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A DIALYSIS-WASHING SYSTEM FOR REMOVAL OF CRYOPROTECTIVE AGENT FROM CRYOPRESERVED HUMAN RED BLOOD CELLS

机译:从冷冻保存的人红细胞中去除低温保护剂的透析-洗涤系统

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In cryopreservation of human red blood cells (RBCs), a cryoprotective agent glycerol (40% w/v) must be used to prevent cells from cryoinjury. However, the cryoprotectant needs to be removed from the cells after thawing because of the toxicity of glycerol to the cells at room or body temperatures. Further more,when the cells are transfused into a patient’s body if glycerol is not removed, the high osmolality (5000+mOsm) will cause great osmotic shock to the cells in the body. Currently, glycerol is removed using a procedure involving centrifugation, which introduces mechanical forces and osmotic stress causing cell packing/clumping and significant cell loss. Besides, the currently used method is an open system, which may cause bacteria contamination. To prevent cell clumping, cell loss, and osmotic injury, a novel diffusion-washing device (without centrifugation) is developed to remove glycerol. Similar to hemodialysis process, the perfusion-washing system is composed of a mini-module dialyzer, blood side tubings and dialysate side tubings. The mechanism is that, the cryopreserved cell suspension, red blood cells with glycerol run through hollow, porous membrane fibers inside the cylindrical jacket (blood side) of the mini-module dialyzer. Isotonic medium is pumped into the dialyzer and run in the opposite direction in the gaps among the hollow fibers (dialysate side). Using this counter-flow dialysis approach, glycerol diffuses from cell suspension into the perfusion medium across the fiber membranes, while the RBCs can not go across the membrane because of its larger size. The washed cell suspension is re-circulated by automated pumps and runs through the mini-module dialyzer continuously (closed system) until almost all of the glycerol is removed from the cell suspension (Osmolality less than 420mOsm). The amount of the residual glycerol is measured using a freezing point osmometer. Results show that the dialysis-washing method can remove the cryoprotective agent in about 30 minutes. The count recovery and hemoglobin recovery of the RBCs is about 90% and 85%.
机译:在人类红细胞(RBC)的冷冻保存中,必须使用冷冻保护剂甘油(40%w / v)来防止细胞受到冷冻伤害。然而,由于甘油在室温或体温下对细胞的毒性,因此在融化后需要从细胞中去除冷冻保护剂。此外,如果不清除甘油就将细胞输注到患者体内,那么高渗透压(5000 + mOsm)会对人体细胞造成巨大的渗透压。目前,甘油是通过涉及离心的程序除去的,该程序会引入机械力和渗透压,从而引起细胞堆积/结块和明显的细胞损失。此外,目前使用的方法是开放系统,这可能会导致细菌污染。为了防止细胞结块,细胞丢失和渗透损伤,开发了一种新型的扩散洗涤装置(无需离心)来去除甘油。与血液透析过程类似,灌注清洗系统由微型模块透析器,血液侧管和透析液侧管组成。其机理是,低温保存的细胞悬液,带有甘油的红细胞穿过微型模块透析器的圆柱形外套(血液侧)内部的中空多孔膜纤维。等渗介质被泵入透析器,并在中空纤维之间的间隙(透析液侧)中以相反的方向流动。使用这种逆流透析方法,甘油从细胞悬浮液扩散到整个纤维膜的灌注介质中,而红细胞由于其较大的尺寸而无法穿过膜。洗涤后的细胞悬液通过自动泵进行再循环,并连续通过微型模块透析器(密闭系统),直到几乎所有甘油都从细胞悬液中除去(重量摩尔渗透压浓度小于420mOsm)。使用冰点渗透压计测量残留甘油的量。结果表明,透析-洗涤方法可以在约30分钟内除去冷冻保护剂。红细胞的计数回收率和血红蛋白回收率分别约为90%和85%。

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