Lipid ratios as a marker for red blood cell storage quality and as a possible explanation for donor gender differences in storage quality.


Journal

Vox sanguinis
ISSN: 1423-0410
Titre abrégé: Vox Sang
Pays: England
ID NLM: 0413606

Informations de publication

Date de publication:
Nov 2020
Historique:
received: 19 11 2019
revised: 24 03 2020
accepted: 26 03 2020
pubmed: 8 5 2020
medline: 13 4 2021
entrez: 8 5 2020
Statut: ppublish

Résumé

Red blood cells that are stored for transfusions as red cell concentrates (RCCs) undergo changes during the storage period, culminating in the lysis of the cells. The goal of this work is to find markers that are linked to high haemolysis, in order to explain the inter-donor variability that is known to occur in storage quality, and also the known differences between RCCs from male and female donors. The relative amounts of lipids at the end of the storage period were compared for one group of low haemolysis samples (24 units, all ≤0·15% haemolysis), and one group of high haemolysis samples (26 units, all ≥0·5% haemolysis). Representative lipids were analysed from different lipid classes, including cholesterol, phosphatidylcholine, phosphatidylethanolamine, sphingomyelin and ceramide. Whole membrane preparations were analysed with one mass spectrometry technique, and lipid extracts were analysed with a second mass spectrometry technique. The ratio of palmitoyl-oleoyl phosphatidylcholine (POPC) to sphingomyelin was different for the high and low haemolysis groups (P = 0·0001) and for the RCCs from male and female donors (P = 0·0009). The ratio of cholesterol to phospholipids showed only minimal links to haemolysis. Higher relative amounts of sphingomyelin were associated with lower haemolysis, and higher relative amounts of ceramides were associated with increased haemolysis. The level of sphingomyelinase activity and the resulting ratio of sphingomyelin to POPC is proposed as a possible marker for RCC storage quality.

Sections du résumé

BACKGROUND AND OBJECTIVES OBJECTIVE
Red blood cells that are stored for transfusions as red cell concentrates (RCCs) undergo changes during the storage period, culminating in the lysis of the cells. The goal of this work is to find markers that are linked to high haemolysis, in order to explain the inter-donor variability that is known to occur in storage quality, and also the known differences between RCCs from male and female donors.
MATERIALS AND METHODS METHODS
The relative amounts of lipids at the end of the storage period were compared for one group of low haemolysis samples (24 units, all ≤0·15% haemolysis), and one group of high haemolysis samples (26 units, all ≥0·5% haemolysis). Representative lipids were analysed from different lipid classes, including cholesterol, phosphatidylcholine, phosphatidylethanolamine, sphingomyelin and ceramide. Whole membrane preparations were analysed with one mass spectrometry technique, and lipid extracts were analysed with a second mass spectrometry technique.
RESULTS RESULTS
The ratio of palmitoyl-oleoyl phosphatidylcholine (POPC) to sphingomyelin was different for the high and low haemolysis groups (P = 0·0001) and for the RCCs from male and female donors (P = 0·0009). The ratio of cholesterol to phospholipids showed only minimal links to haemolysis. Higher relative amounts of sphingomyelin were associated with lower haemolysis, and higher relative amounts of ceramides were associated with increased haemolysis.
CONCLUSION CONCLUSIONS
The level of sphingomyelinase activity and the resulting ratio of sphingomyelin to POPC is proposed as a possible marker for RCC storage quality.

Identifiants

pubmed: 32378231
doi: 10.1111/vox.12924
doi:

Substances chimiques

Lipids 0
Phospholipids 0
Cholesterol 97C5T2UQ7J

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

655-663

Subventions

Organisme : BioInterfaces in Technology and Medicine (BIFTM) KIT
Organisme : Deutsche Forschungsgemeinschaft
ID : BI 1308/5-1
Organisme : Deutsche Forschungsgemeinschaft
ID : ME 4648/2-1

Informations de copyright

© 2020 The Authors. Vox Sanguinis published by John Wiley & Sons Ltd on behalf of International Society of Blood Transfusion.

Références

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Auteurs

Kathryn A Melzak (KA)

Institute of Functional Interfaces, Karlsruhe Institute of Technology, Karlsruhe, Germany.

Marius Muth (M)

Institute of Functional Interfaces, Karlsruhe Institute of Technology, Karlsruhe, Germany.

Frank Kirschhöfer (F)

Institute of Functional Interfaces, Karlsruhe Institute of Technology, Karlsruhe, Germany.

Gerald Brenner-Weiss (G)

Institute of Functional Interfaces, Karlsruhe Institute of Technology, Karlsruhe, Germany.

Karen Bieback (K)

Institute of Transfusion Medicine and Immunology, Flowcore Mannheim, Medical Faculty Mannheim, Heidelberg University and German Red Cross Blood Donor Services Baden-Württemberg - Hessen, Mannheim, Germany.

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Classifications MeSH