation of the Platelet Plug

The platelet phase, the second stage of hemostasis, commences around 15-20 seconds after an injury. It follows and overlaps with the vascular phase, during which blood vessels constrict to minimize blood loss.
As the injured blood vessel contracts, endothelial cells undergo contraction, revealing collagen fibers in the basement membrane and underlying connective tissue. Furthermore, the plasma membrane of endothelial cells becomes adhesive, preparing the site for platelet adhesion. Platelets...
9.2K
X-Inactivation01:58

X-Inactivation

The human X chromosome contains over ten times the number of genes as in the Y chromosome. Since males have only one X chromosome, and females have two, one might expect females to produce twice as many of the proteins, with undesirable results.
41.7K
Activation and Inactivation of G Proteins01:22

Activation and Inactivation of G Proteins

Heterotrimeric G proteins are guanine nucleotide-binding proteins. As the name suggests, heterotrimeric G proteins are composed of three subunits: alpha, beta, and gamma. They remain GDP-bound or GTP-bound inside the cells and switch between inactive/active states. The Gα subunit possesses the nucleotide-binding pocket that binds guanine nucleotides and switches between GDP or GTP-bound states. In contrast, the Gꞵ and Gγ subunits are always bound together with high...
11.4K
Random Error01:04

Random Error

Random or indeterminate errors originate from various uncontrollable variables, such as variations in environmental conditions, instrument imperfections, or the inherent variability of the phenomena being measured. Usually, these errors cannot be predicted, estimated, or characterized because their direction and magnitude often vary in magnitude and direction even during consecutive measurements. As a result, they are difficult to eliminate. However, the aggregate effect of these errors can be...
9.8K
Random Variables01:09

Random Variables

A random variable is a single numerical value that indicates the outcome of a procedure. The concept of random variables is fundamental to the probability theory and was introduced by a Russian mathematician, Pafnuty Chebyshev, in the mid-nineteenth century.
Uppercase letters such as X or Y denote a random variable. Lowercase letters like x or y denote the value of a random variable. If X is a random variable, then X is written in words, and x is given as a number.
For example, let X = the...
17.8K