• 中国科学论文统计源期刊
  • 中国科技核心期刊
  • 美国化学文摘(CA)来源期刊
  • 日本科学技术振兴机构数据库(JST)

临床输血与检验 ›› 2024, Vol. 26 ›› Issue (2): 196-204.DOI: 10.3969/j.issn.1671-2587.2024.02.007

• 中西医结合输血专题 • 上一篇    下一篇

红景天苷用于单采血小板保存的研究*

谢慧晗, 邵小宝, 陈鑫, 周琳, 朱培元   

  1. 南京中医药大学附属南京中医院输血科,江苏南京 210022
  • 收稿日期:2024-01-03 出版日期:2024-04-20 发布日期:2024-04-23
  • 通讯作者: 朱培元,主要从事临床输血工作,(E-mail)zhupy@njucm.edu.cn。
  • 作者简介:谢慧晗,主要从事中西医结合肛肠外科及输血研究,(E-mail)xiehuihan11@163.com。并列第一作者:邵小宝,主要从事临床输血工作,(E-mail)shaoxiaobao520@163.com。
  • 基金资助:
    *本课题受南京市卫生科技发展专项资金项目(No. YKK21195)、江苏省输血协会英科新创科研基金(No. JS2022006)资助

Characterization of Salidroside for the Preservation of Apheresis Platelets

XIE Huihan, SHAO Xiaobao, CHEN Xin, ZHOU Lin, ZHU Peiyuan   

  1. Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, Nanjing 210022
  • Received:2024-01-03 Online:2024-04-20 Published:2024-04-23

摘要: 目的 研究添加不同浓度红景天苷(salidroside,Sal)对血小板体外保存期间形态、代谢及活化等影响。方法 将血液成分分离机采集的每份单采血小板均分为5袋,空白对照组(A组)不做任何添加,另外4袋中分别加入不同浓度的Sal溶液,终浓度为5 μmol/L(B组)、25 μmol/L(C组)、40 μmol/L(D组)和50 μmol/L(E组),(22±2)℃振荡保存,分别在保存的第1、3、5、7、10、14天抽样,进行血小板参数检测、血气生化检测、血栓弹力图试验、流式细胞术检测和sCD40L浓度检测。结果 各组单采血小板的血小板计数随保存时间延长无明显变化(P>0.05),平均血小板体积(MPV)在保存前10 d内无显著变化,14 d时均显著增大(P<0.05),血小板体积分布宽度(PDW)随保存时间延长均有不同程度的变化(P<0.05);在相同保存时间,各组之间单采血小板计数、MPV、PDW值比较无明显差异。各组单采血小板保存7 d内的pH值明显降低(P<0.05),LAC值不断升高(P<0.05),保存14 d的GLU值明显降低(P<0.05)。保存10天内,各组单采血小板的TEG MA值无明显差异,第14天明显低于第1、3、5、7、10天(P<0.05)。保存期间各组单采血小板CD62P表达率不断升高,均在第10天达峰值(P<0.05),第14天下降(P>0.05);在保存第5天和第7天,各实验组与A组相比CD62P表达率均有显著差异(P<0.05)。在保存前期,各组血小板sCD40L浓度逐渐升高,第5天达峰值,随后逐渐降低,第14天达最低值,与第3天、第5天相比有显著差异(P<0.05);在相同保存时间,各组间sCD40L表达率无明显差异(P>0.05)。结论 在单采血小板中添加Sal并不影响血小板正常功能,但可以明显抑制血小板活化,可能有助于减轻血小板储存损伤。

关键词: 红景天苷, 血小板, 保存, 活化

Abstract: Objective To assess the impacts of different concentrations of Salidroside (Sal) on the morphology, metabolism and activation of platelets during in vitro preservation. Methods We used a blood component separator to collect apheresis platelets, and evenly distributed them into five separate bags. One bag served as the control group (Group A), while the remaining four bags received varying concentrations of Sal solution, resulting in final Sal concentrations of 5 μmol/L (Group B), 25 μmol/L (Group C), 40 μmol/L (Group D), and 50 μmol/L (Group E). These platelets were then stored at room temperature (22±2) ℃ with agitation. On the 1st, 3rd, 5th, 7th, 10th, and 14th days of storage, samples were taken for platelet parameter analysis, blood gas biochemistry, thromboelastography, flow cytometry, and Elisa kit measurement of sCD40L concentration. Results 1) The platelet count of each group had no significant change with the prolongation of storage time (P>0.05). The mean platelet volume (MPV) remained stable in the first 10 days of preservation, but significantly increased at 14 days (P<0.05). The platelet volume distribution width (PDW) value showed varying degrees of change with the extension of preservation time (P<0.05). No significant differences were observed in platelet count, MPV and PDW among groups during the same preservation time. 2) Seven days after storage of monopexic platelets, all groups exhibited a significant decrease of pH value (P<0.05), a continuous rise of LAC value (P<0.05), as well as a remarkable decrease of GLU value (P<0.05). 3) There was no significant difference in the thromboelastography maximum amplitude (TEG MA) of apheresis platelets between the groups within the first 10 days of storage. However, on the 14th day, the TEG MA value was significantly lower than that of earlier time points (P<0.05). 4) During the preservation period, the expression rate of CD62P in platelets increased continuously, peaking on the 10th day (P<0.05), followed by a decrease on the 14th day (P>0.05). On the 5th and 7th day of preservation, the expression rate of CD62P significantly differed between the control group (Group A) and the experimental groups (P<0.05). 5) In the early stage of preservation, the concentration of soluble CD40 ligand (sCD40L) in all groups gradually increased, reaching a peak on the 5th day, and then gradually decreased, reaching its lowest level on the 14th day. There were significant differences compared with the 3rd and 5th day (P<0.05). However, no significant difference was noted in the expression rate of sCD40L among all groups during the same preservation time (P>0.05). Conclusion The addition of Sal to platelets does not compromise their normal function but can significantly inhibit platelet activation, which may help reduce platelet storage damage.

Key words: Salidroside, Platelet, Save, Activation

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