Platelet concentrates are routinely manufactured from whole blood by differential centrifugation (random donor platelets-RDP) or by plateletpheresis (single donor platelets-SDP). These platelet concentrates have a storage period of 5 days and many different approaches exist to measure the condition of platelets during their storage. In this study, platelet aggregation testing using adenosine diphosphate (ADP) and collagen and flow cytometric platelet activation analysis using CD41 FITC and CD62 PE before and after ADP was performed on days 1, 3 and 5 of storage of platelet preparations. Thirty three RDPs, stored in Baxter and Kansuk blood bags and 18 SDPs stored in Fresenius blood bags were evaluated. In RDPs and in SDPs; ADP and collagen induced PA responses were decreased significantly on the 3rd and 5th days compared to 1st day. CD62 positive platelet percentage after ADP were decreased significantly on the 3rd and 5th days compared to the 1st day in Kansuk bags. Flow cytometric analysis revealed minor changes in CD41 expression after ADP on the 3rd day compared to 1st day and on the 5th day compared to 3rd day. Differences in CD62 positive platelet percentage were not significant between the RDPs and SDPs. Our results suggest that: (1) ADP and collagen induced PA responses decrease both in RDPs and SDPs during storage. (2) Flow cytometric analysis does not show major significant changes in platelet activation after ADP during storage. (3) Continous shaking on the agitator does not cause a significant change in CD62 positive platelet percentage during storage. (4) Platelet aggregation responses in RDPs stored in Baxter and Kansuk blood bags do not differ during storage.

译文

血小板浓缩物通常通过全血通过差速离心(随机供体血小板-RDP)或血小板分离(单供体血小板-SDP)制成。这些血小板浓缩物的储存期为5天,并且存在许多不同的方法来测量血小板在储存过程中的状况。在这项研究中,在血小板制品储存的第1、3和5天进行了使用二磷酸腺苷(ADP)和胶原蛋白进行的血小板聚集测试,以及在使用ADP之前和之后使用CD41 FITC和CD62 PE进行的流式细胞术血小板活化分析。对存储在Baxter和Kansuk血袋中的33个RDP和存储在费森尤斯血袋中的18个SDP进行了评估。在RDP和SDP中;与第一天相比,第三天和第五天ADP和胶原蛋白诱导的PA反应显着降低。与Kansuk袋中的第1天相比,ADP后第3天和第5天的CD62阳性血小板百分比显着下降。流式细胞仪分析显示,与第一天相比,ADP后第3天和第3天与第5天相比,CD41的表达有轻微变化。 RDP和SDP之间CD62阳性血小板百分比的差异不显着。我们的结果表明:(1)在储存过程中,ADP和胶原诱导的PA反应在RDP和SDP中均降低。 (2)流式细胞仪分析未显示ADP储存后血小板活化的主要显着变化。 (3)在储存过程中,在搅拌器上连续摇动不会引起CD62阳性血小板百分比的显着变化。 (4)储存在Baxter和Kansuk血袋中的RDP中的血小板聚集反应没有差异。

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