Storage of platelets in additive solutions: effects of magnesium and/or potassium

被引:64
作者
de Wildt-Eggen, J
Schrijver, JG
Bins, M
Gulliksson, H
机构
[1] Sanquin Bloodbank Ijssellanden, NL-8025 BR Zwolle, Netherlands
[2] Huddinge Univ Hosp, Stockholm, Sweden
关键词
D O I
10.1046/j.1537-2995.2002.00012.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
BACKGROUND: Previous studies indicate that platelet concentrates (PCs) in a platelet additive solution (PAS) containing citrate, acetate, and sodium chloride (PAS-2) show a significantly higher increase of CD62+ platelets than PCs in other brands of PAS containing Mg2+ and K+. To investigate whether this difference can be explained by the presence of Mg2+ and/or K+ in the storage medium, we performed paired studies comparing storage of PCs in PAS-2 to PAS-2 with either Mg2+ or K+ or both in combination. STUDY DESIGN AND METHODS: PCs from pooled buffy coats were prepared in either PAS-2 or PAS-2 with Mg2+ or K+ or both in combination (PAS-2 modified). Different volumes of MgCl2 solution (1 mol/L) and/ or KCl solution (1 mol/L) were added to PAS-2 to obtain various concentrations. After preparation and during storage (at Days 3 and 7), pH, pCO(2) pO(2), HCO3-, and CD62 (%) were measured. RESULTS: During 7 days of storage, pH was very stable (6.9-7.2) in all PCs. At Day 7, platelet CD62 expression was 49 percent (PAS-2), 41 percent (PAS-2 with 1.5 mmol/L Mg2+), and 38 percent (PAS-2 with 4.5 mmol/L Mg2+). With added K+, at Day 7, expression of CD62 was 55 percent (PAS-2), 39 percent (PAS-2 with 4.5 mmol/L K+), and 35 percent (PAS-2 with 9.0 mmol/L K+). In PAS-2 modified (PAS-2 with 1.5 mmol/L Mg2+ and 4.5 mmol/L K+) and CPD plasma, the corresponding CD62 values were 23 and 35 percent, respectively. CONCLUSION: The combination of Mg2+ and K+ gave significantly (p < 0.05) lower platelet CD62 expression in the storage medium than in PAS-2. The effects of these differences on platelet metabolism and in vivo properties remain to be investigated.
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页码:76 / 80
页数:5
相关论文
共 14 条
[1]   EVALUATION OF PLATELET CONCENTRATES PREPARED FROM BUFFY COATS AND STORED IN A GLUCOSE-FREE CRYSTALLOID MEDIUM [J].
BERTOLINI, F ;
REBULLA, P ;
RICCARDI, D ;
CORTELLARO, M ;
RANZI, ML ;
SIRCHIA, G .
TRANSFUSION, 1989, 29 (07) :605-609
[2]   Platelets stored in a new-generation container - Differences between plasma and platelet additive solution II [J].
de Wildt-Eggen, J ;
Schrijver, JG ;
Smid, WM ;
Joie, M ;
Bollinne, V ;
Bins, M .
VOX SANGUINIS, 1998, 75 (03) :218-223
[3]   Reactions and platelet increments after transfusion of platelet concentrates in plasma or an additive solution: a prospective, randomized study [J].
de Wildt-Eggen, J ;
Nauta, S ;
Schrijver, JG ;
Kooy, MV ;
Bins, M ;
van Prooijen, HC .
TRANSFUSION, 2000, 40 (04) :398-403
[4]   PLATELET CONCENTRATES IN AN ADDITIVE SOLUTION PREPARED FROM POOLED BUFFY COATS .1. INVITRO STUDIES [J].
ERIKSSON, L ;
HOGMAN, CF .
VOX SANGUINIS, 1990, 59 (03) :140-145
[5]   DETECTION OF PLATELET ACTIVATION WITH MONOCLONAL-ANTIBODIES AND FLOW-CYTOMETRY - CHANGES DURING PLATELET STORAGE [J].
FIJNHEER, R ;
MODDERMAN, PW ;
VELDMAN, H ;
OUWEHAND, WH ;
NIEUWENHUIS, HK ;
ROOS, D ;
DEKORTE, D .
TRANSFUSION, 1990, 30 (01) :20-25
[6]  
GAWAZ M, 1994, THROMB HAEMOSTASIS, V72, P912
[7]  
Gulliksson H, 2000, INFUS THER TRANSFUS, V27, P90
[8]   STORAGE OF PLATELETS IN ADDITIVE SOLUTIONS - THE EFFECT OF CITRATE AND ACETATE IN INVITRO STUDIES [J].
GULLIKSSON, H .
TRANSFUSION, 1993, 33 (04) :301-303
[9]  
HOLME S, 1992, BLOOD CELLS, V18, P421
[10]   Photochemical inactivation of viruses and bacteria in platelet concentrates by use of a novel psoralen and long-wavelength ultraviolet light [J].
Lin, L ;
Cook, DN ;
Wiesehahn, GP ;
Alfonso, R ;
Behrman, B ;
Cimino, GD ;
Corten, L ;
Damonte, PB ;
Dikeman, R ;
Dupuis, K ;
Fang, YM ;
Hanson, CV ;
Hearst, JE ;
Lin, CY ;
Londe, HF ;
Metchette, K ;
Nerio, AT ;
Pu, JT ;
Reames, AA ;
Rheinschmidt, M ;
Tessman, J ;
Isaacs, ST ;
Wollowitz, S ;
Corash, L .
TRANSFUSION, 1997, 37 (04) :423-435