Influence of riboflavin and ultraviolet-light treatment on plasma proteins – protein S and alpha 2-antiplasmin – in relation to the time of administration

Background/Aim. After the introduction of a careful selection procedure for blood donors and the implementation of highly sensitive screening tests for transfusion-transmitted infections (TTIs), blood has become a very safe product concerning TTIs. However, due to the existence of a “window” period...

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Main Authors: Gojkov Dragana, Balint Bela, Dejanović Bratislav, Vučetić Dušan
Format: Article
Language:English
Published: Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade 2022-01-01
Series:Vojnosanitetski Pregled
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2022/0042-84502100051G.pdf
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author Gojkov Dragana
Balint Bela
Dejanović Bratislav
Vučetić Dušan
author_facet Gojkov Dragana
Balint Bela
Dejanović Bratislav
Vučetić Dušan
author_sort Gojkov Dragana
collection DOAJ
description Background/Aim. After the introduction of a careful selection procedure for blood donors and the implementation of highly sensitive screening tests for transfusion-transmitted infections (TTIs), blood has become a very safe product concerning TTIs. However, due to the existence of a “window” period during which these “markers” cannot be detected, as well as the emergence of new pathogens, the risk is still present. Implementation of pathogen reduction technology (PRT) provides a proactive approach to improving blood safety. By damaging nucleic acids, PRT selectively inactivates pathogens and leucocytes. Nevertheless, during the process, plasma proteins are also damaged to some extent. The aim of this study was to conclude whether there is a difference in the effect of PRT on protein S (PS) and alpha 2-antiplasmin (α2AP) regarding the time of inactivation: inactivation immediately after plasma separation from whole blood (before freezing) vs. inactivation after freezing/thawing. Methods. The voluntary donors’ blood is taken into a quadruple bag system, centrifuged, and separated into blood products. Control group plasma was first inactivated by the Mirasol® PRT system and then frozen. Experimental group plasma was immediately frozen and, after four months, thawed and inactivated. PS and α2AP activity was examined in samples after separation, inactivation, and thawing. Results. Analyzing PS and α2AP activity, no statistically significant difference was found between the initial samples. The trend of protein activity reduction after inactivation and freezing/thawing was present in both groups but without a statistically significant intergroup difference. Conclusion. No statistically significant difference was found between the activity values of PS and α2AP after immediate inactivation, before freezing, and after freezing/thawing, making stored plasma units suitable for safe and efficient inactivation directly before clinical use and according to the patient’s blood type.
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institution Kabale University
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publishDate 2022-01-01
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spelling doaj-art-50fdd50b6abe4fa28208f87a2238d39d2025-08-20T03:36:14ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502406-07202022-01-0179987888210.2298/VSP210315051G0042-84502100051GInfluence of riboflavin and ultraviolet-light treatment on plasma proteins – protein S and alpha 2-antiplasmin – in relation to the time of administrationGojkov Dragana0Balint Bela1https://orcid.org/0000-0001-5392-1071Dejanović Bratislav2Vučetić Dušan3https://orcid.org/0000-0002-7435-5520Military Medical Academy, *Institute for Transfusiology and Haemobiology, Belgrade, SerbiaSerbian Academy of Sciences and Arts, Department of Medical Sciences, Belgrade, Serbia + Institute for Cardiovascular Diseases “Dedinje”, Department of Transfusion Medicine, Belgrade, Serbia + University of Belgrade, Institute for Medical Research, Belgrade, SerbiaMilitary Medical Academy, ‖Institute for Medical Biochemistry, Belgrade, SerbiaMilitary Medical Academy, *Institute for Transfusiology and Haemobiology, Belgrade, Serbia + University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia Background/Aim. After the introduction of a careful selection procedure for blood donors and the implementation of highly sensitive screening tests for transfusion-transmitted infections (TTIs), blood has become a very safe product concerning TTIs. However, due to the existence of a “window” period during which these “markers” cannot be detected, as well as the emergence of new pathogens, the risk is still present. Implementation of pathogen reduction technology (PRT) provides a proactive approach to improving blood safety. By damaging nucleic acids, PRT selectively inactivates pathogens and leucocytes. Nevertheless, during the process, plasma proteins are also damaged to some extent. The aim of this study was to conclude whether there is a difference in the effect of PRT on protein S (PS) and alpha 2-antiplasmin (α2AP) regarding the time of inactivation: inactivation immediately after plasma separation from whole blood (before freezing) vs. inactivation after freezing/thawing. Methods. The voluntary donors’ blood is taken into a quadruple bag system, centrifuged, and separated into blood products. Control group plasma was first inactivated by the Mirasol® PRT system and then frozen. Experimental group plasma was immediately frozen and, after four months, thawed and inactivated. PS and α2AP activity was examined in samples after separation, inactivation, and thawing. Results. Analyzing PS and α2AP activity, no statistically significant difference was found between the initial samples. The trend of protein activity reduction after inactivation and freezing/thawing was present in both groups but without a statistically significant intergroup difference. Conclusion. No statistically significant difference was found between the activity values of PS and α2AP after immediate inactivation, before freezing, and after freezing/thawing, making stored plasma units suitable for safe and efficient inactivation directly before clinical use and according to the patient’s blood type.http://www.doiserbia.nb.rs/img/doi/0042-8450/2022/0042-84502100051G.pdfalpha-2-antiplasminplasmaproteinsprotein sriboflavinsafetytime factorsultraviolet rays
spellingShingle Gojkov Dragana
Balint Bela
Dejanović Bratislav
Vučetić Dušan
Influence of riboflavin and ultraviolet-light treatment on plasma proteins – protein S and alpha 2-antiplasmin – in relation to the time of administration
Vojnosanitetski Pregled
alpha-2-antiplasmin
plasma
proteins
protein s
riboflavin
safety
time factors
ultraviolet rays
title Influence of riboflavin and ultraviolet-light treatment on plasma proteins – protein S and alpha 2-antiplasmin – in relation to the time of administration
title_full Influence of riboflavin and ultraviolet-light treatment on plasma proteins – protein S and alpha 2-antiplasmin – in relation to the time of administration
title_fullStr Influence of riboflavin and ultraviolet-light treatment on plasma proteins – protein S and alpha 2-antiplasmin – in relation to the time of administration
title_full_unstemmed Influence of riboflavin and ultraviolet-light treatment on plasma proteins – protein S and alpha 2-antiplasmin – in relation to the time of administration
title_short Influence of riboflavin and ultraviolet-light treatment on plasma proteins – protein S and alpha 2-antiplasmin – in relation to the time of administration
title_sort influence of riboflavin and ultraviolet light treatment on plasma proteins protein s and alpha 2 antiplasmin in relation to the time of administration
topic alpha-2-antiplasmin
plasma
proteins
protein s
riboflavin
safety
time factors
ultraviolet rays
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2022/0042-84502100051G.pdf
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