Effects of riboflavin and ultraviolet light treatment on platelet thrombus formation and thrombus stability on collagen

BACKGROUND Pathogen reduction technologies (PRTs) are considered for the implementation of safer platelet (PLT) transfusion. PRT treatment involves the addition of a photosensitizer to a blood component followed by ultraviolet (UV) light irradiation. However, the effects of PRT treatment on PLT thro...

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Veröffentlicht in:Transfusion (Philadelphia, Pa.) Pa.), 2017-07, Vol.57 (7), p.1772-1780
Hauptverfasser: Terada, Chikahiro, Shiba, Masayuki, Nagai, Tadashi, Satake, Masahiro
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container_end_page 1780
container_issue 7
container_start_page 1772
container_title Transfusion (Philadelphia, Pa.)
container_volume 57
creator Terada, Chikahiro
Shiba, Masayuki
Nagai, Tadashi
Satake, Masahiro
description BACKGROUND Pathogen reduction technologies (PRTs) are considered for the implementation of safer platelet (PLT) transfusion. PRT treatment involves the addition of a photosensitizer to a blood component followed by ultraviolet (UV) light irradiation. However, the effects of PRT treatment on PLT thrombus formation and thrombus stability have not been satisfactorily clarified. STUDY DESIGN AND METHODS Leukoreduced PLT concentrates (PCs) were treated with riboflavin and UV light (Mirasol PRT). PLT thrombus formation on collagen was evaluated by the microchannel method, by which the total amount of PLTs deposited was measured as indices of thrombus formation and thrombus stability. Using a cone‐plate shear‐induced PLT aggregometer, PLT reactivity in blood flow was examined in a wide range of shear stresses of 6 to 108 dyn/cm2. RESULTS There was no significant difference in surface coverage between PRT‐treated PLTs and control PLTs on collagen. On the other hand, the total amount of PRT‐treated PLTs deposited was higher than that of control PLTs. The promotive effect of PRT treatment on PLT deposition completely disappeared in the presence of tirofiban, a potent integrin αIIbβ3 inhibitor. The percentage of the dissociation of PRT‐treated PLTs on collagen was lower than that of control PLTs after flushing with phosphate‐buffered saline. PRT treatment significantly inhibited PLT aggregation under high‐shear‐stress conditions. CONCLUSION Riboflavin‐based PRT treatment of PCs leads to the enhancement of PLT thrombus formation and thrombus stability on collagen. However, it does not enhance the reactivity of PLTs not in contact with collagen under high‐shear‐stress conditions.
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PRT treatment involves the addition of a photosensitizer to a blood component followed by ultraviolet (UV) light irradiation. However, the effects of PRT treatment on PLT thrombus formation and thrombus stability have not been satisfactorily clarified. STUDY DESIGN AND METHODS Leukoreduced PLT concentrates (PCs) were treated with riboflavin and UV light (Mirasol PRT). PLT thrombus formation on collagen was evaluated by the microchannel method, by which the total amount of PLTs deposited was measured as indices of thrombus formation and thrombus stability. Using a cone‐plate shear‐induced PLT aggregometer, PLT reactivity in blood flow was examined in a wide range of shear stresses of 6 to 108 dyn/cm2. RESULTS There was no significant difference in surface coverage between PRT‐treated PLTs and control PLTs on collagen. On the other hand, the total amount of PRT‐treated PLTs deposited was higher than that of control PLTs. The promotive effect of PRT treatment on PLT deposition completely disappeared in the presence of tirofiban, a potent integrin αIIbβ3 inhibitor. The percentage of the dissociation of PRT‐treated PLTs on collagen was lower than that of control PLTs after flushing with phosphate‐buffered saline. PRT treatment significantly inhibited PLT aggregation under high‐shear‐stress conditions. CONCLUSION Riboflavin‐based PRT treatment of PCs leads to the enhancement of PLT thrombus formation and thrombus stability on collagen. However, it does not enhance the reactivity of PLTs not in contact with collagen under high‐shear‐stress conditions.</description><identifier>ISSN: 0041-1132</identifier><identifier>EISSN: 1537-2995</identifier><identifier>DOI: 10.1111/trf.14114</identifier><identifier>PMID: 28417457</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Agglomeration ; Blood clots ; Blood flow ; Blood Platelets - drug effects ; Blood Platelets - radiation effects ; Buffers ; Catheters ; Collagen ; Collagen - chemistry ; Contact stresses ; Flow stability ; Flushing ; Humans ; Inhibitors ; Irradiation ; Light irradiation ; Mechanical stimuli ; Pathogens ; Phosphate ; Phosphates ; Platelet Glycoprotein GPIIb-IIIa Complex - chemistry ; Platelets ; Riboflavin ; Riboflavin - pharmacology ; Shear ; Stress concentration ; Thrombosis ; Thrombosis - etiology ; Transfusion ; Ultraviolet radiation ; Ultraviolet Rays ; Vitamin B</subject><ispartof>Transfusion (Philadelphia, Pa.), 2017-07, Vol.57 (7), p.1772-1780</ispartof><rights>2017 AABB</rights><rights>2017 AABB.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3884-40c2b62c9d0b5fbb157d857236e5a1aae10888a8bb838e39a0dd15602ece58d93</citedby><cites>FETCH-LOGICAL-c3884-40c2b62c9d0b5fbb157d857236e5a1aae10888a8bb838e39a0dd15602ece58d93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Ftrf.14114$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Ftrf.14114$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27923,27924,45573,45574</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28417457$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Terada, Chikahiro</creatorcontrib><creatorcontrib>Shiba, Masayuki</creatorcontrib><creatorcontrib>Nagai, Tadashi</creatorcontrib><creatorcontrib>Satake, Masahiro</creatorcontrib><title>Effects of riboflavin and ultraviolet light treatment on platelet thrombus formation and thrombus stability on collagen</title><title>Transfusion (Philadelphia, Pa.)</title><addtitle>Transfusion</addtitle><description>BACKGROUND Pathogen reduction technologies (PRTs) are considered for the implementation of safer platelet (PLT) transfusion. PRT treatment involves the addition of a photosensitizer to a blood component followed by ultraviolet (UV) light irradiation. However, the effects of PRT treatment on PLT thrombus formation and thrombus stability have not been satisfactorily clarified. STUDY DESIGN AND METHODS Leukoreduced PLT concentrates (PCs) were treated with riboflavin and UV light (Mirasol PRT). PLT thrombus formation on collagen was evaluated by the microchannel method, by which the total amount of PLTs deposited was measured as indices of thrombus formation and thrombus stability. Using a cone‐plate shear‐induced PLT aggregometer, PLT reactivity in blood flow was examined in a wide range of shear stresses of 6 to 108 dyn/cm2. RESULTS There was no significant difference in surface coverage between PRT‐treated PLTs and control PLTs on collagen. On the other hand, the total amount of PRT‐treated PLTs deposited was higher than that of control PLTs. The promotive effect of PRT treatment on PLT deposition completely disappeared in the presence of tirofiban, a potent integrin αIIbβ3 inhibitor. The percentage of the dissociation of PRT‐treated PLTs on collagen was lower than that of control PLTs after flushing with phosphate‐buffered saline. PRT treatment significantly inhibited PLT aggregation under high‐shear‐stress conditions. CONCLUSION Riboflavin‐based PRT treatment of PCs leads to the enhancement of PLT thrombus formation and thrombus stability on collagen. However, it does not enhance the reactivity of PLTs not in contact with collagen under high‐shear‐stress conditions.</description><subject>Agglomeration</subject><subject>Blood clots</subject><subject>Blood flow</subject><subject>Blood Platelets - drug effects</subject><subject>Blood Platelets - radiation effects</subject><subject>Buffers</subject><subject>Catheters</subject><subject>Collagen</subject><subject>Collagen - chemistry</subject><subject>Contact stresses</subject><subject>Flow stability</subject><subject>Flushing</subject><subject>Humans</subject><subject>Inhibitors</subject><subject>Irradiation</subject><subject>Light irradiation</subject><subject>Mechanical stimuli</subject><subject>Pathogens</subject><subject>Phosphate</subject><subject>Phosphates</subject><subject>Platelet Glycoprotein GPIIb-IIIa Complex - chemistry</subject><subject>Platelets</subject><subject>Riboflavin</subject><subject>Riboflavin - pharmacology</subject><subject>Shear</subject><subject>Stress concentration</subject><subject>Thrombosis</subject><subject>Thrombosis - etiology</subject><subject>Transfusion</subject><subject>Ultraviolet radiation</subject><subject>Ultraviolet Rays</subject><subject>Vitamin B</subject><issn>0041-1132</issn><issn>1537-2995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kUFrFTEQx4Mo9tl68AtIwEs9bJtJNm-zRyltFQqCtOeQ7E7alOzmmWQt79ub59YeBHMZkvnNjyF_Qj4AO4N6zktyZ9ACtK_IBqToGt738jXZMNZCAyD4EXmX8yNjjPcM3pIjrlroWtltyNOlcziUTKOjydvogvnlZ2rmkS6hpHqJAQsN_v6h0JLQlAnnQuNMd8EUPPTKQ4qTXTJ1MU2m-LiOvzznYqwPvuwPU0MMwdzjfELeOBMyvn-ux-Tu6vL24mtz8_3628WXm2YQSrVNywZut3zoR2alsxZkNyrZcbFFacAYBKaUMspaJRSK3rBxBLllHAeUauzFMTldvbsUfy6Yi558HrAuMWNcsgaleqEkF7yin_5BH-OS5rqdhh5ktbb8QH1eqSHFnBM6vUt-MmmvgelDGrqmof-kUdmPz8bFTji-kH-_vwLnK_DkA-7_b9K3P65W5W-yrZWM</recordid><startdate>201707</startdate><enddate>201707</enddate><creator>Terada, Chikahiro</creator><creator>Shiba, Masayuki</creator><creator>Nagai, Tadashi</creator><creator>Satake, Masahiro</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>7U9</scope><scope>8FD</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>201707</creationdate><title>Effects of riboflavin and ultraviolet light treatment on platelet thrombus formation and thrombus stability on collagen</title><author>Terada, Chikahiro ; Shiba, Masayuki ; Nagai, Tadashi ; Satake, Masahiro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3884-40c2b62c9d0b5fbb157d857236e5a1aae10888a8bb838e39a0dd15602ece58d93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Agglomeration</topic><topic>Blood clots</topic><topic>Blood flow</topic><topic>Blood Platelets - drug effects</topic><topic>Blood Platelets - radiation effects</topic><topic>Buffers</topic><topic>Catheters</topic><topic>Collagen</topic><topic>Collagen - chemistry</topic><topic>Contact stresses</topic><topic>Flow stability</topic><topic>Flushing</topic><topic>Humans</topic><topic>Inhibitors</topic><topic>Irradiation</topic><topic>Light irradiation</topic><topic>Mechanical stimuli</topic><topic>Pathogens</topic><topic>Phosphate</topic><topic>Phosphates</topic><topic>Platelet Glycoprotein GPIIb-IIIa Complex - chemistry</topic><topic>Platelets</topic><topic>Riboflavin</topic><topic>Riboflavin - pharmacology</topic><topic>Shear</topic><topic>Stress concentration</topic><topic>Thrombosis</topic><topic>Thrombosis - etiology</topic><topic>Transfusion</topic><topic>Ultraviolet radiation</topic><topic>Ultraviolet Rays</topic><topic>Vitamin B</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Terada, Chikahiro</creatorcontrib><creatorcontrib>Shiba, Masayuki</creatorcontrib><creatorcontrib>Nagai, Tadashi</creatorcontrib><creatorcontrib>Satake, Masahiro</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Transfusion (Philadelphia, Pa.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Terada, Chikahiro</au><au>Shiba, Masayuki</au><au>Nagai, Tadashi</au><au>Satake, Masahiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of riboflavin and ultraviolet light treatment on platelet thrombus formation and thrombus stability on collagen</atitle><jtitle>Transfusion (Philadelphia, Pa.)</jtitle><addtitle>Transfusion</addtitle><date>2017-07</date><risdate>2017</risdate><volume>57</volume><issue>7</issue><spage>1772</spage><epage>1780</epage><pages>1772-1780</pages><issn>0041-1132</issn><eissn>1537-2995</eissn><abstract>BACKGROUND Pathogen reduction technologies (PRTs) are considered for the implementation of safer platelet (PLT) transfusion. PRT treatment involves the addition of a photosensitizer to a blood component followed by ultraviolet (UV) light irradiation. However, the effects of PRT treatment on PLT thrombus formation and thrombus stability have not been satisfactorily clarified. STUDY DESIGN AND METHODS Leukoreduced PLT concentrates (PCs) were treated with riboflavin and UV light (Mirasol PRT). PLT thrombus formation on collagen was evaluated by the microchannel method, by which the total amount of PLTs deposited was measured as indices of thrombus formation and thrombus stability. Using a cone‐plate shear‐induced PLT aggregometer, PLT reactivity in blood flow was examined in a wide range of shear stresses of 6 to 108 dyn/cm2. RESULTS There was no significant difference in surface coverage between PRT‐treated PLTs and control PLTs on collagen. On the other hand, the total amount of PRT‐treated PLTs deposited was higher than that of control PLTs. The promotive effect of PRT treatment on PLT deposition completely disappeared in the presence of tirofiban, a potent integrin αIIbβ3 inhibitor. The percentage of the dissociation of PRT‐treated PLTs on collagen was lower than that of control PLTs after flushing with phosphate‐buffered saline. PRT treatment significantly inhibited PLT aggregation under high‐shear‐stress conditions. CONCLUSION Riboflavin‐based PRT treatment of PCs leads to the enhancement of PLT thrombus formation and thrombus stability on collagen. However, it does not enhance the reactivity of PLTs not in contact with collagen under high‐shear‐stress conditions.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>28417457</pmid><doi>10.1111/trf.14114</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects Agglomeration
Blood clots
Blood flow
Blood Platelets - drug effects
Blood Platelets - radiation effects
Buffers
Catheters
Collagen
Collagen - chemistry
Contact stresses
Flow stability
Flushing
Humans
Inhibitors
Irradiation
Light irradiation
Mechanical stimuli
Pathogens
Phosphate
Phosphates
Platelet Glycoprotein GPIIb-IIIa Complex - chemistry
Platelets
Riboflavin
Riboflavin - pharmacology
Shear
Stress concentration
Thrombosis
Thrombosis - etiology
Transfusion
Ultraviolet radiation
Ultraviolet Rays
Vitamin B
title Effects of riboflavin and ultraviolet light treatment on platelet thrombus formation and thrombus stability on collagen
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