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降温速率对血小板冰冻保存质量的影响
胡慧红1,钱宝华1*,刘宝林2,顾海慧1,朱燕霞1,花美仙1
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(1.第二军医大学长海医院输血科,上海 200433;2.上海理工大学低温生物技术研究所,上海 200093)
摘要:
目的:观察不同降温速率下血小板冰冻保存效果,探讨血小板冰冻保存的最佳降温速率。方法:在新型血小板冷冻保护剂作用下,血小板以不同速率(1、10、20℃/min)降温至-80℃后直接转入深低温冰箱保存,冻存1周后复温检测其体外功能和表面分子的变化,与非程序降温组及新鲜血小板作比较。结果:复温后各冰冻保存组的血小板计数均低于新鲜对照组(P<0.05或P<0.01)。肾上腺素诱导的最大聚集率10℃/min组与1℃/min组、非程序降温组两两比较无统计学差异,低于新鲜对照组(P<0.01),但高于20℃/min组(P<0.05)。CD42b表达的平均荧光强度10℃/min组高于其他各冷冻保存组(P<0.05),低于新鲜对照组,但无统计学意义。血小板复温后1℃/min组、20℃/min组、非程序降温组表面的CD62p荧光强度均高于新鲜对照组(P<0.05),10℃/min组CD62p荧光强度高于新鲜对照组,但无统计学差异。结论:降温速率对冰冻保存血小板效果影响较大,在新型血小板冷冻保护剂作用下,相对于1、20℃/min,10℃/min降温速率效果最佳。
关键词:  低温保存  血小板  血小板计数  CD41抗原  CD42b抗原  CD62p抗原
DOI:10.3724/SP.J.1008.2008.00809
投稿时间:2008-04-20修订日期:2008-07-01
基金项目:军队“十一五”课题(06MA180).
Influence of cooling rate on quality of cryopreservted platelets
HU Hui-hong1,QIAN Bao-hua1*,LIU Bao-lin2,GU Hai-hui1,ZHU Yan-xia1,HUA Mei-xian1
(1.Department of Blood Transfusion,Changhai Hospital,Second Military Medical University,Shanghai 200433,China;2.Biotechnology Institute of Low Temperature,University of Shanghai for Science and Technology,Shanghai 200093,China)
Abstract:
Objective:To observe the outcomes of different cooling rates in the cryopreservation of platelets,so as to screen the best cooling rate for cyropreservation of platelets.Methods: Platelet concentrate was cooled down with the new cryopreserving solution at various cooling rates(1,10,20℃/min) and was kept at -80℃ for one week.Then platelets were thawed to check platelet count,adrenaline induced aggregation,and expression of CD41,CD42b and CD62p; the results were compared with those of the non-programmed cooling group and fresh platelets.Results: The platelet counts of cryopreserved groups were lower than that of fresh platelet concentrate(P<0.05 or P<0.01).There were no differences in adrenaline induced aggregation between 10℃/min group,1℃/min group,and non-programmed cooling group; and the aggregation of the former 3 groups was lower than that of 1℃/min group(P<0.01) and higher than that of 20℃/min group (P<0.05).The CD42b expression in 10℃/min group was higher than in other groups (P<0.05) and lower than in fresh platelet concentrate.The CD62p expression in 1℃/min group,20℃/min group,none programme cooling group was higher than in fresh platelet concentrate(P<0.05).The CD62p expression in 10℃/min group was higher than other 3 groups (P<0.05) and lower than in fresh platelet concentrate,with no statistical significance.Conclusion: Cooling rate has great impact on the quality of cryopreservted platelets.Compared with 1℃/min and 20℃/min,10℃/min is the optimal cooling rate with the new cryopreservation solution in this study.
Key words:  cryopreservation  blood platelets  platelet count  CD41 antigen  CD42b antigen  CD62p antigen