• 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 ›› 2020, Vol. 22 ›› Issue (5): 466-469.DOI: 10.3969/j.issn.1671-2587.2020.05.005

• 新型冠状病毒肺炎专题(三) • 上一篇    下一篇

56℃水浴灭活处理对红细胞血型抗原影响的研究*

赵俸涌, 郭忠慧, 李勤, 杨启修, 朱自严   

  1. 200051 上海市血液中心
  • 收稿日期:2020-04-29 出版日期:2020-10-20 发布日期:2020-10-16
  • 通讯作者: 朱自严,男,研究员,主要从事免疫血液学研究,( E-mail)zhuziyan@sbc.org.cn。
  • 作者简介:赵俸涌(1988-),男,山西忻州人,助理研究员,博士,主要从事人类红细胞血型抗原及其功能、动物血型与输血方面研究,(Tel)62758027-1221。
  • 基金资助:
    * 本课题受上海市卫计委青年课题(No.20184Y0281)、中国输血协会威高基金项目(No.CSBT-WG-2019-08)资助

Study on the Inactivation of Erythrocyte Blood Group Antigens by a 56 ℃ Water Bath

ZHAO Feng-yong, GUO Zhong-hui, LI Qin, et al   

  1. Shanghai Blood Center, Shanghai 200051
  • Received:2020-04-29 Online:2020-10-20 Published:2020-10-16

摘要: 目的 灭活是指用物理或化学手段破坏微生物使其丧失生物学活性,但不损害其重要抗原的方法。新型冠状病毒肺炎(COVID-19)患者输血前血型鉴定试验需将血样经56℃水浴30分钟灭活后再进行,本研究旨在发现灭活过程对红细胞血型抗原检测的影响。 方法 采用滴定后的血型鉴定试剂,对5例56℃灭活前后血液样本的红细胞血型抗原进行检测。 结果 在使用标化后的抗体对A、B、RhD及Fya抗原分别进行微柱凝胶法检测后发现:A、B抗原在各稀释度中均未出现统计学差异,而RhD抗原在各稀释度检测时均出现统计学差异(8倍稀释度时:P<0.05;16~256倍稀释度时:P<0.01),对Fya抗原在各稀释度检测时均出现统计学差异(P<0.01)。 结论 56℃灭活程序会造成红细胞血型抗原减弱对血型抗原检测产生较大影响。

关键词: 56℃水浴灭活, 红细胞膜蛋白, 稳定性, 抗原检测

Abstract: Objective Inactivation refers to the method of destroying microorganisms by physical or chemical means to lose their biological activity, but without damaging their important antigens. Blood group test requires blood sample from patient with coronavirus disease(COVID-19)to be inactivated at 56℃ in a water bath for 30 minutes prior to pre-transfusion testing.This study aims to discover the effect of the inactivation process on the detection of erythrocyte blood group antigens. Methods The titrated blood grouping reagents were used to detect blood group antigens in five blood samples before and after 56℃ inactivation. Results Using the titrated antibodies to detect A, B, RhD and Fya antigens by gel method, we found that there were no statistically significant difference in each dilution between A and B antigens. While, RhD antigen showed statistical differences in each dilution test(diluted 1∶8:P<0.05;diluted 1∶16 ~ 1∶256:P<0.01), and Fya antigen also showed statistical differences in each dilution test (P<0.01). Conclusion The 56℃ inactivation process could weaken erythrocyte blood group antigens and it exerts greater effects on blood group antigens detection.

Key words: 56℃ inactivation, Erythrocyte membrane protein, Stability, Antigen detection

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