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In memory of Patrick Hervé 悼念帕特里克-埃尔韦
IF 1.4 4区 医学 Q4 HEMATOLOGY Pub Date : 2024-10-29 DOI: 10.1016/j.tracli.2024.10.001
Pierre Tiberghien, Pascal Morel
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引用次数: 0
Editorial: Transfusion Clinique et Biologique in the concert of blood transfusion journals: Staying the course 社论:输血临床与生物》与《输血》杂志的合作:坚持到底。
IF 1.4 4区 医学 Q4 HEMATOLOGY Pub Date : 2024-10-05 DOI: 10.1016/j.tracli.2024.10.002
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引用次数: 0
Profiles of differential expression of miRNAs in the late stage of red blood cell preservation and their potential roles 红细胞保存后期 miRNAs 的差异表达谱及其潜在作用。
IF 1.4 4区 医学 Q4 HEMATOLOGY Pub Date : 2024-09-26 DOI: 10.1016/j.tracli.2024.09.003
Yajie Wang , Yiming Ma , Liping Sun , Quan Rao , Xiaozhou Yuan , Yan Chen , Xiaofei Li

Objective

To detect the differentially expressed regulatory miRNAs in the late stage of red blood cell (RBC) preservation and predict their roles.

Methods

Suspended RBCs with different storage periods of 35 day, 42 day, and 50 day were collected for routine blood tests, RNA extraction, and preparation of small RNA sequencing libraries. The constructed libraries were sequenced and the biological functions of differential miRNAs in RBCs in the late storage were analyzed by bioinformatics.

Results

Routine indicators of RBCs in the late stage were not significantly affected by preservation time. The Pearson correlation analysis performing on RBC miRNAs with different storage days revealed that RBC miRNAs changed with the increase of storage days. RBC miRNAs from day 35 (D35), day 42 (D42) and day 50 (D50) showed significant differences (P < 0.05). Compared RBC miRNAs from D42 with these from D35, there were 690 up-regulated miRNAs and 82 down-regulated miRNAs; compared RBC miRNAs from D50 with these from D35, there were 638 up-regulated miRNAs and 123 down-regulated miRNAs; compared RBC miRNAs from D42 with these from D50, there were 271 up-regulated miRNAs and 515 down-regulated miRNAs. GO enrichment analysis of target genes of differential miRNAs were mainly involved in cell metabolism, biosynthesis, protein modification, gene expression and transcriptional regulation of biological processes. KEGG pathway enrichment analysis of miRNA target genes showed that differential miRNA target genes were closely related to pathways in cancer.

Conclusion

MiRNAs were differentially expressed in the late stage of RBC preservation, and may be involved in various biological processes, especially cancer.
目的检测红细胞保存后期不同表达的调控miRNA,并预测其作用:方法:收集保存期分别为 35 天、42 天和 50 天的悬浮红细胞,进行血常规检查、RNA 提取和小 RNA 测序文库制备。对构建的文库进行测序,并通过生物信息学分析后期储存的 RBC 中不同 miRNA 的生物学功能:结果:晚期红细胞的常规指标不受保存时间的明显影响。对不同保存天数的 RBC miRNA 进行的皮尔逊相关分析表明,RBC miRNA 随保存天数的增加而变化。第 35 天(D35)、第 42 天(D42)和第 50 天(D50)的 RBC miRNA 有显著差异(PConclusion:在 RBC 保存后期,miRNAs 有不同程度的表达,它们可能参与了各种生物学过程,尤其是癌症。
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引用次数: 0
Immune cell kinetics after allogeneic red blood cell transfusion in patients undergoing cardiovascular surgery 心血管手术患者输注异体红细胞后的免疫细胞动力学。
IF 1.4 4区 医学 Q4 HEMATOLOGY Pub Date : 2024-09-24 DOI: 10.1016/j.tracli.2024.09.002
Marie Yamada , Mami Nakao , Naotomo Yamada , Hideaki Nakamura , Manabu Itoh , Junji Yunoki , Keiji Kamohara , Shinya Kimura , Eisaburo Sueoka

Background and Objectives

Recent reports have highlighted that allogeneic blood transfusions decrease immune responses and affect patient outcomes. However, the effects of allogeneic red blood cell transfusions on the composition of immune cells are unclear. We aimed to clarify the alterations in host immune cells in patients who received allogeneic red blood cell transfusions during the perioperative period of cardiovascular surgery.

Materials and Methods

Eight non-transfused, 22 intraoperative autotransfusions, and 36 allogeneic red blood cell-transfused patients undergoing surgery were grouped, and lymphocyte subsets were analyzed using flow cytometry. Blood samples collected before surgery, approximately 1-week, and 1-month after surgery were used for analysis. Surgical parameters, operation time, blood loss, and length of hospital stay were also assessed.

Results

The group receiving transfusions showed statistical significance compared to non-transfused in the above-mentioned surgical parameters. When comparing the autologous and allogeneic transfusion groups, only the allogeneic red blood transfusion group had a longer hospital stay. In comparing preoperative and 1-week and 1-month postoperative samples, there were almost no differences in CD4, CD20, or NK counts between the autotransfusions and the allogenic red blood cell transfusion groups. In contrast, a significant decrease in lymphocyte count was observed in the allogenic red blood cell transfused group 1-week postoperatively compared to preoperatively. Moreover, the number of CD8 + cells was statistically lowest in the allogeneic transfusion group 1 week after the operation.

Conclusion

Our results suggest that allogeneic red blood cell transfusion could alter immune cell composition especially CD8 + cells, potentially impacting immune function.
背景和目的:最近的报告强调,异体输血会降低免疫反应并影响患者的预后。然而,异体红细胞输血对免疫细胞组成的影响尚不清楚。我们旨在明确在心血管手术围手术期接受异体红细胞输血的患者宿主免疫细胞的变化:对 8 名未输血、22 名术中自体输血和 36 名接受异体红细胞输血的手术患者进行分组,并使用流式细胞术分析淋巴细胞亚群。分析中使用了手术前、手术后约 1 周和 1 个月采集的血液样本。此外,还对手术参数、手术时间、失血量和住院时间进行了评估:结果:在上述手术参数中,接受输血组与未接受输血组相比具有统计学意义。比较自体输血组和异体输血组,只有异体输血组的住院时间更长。比较术前、术后 1 周和 1 个月的样本,自体输血组和异体红细胞输血组的 CD4、CD20 或 NK 计数几乎没有差异。相比之下,术后 1 周的异体红细胞输注组淋巴细胞计数比术前明显减少。此外,据统计,术后 1 周异体输血组的 CD8+ 细胞数量最少:我们的研究结果表明,异体红细胞输注可改变免疫细胞的组成,尤其是 CD8+ 细胞,从而对免疫功能产生潜在影响。
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引用次数: 0
Stratified analysis of risk factors affecting vasovagal reactions in first-time whole blood donors: A regional multi-center donor hemovigilance data study 影响首次全血献血者血管迷走神经反应的风险因素分层分析:地区性多中心献血者血液监测数据研究。
IF 1.4 4区 医学 Q4 HEMATOLOGY Pub Date : 2024-09-24 DOI: 10.1016/j.tracli.2024.09.001
Jiangxiu Li , Junhong Yang , Qiuai Yang , Shengji Zhang , Hongbo Liu , Li Zhou , Xia Huang

Background and objectives

Vasovagal reactions (VVR) are the most common adverse reactions in blood donation. This study aimed to provide and analyze the data of the regional hemovigilance system in Chongqing, China from 2020 to 2022, report the prevalence and explore the risk factors of VVR.

Materials and methods

R software (version 4.2.3) was used for all statistical analyses. Frequency and composition rates were used to describe the data of total donation, as well as data on the different types of ADR. The Chi-square test was used to analyze risk factors for VVR and inter-group comparisons of VVR stratified by gender (female/male), age (18–22; 23–29; 30–39; 40–49; 50–60) and season(Spring (Mar.-May.); Summer (Jun.-Aug.); Autumn (sep.-Nov.); Winter (Dec.-Feb.)).

Results

The reported incidence rate of VVR was 8.69‰ during whole blood donations and 1.02‰ during platelet-apheresis donations.The stratified analysis revealed that female donors aged 18–22 years old and 30–39 years old were reported to have lower VVR rates than male donors, oppositely, higher in females in 50–60 years old. Statistically significant differences in the incidence rate of VVR were observed between winter and summer, and between winter and spring in 18–49 years old. No seasonal variation was found in 50–60 years old.

Conclusions

The reported incidence rate of VVR related to blood donation was very low and varied from those calculated by other haemovigilance systems. The higher prevalence of VVR in young, first-time donors, college students, donating in mobile vehicles, males and in spring. Among first-time donors, the prevalence of VVR was higher in males than in females; and stratified analysis revealed there were seasonal variation and gender differences within a same age group.
背景和目的:血管迷走反应(VVR)是献血过程中最常见的不良反应。本研究旨在提供并分析 2020 年至 2022 年中国重庆地区血液监测系统的数据,报告 VVR 的发生率并探讨其风险因素:所有统计分析均使用 R 软件(4.2.3 版)。使用频数和构成率描述总捐献数据,以及不同类型 ADR 的数据。采用卡方检验分析 VVR 的风险因素,并按性别(女性/男性)、年龄(18-22 岁;23-29 岁;30-39 岁;40-49 岁;50-60 岁)和季节(春季(3 月-5 月);夏季(6 月-8 月);秋季(7 月-11 月);冬季(12 月-2 月))对 VVR 进行组间比较:分层分析显示,18-22 岁和 30-39 岁女性献血者的 VVR 发生率低于男性献血者,相反,50-60 岁女性的 VVR 发生率高于男性献血者。据统计,在 18-49 岁人群中,冬季和夏季以及冬季和春季的 VVR 发生率存在明显差异。在 50-60 岁的人群中没有发现季节性变化:报告的与献血有关的 VVR 发生率非常低,与其他血液监测系统计算的发生率不同。年轻献血者、首次献血者、大学生、流动献血车上献血者、男性和春季献血者的 VVR 发生率较高。在首次献血者中,男性的 VVR 发生率高于女性;分层分析表明,在同一年龄组中存在季节性差异和性别差异。
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引用次数: 0
Bridging the gaps: A prospective analysis of root causes for rejection and incompleteness in blood requisition forms 缩小差距:前瞻性分析血液申请表被拒绝和不完整的根本原因。
IF 1.4 4区 医学 Q4 HEMATOLOGY Pub Date : 2024-09-04 DOI: 10.1016/j.tracli.2024.08.005
Shweta Ranjan, Nishith Nayan, Bankim Das, Rakesh Kumar, Saurabh Lahare, Neha Singh, Ruchi Sinha

Introduction

Blood request form (BRF) stands as a pivotal document in ensuring safe and effective blood transfusions within healthcare settings. Incomplete or erroneous data on BRF can heighten risk of adverse reactions and compromise patient safety. Aim of study was to assess level of completion of BRFs by clinicians and to evaluate root cause analysis (RCA) of incompleteness of BRFs and factors leading to their rejection.

Materials and Methods

This prospective study was carried out from February 2024 to April 2024 on BRFs received in the blood centre. They were audited and RCA for factors leading to their incompleteness and rejection were analysed.

Results

Total number of BRFs received in blood centre was 14,468. 13,358 (92.3%) BRFs were accepted and 1,110 (7.7%) BRFs were rejected. 12,804 (95.85%) of accepted BRFs were incomplete. Weight was the most common missing parameter (89% {n = 11403}) while name of the requesting clinician was least common (2.5% {n-318}). 3.52% n = 510) BRFs were rejected due to mismatch in name and patient registration number on BRF and samples. 0.14% n = 21) BRFs were rejected due to hemolysed samples. RCA for incompleteness of BRFs showed that main reason was manpower (61–83%) while environment was least common (17–67%). RCA for rejection of BRFs showed that environment was most common cause (13.3–80.15%) while manpower was least common (9–19.85%).

Conclusion

Regular audits and personnel training, and quality assurance measures can help identify and address deficiencies in BRF completion to enhance patient safety and reduce incidence of transfusion-related errors and complications.
导言:血液申请表(BRF)是确保医疗机构安全有效输血的关键文件。血液申请表上不完整或错误的数据会增加发生不良反应的风险,危及患者安全。本研究旨在评估临床医生填写 BRF 的水平,并对 BRF 不完整的根本原因分析(RCA)以及导致拒绝接受 BRF 的因素进行评估:这项前瞻性研究是在 2024 年 2 月至 2024 年 4 月期间对血液中心收到的 BRF 进行的。结果:2024 年 2 月至 2024 年 4 月期间,血液中心收到的 BRF 总数量为 1.5 万份:结果:血液中心共收到 14,468 份 BRF。血液中心共收到 14,468 份两年期报告,其中 13,358 份(92.3%)被接受,1,110 份(7.7%)被拒绝。在接受的 BRF 中,12,804 份(95.85%)不完整。体重是最常见的缺失参数(89% {n=11403}),而申请临床医生的姓名是最不常见的参数(2.5% {n-318})。3.52%(n=510)的 BRF 因 BRF 和样本上的姓名和病人登记号不匹配而被拒绝。0.14%(n=21)的 BRF 因样本溶血而被拒收。BRF 不完整的 RCA 显示,主要原因是人力(61%-83%),而环境是最不常见的原因 (17%-67%)。剔除 BRF 的 RCA 显示,环境是最常见的原因(13.3%-80.15%),而人力是最不常见的原因 (9%-19.85%):结论:定期审核和人员培训以及质量保证措施有助于发现和解决 BRF 完成过程中的不足之处,从而加强患者安全,减少输血相关错误和并发症的发生。
{"title":"Bridging the gaps: A prospective analysis of root causes for rejection and incompleteness in blood requisition forms","authors":"Shweta Ranjan,&nbsp;Nishith Nayan,&nbsp;Bankim Das,&nbsp;Rakesh Kumar,&nbsp;Saurabh Lahare,&nbsp;Neha Singh,&nbsp;Ruchi Sinha","doi":"10.1016/j.tracli.2024.08.005","DOIUrl":"10.1016/j.tracli.2024.08.005","url":null,"abstract":"<div><h3>Introduction</h3><div>Blood request form (BRF) stands as a pivotal document in ensuring safe and effective blood transfusions within healthcare settings. Incomplete or erroneous data on BRF can heighten risk of adverse reactions and compromise patient safety. Aim of study was to assess level of completion of BRFs by clinicians and to evaluate root cause analysis (RCA) of incompleteness of BRFs and factors leading to their rejection.</div></div><div><h3>Materials and Methods</h3><div>This prospective study was carried out from February 2024 to April 2024 on BRFs received in the blood centre. They were audited and RCA for factors leading to their incompleteness and rejection were analysed.</div></div><div><h3>Results</h3><div>Total number of BRFs received in blood centre was 14,468. 13,358 (92.3%) BRFs were accepted and 1,110 (7.7%) BRFs were rejected. 12,804 (95.85%) of accepted BRFs were incomplete. Weight was the most common missing parameter (89% {<em>n</em> = 11403}) while name of the requesting clinician was least common (2.5% {<em>n</em>-318}). 3.52% <em>n</em> = 510) BRFs were rejected due to mismatch in name and patient registration number on BRF and samples. 0.14% <em>n</em> = 21) BRFs were rejected due to hemolysed samples. RCA for incompleteness of BRFs showed that main reason was manpower (61–83%) while environment was least common (17–67%). RCA for rejection of BRFs showed that environment was most common cause (13.3–80.15%) while manpower was least common (9–19.85%).</div></div><div><h3>Conclusion</h3><div>Regular audits and personnel training, and quality assurance measures can help identify and address deficiencies in BRF completion to enhance patient safety and reduce incidence of transfusion-related errors and complications.</div></div>","PeriodicalId":23262,"journal":{"name":"Transfusion Clinique et Biologique","volume":"31 4","pages":"Pages 217-222"},"PeriodicalIF":1.4,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142147270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Harnessing the potential of blood donors negative for high prevalence Rh antigens: A database initiative for thalassaemia care 利用高流行率 Rh 抗原阴性献血者的潜力:地中海贫血护理数据库倡议。
IF 1.4 4区 医学 Q4 HEMATOLOGY Pub Date : 2024-08-16 DOI: 10.1016/j.tracli.2024.08.004
Akarshan Gupta , Davood Bava , Pandeep Kaur , Amit Kumar Chatterjee , Amit Kumar , Ankita Nigam , Anuneet Tripathi , Rakesh Kumar
<div><h3>Background and objectives</h3><div>With increasing life expectancy and prevalence of thalassaemia, it has led to a greater need for safe blood, yet the current supply from voluntary donors is insufficient to meet this demand. Thalassaemia recipients face a significant risk of alloimmunization because of repeated exposure to foreign red cell antigens. Study aims to determine high prevalent Rh antigen negative donors in western India donor population along with what percentage of these donors are willing to become dedicated voluntary donors for thalassaemia patients. Study also aims to examine factors influencing their willingness and challenges faced in mobilizing dedicated donors.</div></div><div><h3>Method</h3><div>700 whole blood donors from western India, following screening for inclusion & exclusion criteria as per Drugs and Cosmetic Act (DCA) 2020 amendment guidelines & were sero-negative for transfusion transmitted infections were enrolled for the study. Red cell phenotyping was performed using Conventional Tube Technique (CTT) for “D”, “C”, “E”, “c”, “e” and “K” antigen using known antisera. Donors that were “C” AND/OR “e” antigen negative were contacted telephonically and were counseled and motivated for becoming voluntary blood donors. Statistical analysis assessed correlation between donation frequency, donor’s occupation and education.</div></div><div><h3>Result</h3><div>Among 700 donors, 96.6% (<em>n</em> = 676) were males and 3.4% (<em>n</em> = 24) were females. The most predominant blood group was B > O > A > AB. Rh(D) antigen was present in 91.44% (<em>n</em> = 640) and absent in 8.6% (<em>n</em> = 60). Prevalence of other Rh antigens is as follows: “e” (99%) > “C” (85.4%) > “c” (59.1%) > “E” (18.0%). Only 1.15% had “K” antigen positive. The commonest Rh phenotype R<sub>1</sub>R<sub>1</sub> (DCe/DCe) was expressed by 40.57% (<em>n</em> = 283), and the least common r″r (cE/ce), r″r″ (cE/cE) and r′r′ (Ce/Ce) was found in 0.14% (<em>n</em> = 1), respectively. ‘C’ negative, ‘e’ negative, ‘C’ and ‘e’ antigen negative donors constituted 14.8% (<em>n</em> = 104) with 93.2% (<em>n</em> = 97) C-antigen negative, 1.92% (<em>n</em> = 2) e-antigen negative and 4.8% (<em>n</em> = 5) both “C” and “e” antigen negative donors. The commonest phenotypes among C-antigen and e-antigen negative donors were rr (50%) and R<sub>z</sub>R<sub>2</sub> (1.94%) respectively. Likewise, the most common phenotype amongst both C- and e-antigens negative donors was R<sub>2</sub>R<sub>2</sub> (3.84%). 61.5% of the donors agreed to enroll for voluntary blood donation following telephonic invitation, while 6.8% of them refused permanently. Approximately, 3.9% of the blood donors were willing to donate blood only when needed and 27.8% of them could not be contacted.</div></div><div><h3>Conclusion</h3><div>Creating a database of voluntary donors with known phenotype, especially who lack very common antigens like “C” and “e” and are wil
背景和目标:随着预期寿命的延长和地中海贫血症发病率的增加,对安全血液的需求也随之增加,但目前来自自愿捐献者的血液供应不足以满足这一需求。由于反复接触外来红细胞抗原,地中海贫血受血者面临着巨大的同种免疫风险。研究旨在确定印度西部捐献者人群中 Rh 抗原阴性捐献者的高流行率,以及这些捐献者中愿意成为地中海贫血患者专用自愿捐献者的比例。研究还旨在探讨影响其意愿的因素以及在动员自愿捐献者时所面临的挑战:研究招募了 700 名来自印度西部的全血捐献者,根据《药品和化妆品法案》(DCA)2020 年修订指南的纳入和排除标准进行筛查,他们的输血传播感染血清阴性。红细胞表型分析采用传统试管技术(CTT),使用已知抗血清检测 "D"、"C"、"E"、"c"、"e "和 "K "抗原。通过电话联系了 "C "和/或 "e "抗原阴性的献血者,并向他们提供咨询,鼓励他们成为自愿献血者。统计分析评估了献血频率、献血者职业和教育程度之间的相关性:在 700 名献血者中,96.6%(n=676)为男性,3.4%(n=24)为女性。最主要的血型是 B > O > A > AB。91.44%(640 人)存在 Rh(D)抗原,8.6%(60 人)不存在。其他 Rh 抗原的流行情况如下:e"(99%)>"C"(85.4%)>"c"(59.1%)>"E"(18.0%)。只有 1.15%的人 "K "抗原呈阳性。最常见的 Rh 表型 R1R1(DCe/DCe)占 40.57%(样本数=283),最不常见的 r "r(cE/ce)、r''r''(cE/cE)和 r'r'(Ce/Ce)分别占 0.14%(样本数=1)。C "阴性、"e "阴性、"C "和 "e "抗原阴性供体占 14.8%(n=104),其中 93.2%(n=97)C 抗原阴性,1.92%(n=2)e 抗原阴性,4.8%(n=5)"C "和 "e "抗原均阴性。C抗原和e抗原阴性供体中最常见的表型分别是rr(50%)和RzR2(1.94%)。同样,在 C 抗原和 e 抗原阴性的捐献者中,最常见的表型是 R2R2(3.84%)。61.5%的献血者在接到电话邀请后同意自愿献血,6.8%的献血者永久拒绝献血。约有 3.9% 的献血者只愿意在需要时献血,27.8% 的献血者无法联系上:结论:建立一个已知表型的自愿献血者数据库,尤其是那些缺乏 "C "和 "e "等常见抗原并愿意成为地中海贫血患者的忠实、定期自愿献血者的人,可以确保及时提供安全的血液。这一崇高举措面临的主要挑战之一是缺乏认识,而通过适当的咨询工作可以有效地解决这一问题。
{"title":"Harnessing the potential of blood donors negative for high prevalence Rh antigens: A database initiative for thalassaemia care","authors":"Akarshan Gupta ,&nbsp;Davood Bava ,&nbsp;Pandeep Kaur ,&nbsp;Amit Kumar Chatterjee ,&nbsp;Amit Kumar ,&nbsp;Ankita Nigam ,&nbsp;Anuneet Tripathi ,&nbsp;Rakesh Kumar","doi":"10.1016/j.tracli.2024.08.004","DOIUrl":"10.1016/j.tracli.2024.08.004","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background and objectives&lt;/h3&gt;&lt;div&gt;With increasing life expectancy and prevalence of thalassaemia, it has led to a greater need for safe blood, yet the current supply from voluntary donors is insufficient to meet this demand. Thalassaemia recipients face a significant risk of alloimmunization because of repeated exposure to foreign red cell antigens. Study aims to determine high prevalent Rh antigen negative donors in western India donor population along with what percentage of these donors are willing to become dedicated voluntary donors for thalassaemia patients. Study also aims to examine factors influencing their willingness and challenges faced in mobilizing dedicated donors.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Method&lt;/h3&gt;&lt;div&gt;700 whole blood donors from western India, following screening for inclusion &amp; exclusion criteria as per Drugs and Cosmetic Act (DCA) 2020 amendment guidelines &amp; were sero-negative for transfusion transmitted infections were enrolled for the study. Red cell phenotyping was performed using Conventional Tube Technique (CTT) for “D”, “C”, “E”, “c”, “e” and “K” antigen using known antisera. Donors that were “C” AND/OR “e” antigen negative were contacted telephonically and were counseled and motivated for becoming voluntary blood donors. Statistical analysis assessed correlation between donation frequency, donor’s occupation and education.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Result&lt;/h3&gt;&lt;div&gt;Among 700 donors, 96.6% (&lt;em&gt;n&lt;/em&gt; = 676) were males and 3.4% (&lt;em&gt;n&lt;/em&gt; = 24) were females. The most predominant blood group was B &gt; O &gt; A &gt; AB. Rh(D) antigen was present in 91.44% (&lt;em&gt;n&lt;/em&gt; = 640) and absent in 8.6% (&lt;em&gt;n&lt;/em&gt; = 60). Prevalence of other Rh antigens is as follows: “e” (99%) &gt; “C” (85.4%) &gt; “c” (59.1%) &gt; “E” (18.0%). Only 1.15% had “K” antigen positive. The commonest Rh phenotype R&lt;sub&gt;1&lt;/sub&gt;R&lt;sub&gt;1&lt;/sub&gt; (DCe/DCe) was expressed by 40.57% (&lt;em&gt;n&lt;/em&gt; = 283), and the least common r″r (cE/ce), r″r″ (cE/cE) and r′r′ (Ce/Ce) was found in 0.14% (&lt;em&gt;n&lt;/em&gt; = 1), respectively. ‘C’ negative, ‘e’ negative, ‘C’ and ‘e’ antigen negative donors constituted 14.8% (&lt;em&gt;n&lt;/em&gt; = 104) with 93.2% (&lt;em&gt;n&lt;/em&gt; = 97) C-antigen negative, 1.92% (&lt;em&gt;n&lt;/em&gt; = 2) e-antigen negative and 4.8% (&lt;em&gt;n&lt;/em&gt; = 5) both “C” and “e” antigen negative donors. The commonest phenotypes among C-antigen and e-antigen negative donors were rr (50%) and R&lt;sub&gt;z&lt;/sub&gt;R&lt;sub&gt;2&lt;/sub&gt; (1.94%) respectively. Likewise, the most common phenotype amongst both C- and e-antigens negative donors was R&lt;sub&gt;2&lt;/sub&gt;R&lt;sub&gt;2&lt;/sub&gt; (3.84%). 61.5% of the donors agreed to enroll for voluntary blood donation following telephonic invitation, while 6.8% of them refused permanently. Approximately, 3.9% of the blood donors were willing to donate blood only when needed and 27.8% of them could not be contacted.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Creating a database of voluntary donors with known phenotype, especially who lack very common antigens like “C” and “e” and are wil","PeriodicalId":23262,"journal":{"name":"Transfusion Clinique et Biologique","volume":"31 4","pages":"Pages 209-216"},"PeriodicalIF":1.4,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142001672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparative evaluation of oxidative and biochemical parameters of red cell concentrates (RCCs) prepared from G6PD deficient donors and healthy donors during RCC storage 比较评估 G6PD 缺乏的供体和健康供体制备的红细胞浓缩物(RCC)在 RCC 储存期间的氧化和生化参数。
IF 1.4 4区 医学 Q4 HEMATOLOGY Pub Date : 2024-08-13 DOI: 10.1016/j.tracli.2024.08.003
Samira Moshkelgosha , Mohammad Reza Deyhim , Ramazan Ali Khavari-Nejad , Mahdieh Meschi

Introduction

Glucose-6-phosphate dehydrogenase (G6PD) deficiency is the most common inherited enzyme disorder in red blood cell (RBC). Due to the importance of G6PD enzyme as an antioxidant in RBC, we tried to investigate the oxidative damage in red cell concentrates (RCCs) prepared from donors with G6PD enzyme deficiency in comparison with healthy donors.

Material method

This cross-sectional study was conducted on 20 male donors. Ten of the donors had G6PD deficiency (as a case) and the others had normal enzyme activity (as a control). Biochemical and oxidative damage parameters were examined in RCCs prepared from two groups on days 0, 7, 14, 21, 28 and 35 of RCCs storage; data comparison was analyzed by SPSS statistical software.

Results

According to the result, lactate concentration increased significantly from the 7th day to the 35th day of RCC storage in G6PD-deficient donors compared to the control (P < 0.05). In addition, malondialdehyde (MDA) concentration in G6PD-deficient RCC showed a significant increase compared to the control in all days of storage (P < 0.05). Among the hematological parameters, mean corpuscular volume (MCV) and mean cell hemoglobin (MCH) increased significantly in all days of RCC storage in G6PD-deficient donors compared to the control (P < 0.05).

Conclusion

Our study showed that oxidative changes in G6PD-deficient donors were significantly increased compared to the healthy donors, which probably leads to RCC storage lesion and an increase in blood transfusion complications. Due to the high prevalence of G6PD enzyme deficiency in pandemic areas, it seems that enzyme screening should be included in donor screening programs.
简介葡萄糖-6-磷酸脱氢酶(G6PD)缺乏症是红细胞(RBC)中最常见的遗传性酶紊乱。鉴于 G6PD 酶在红细胞中作为抗氧化剂的重要性,我们试图研究 G6PD 酶缺乏症供体与健康供体制备的红细胞浓缩物(RCC)中的氧化损伤:这项横断面研究的对象是 20 名男性供体。材料方法:这项横断面研究以 20 名男性供体为对象,其中 10 人患有 G6PD 缺乏症(作为病例),其他人酶活性正常(作为对照)。在 RCC 储存的第 0 天、第 7 天、第 14 天、第 21 天、第 28 天和第 35 天,对两组供体制备的 RCC 的生化指标和氧化损伤指标进行检测;数据比较采用 SPSS 统计软件进行分析:结果显示,与对照组(PC)相比,G6PD 缺乏供体的乳酸浓度在 RCC 储存第 7 天至第 35 天显著增加:我们的研究表明,与健康供体相比,G6PD缺陷供体的氧化变化明显增加,这可能会导致RCC储存病变和输血并发症的增加。鉴于 G6PD 酶缺乏症在大流行地区的高发病率,似乎应将酶筛查纳入献血者筛查计划。
{"title":"Comparative evaluation of oxidative and biochemical parameters of red cell concentrates (RCCs) prepared from G6PD deficient donors and healthy donors during RCC storage","authors":"Samira Moshkelgosha ,&nbsp;Mohammad Reza Deyhim ,&nbsp;Ramazan Ali Khavari-Nejad ,&nbsp;Mahdieh Meschi","doi":"10.1016/j.tracli.2024.08.003","DOIUrl":"10.1016/j.tracli.2024.08.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Glucose-6-phosphate dehydrogenase (G6PD) deficiency is the most common inherited enzyme disorder in red blood cell (RBC). Due to the importance of G6PD enzyme as an antioxidant in RBC, we tried to investigate the oxidative damage in red cell concentrates (RCCs) prepared from donors with G6PD enzyme deficiency in comparison with healthy donors.</div></div><div><h3>Material method</h3><div>This cross-sectional study was conducted on 20 male donors. Ten of the donors had G6PD deficiency (as a case) and the others had normal enzyme activity (as a control). Biochemical and oxidative damage parameters were examined in RCCs prepared from two groups on days 0, 7, 14, 21, 28 and 35 of RCCs storage; data comparison was analyzed by SPSS statistical software.</div></div><div><h3>Results</h3><div>According to the result, lactate concentration increased significantly from the 7th day to the 35th day of RCC storage in G6PD-deficient donors compared to the control (<em>P</em> &lt; 0.05). In addition, malondialdehyde (MDA) concentration in G6PD-deficient RCC showed a significant increase compared to the control in all days of storage (<em>P</em> &lt; 0.05). Among the hematological parameters, mean corpuscular volume (MCV) and mean cell hemoglobin (MCH) increased significantly in all days of RCC storage in G6PD-deficient donors compared to the control (<em>P</em> &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>Our study showed that oxidative changes in G6PD-deficient donors were significantly increased compared to the healthy donors, which probably leads to RCC storage lesion and an increase in blood transfusion complications. Due to the high prevalence of G6PD enzyme deficiency in pandemic areas, it seems that enzyme screening should be included in donor screening programs.</div></div>","PeriodicalId":23262,"journal":{"name":"Transfusion Clinique et Biologique","volume":"31 4","pages":"Pages 201-208"},"PeriodicalIF":1.4,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141984236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hemovigilance and artificial intelligence: A way forward 血液监测与人工智能:前进之路。
IF 1.4 4区 医学 Q4 HEMATOLOGY Pub Date : 2024-08-13 DOI: 10.1016/j.tracli.2024.08.002
Radheshyam Meher
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引用次数: 0
Telemedicine in transfusion medicine: Bridging gaps in access, compliance, and expertise in the remote high-altitude hilly regions of Uttarakhand, India 输血医学中的远程医疗:弥合印度北阿坎德邦偏远高海拔丘陵地区在获取、遵守和专业知识方面的差距。
IF 1.4 4区 医学 Q4 HEMATOLOGY Pub Date : 2024-08-13 DOI: 10.1016/j.tracli.2024.08.001
Manish Raturi, Yashaswi Dhiman, Dushyant Singh Gaur, Adityaveer Sahrawat
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引用次数: 0
期刊
Transfusion Clinique et Biologique
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