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In vitro variables of apheresis platelets are stably maintained for 7 days with 5% residual plasma in a glucose and bicarbonate salt solution, PAS‐5
Author(s) -
Radwanski Katherine,
Wagner Stephen J.,
Skripchenko Andrey,
Min Kyungyoon
Publication year - 2012
Publication title -
transfusion
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.045
H-Index - 132
eISSN - 1537-2995
pISSN - 0041-1132
DOI - 10.1111/j.1537-2995.2011.03252.x
Subject(s) - chemistry , plateletpheresis , bicarbonate , platelet , apheresis , chromatography , medicine , organic chemistry
BACKGROUND: Platelet additive solutions (PASs) facilitate improved recovery of plasma and may reduce the severity and/or frequency of plasma‐associated transfusion reactions. Current apheresis platelet (PLT) PAS products contain approximately 30 to 40% residual plasma. In an effort to further decrease the residual plasma, two in vitro studies were conducted with PLTs suspended in 5% plasma and a reformulated PAS‐3, named PAS‐5, that contains additional salts, glucose, and bicarbonate. STUDY DESIGN AND METHODS: In Study 1, PLTs suspended in 5% plasma/95% PAS‐5 were prepared directly on a separator (Amicus, Fenwal, Inc.) without additional centrifugation or washing. In Study 2, a double unit of hyperconcentrated Amicus PLTs in plasma was collected, divided, and centrifuged to prepare a control unit in 100% plasma and a paired test unit in 5% plasma/95% PAS‐5. The in vitro properties of PLTs were assessed in both studies during 7‐day storage at 20 to 24°C with continuous agitation. RESULTS: In Study 1, PLT concentration, pH, mean PLT volume (MPV), HCO 3 ‐ , pCO 2 , pO 2 , lactate dehydrogenase, and hypotonic shock response (HSR) did not significantly change during storage. By Day 7, glucose levels and morphology scores modestly decreased (17.6 and 14.4%, respectively) and lactate levels modestly increased (to 7.2 mmol/L). In Study 2, MPV, pH, glucose, pO 2 , HSR, and morphology were comparable in control and test PLTs during 7‐day storage. Glucose consumption and lactate production were significantly less in test versus control PLTs (p ≤ 0.0015). Extent of shape change and %CD62P‐positive test PLTs were less than those of controls (p < 0.001). CONCLUSION: Apheresis PLTs suspended in 5% plasma/95% PAS‐5 maintained in vitro properties during 7‐day storage.