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Red Blood Cell Storage with Xenon: Safe or Disruption?
Ekaterina Sherstyukova1, Viktoria Sergunova1, Snezhanna Kandrashina1
1Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, V.A. Negovsky Research Institute of General Reanimatology, 107031 Moscow, Russia.
Cells
|March 13, 2024
Summary
Xenon gas did not protect packed red blood cells (pRBCs) during prolonged storage. Xenon exposure increased hemolysis in pRBC bags and altered erythrocyte morphology, indicating potential harm rather than preservation.
Area of Science:
- Biomedical Engineering
- Hematology
- Inert Gas Applications
Background:
- Inert gases like xenon are explored for medical applications, including tissue preservation.
- Prolonged storage of packed red blood cells (pRBCs) faces challenges with maintaining cellular integrity.
- Hypoxic conditions are often employed to extend the shelf-life of biological materials.
Purpose of the Study:
- To evaluate the effect of xenon on erythrocyte parameters during prolonged storage of packed red blood cells (pRBCs).
- To investigate potential protective properties of xenon for pRBCs under hypoxic conditions.
Main Methods:
- In vitro experiments using two distinct methods to induce hypoxic conditions.
- Xenon administration to pRBCs stored in both specialized bags and glass tubes for 42 days.
- Assessment of erythrocyte morphology, hemolysis levels, and deoxyhemoglobin production.
Main Results:
- Xenon exposure caused significant alterations in erythrocyte morphology, comparable to standard storage.
- Hemolysis in xenon-treated pRBC bags was six times higher than acceptable limits.
- Minimal hemolysis was observed in xenon-exposed samples within closed glass tubes.
- Deoxyhemoglobin production was specifically linked to xenon exposure in both cell suspensions and hemolysates.
Conclusions:
- Xenon did not demonstrate protective effects on packed red blood cells (pRBCs) during prolonged storage.
- Xenon exposure may negatively impact pRBC viability, particularly in bag storage systems.
- Further research is needed to understand the specific mechanisms of xenon-induced erythrocyte changes.

