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A comparison of different methods of red blood cell leukoreduction and additive solutions on the accumulation of neutrophil‐priming activity during storage
Author(s) -
Loi Michele M.,
Kelher Marguerite,
Dzieciatkowska Monika,
Hansen Kirk C.,
Banerjee Anirban,
West F. Bernadette,
Stanley Crystal,
Briel Matthew,
Silliman Christopher C.
Publication year - 2018
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/trf.14788
Subject(s) - leukoreduction , buffy coat , hemolysis , proinflammatory cytokine , priming (agriculture) , andrology , chemistry , filtration (mathematics) , platelet , immunology , biology , medicine , inflammation , botany , germination , statistics , mathematics
BACKGROUND Three methods of leukoreduction (LR) are used worldwide: filtration, buffy coat removal (BCR), and a combination of the previous two methods. Additionally, there are a number of additive solutions (ASs) used to preserve red blood cell (RBC) function throughout storage. During RBC storage, proinflammatory activity accumulates; thus, we hypothesize that both the method of LR and the AS affect the accumulation of proinflammatory activity. STUDY DESIGN AND METHODS Ten units of whole blood were drawn from healthy donors, the RBC units were isolated, divided in half by weight, and leukoreduced by: 1) BCR, 2) filtration, or 3) BCR and filtration (combination‐LR); stored in bags containing AS‐3 per AABB criteria; and sampled weekly. The supernatants were isolated and frozen (–80°C). RBC units drawn from healthy donors into AS‐1–, AS‐3–, or AS‐5–containing bags were also stored and sampled weekly, and the supernatants were isolated and frozen. The supernatants were assayed for neutrophil (PMN)‐priming activity and underwent proteomic analyses. RESULTS Filtration and combination LR decreased priming activity accumulation versus buffy coat LR, although the accumulation of priming activity was not different during storage. Combination LR increased hemolysis versus filtration via proteomic analysis. Priming activity from AS‐3 units was significant later in storage versus AS‐1– or AS‐5–stored units. CONCLUSIONS Although both filtration and combination LR decrease the accumulation of proinflammatory activity versus buffy coat LR, combination LR is not more advantageous over filtration, has increased costs, and may cause increased hemolysis. In addition, AS‐3 decreases the early accumulation of PMN‐priming activity during storage versus AS‐1 or AS‐5.