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Related Experiment Videos

Modified hemoglobin blood substitutes: present status and future perspectives

T M Chang1

  • 1Department of Physiology, McGill University, Montreal, Québec, Canada. artcell@physio.mcgill.ca

Biotechnology Annual Review
|January 16, 1999
PubMed
Summary

First-generation blood substitutes, created using cross-linking and microencapsulation of hemoglobin, offer safe and storable alternatives to red blood cells. Ongoing trials explore their use in surgery and trauma, with advanced versions in development.

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Area of Science:

  • Biotechnology
  • Biomedical Engineering
  • Hematology

Background:

  • Red blood cells (RBCs) are crucial for oxygen transport but face limitations like short shelf-life and transfusion reactions.
  • Current blood transfusion practices require careful blood typing and cross-matching, consuming significant time and resources.
  • Infectious agents like HIV and hepatitis necessitate stringent screening of blood donations.

Purpose of the Study:

  • To introduce novel blood substitutes based on modified hemoglobin.
  • To highlight the advantages of these substitutes over traditional RBC transfusions.
  • To discuss ongoing clinical trials and future directions in blood substitute development.

Main Methods:

  • Biotechnological modification of hemoglobin through cross-linking and microencapsulation.

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  • Sterilization techniques including pasteurization, ultrafiltration, and chemical treatments.
  • Utilizing hemoglobin from various sources such as human, bovine, and recombinant forms.
  • Main Results:

    • Developed blood substitutes are sterilizable, eliminating transfusion-transmitted infections.
    • Absence of blood group antigens negates the need for cross-matching, enabling immediate transfusion.
    • Modified hemoglobins demonstrate extended storage capabilities compared to RBCs.
    • Clinical trials are evaluating efficacy in surgical and trauma settings.

    Conclusions:

    • Cross-linked hemoglobins represent a significant advancement as first-generation blood substitutes.
    • These substitutes offer enhanced safety, convenience, and storage stability.
    • Further research is focused on next-generation substitutes with more comprehensive RBC functions.