title: In vivo survival of apheresis RBCs, frozen with 40-percent (wt/vol) glycerol, deglycerolized in the ACP 215, and stored at 4 degrees C in AS-3 for up to 21 days.
abstract: BACKGROUND
  The FDA has approved the storage of frozen RBCs at -80 degrees C for 10 years and the postwash storage at 4 degrees C for no more than 24 hours. The 4 degrees C postwash storage period is limited to 24 hours, because the current deglycerolization systems are functionally open systems.
  
  
  METHODS
  Two units of RBCs were collected from each of 13 healthy male volunteers. The RBCs were collected in CP2D by the FDA-approved protocol for an automated apheresis device (MCS, LN8150, Haemonetics) and were stored at 4 degrees C in AS-3 for 6 days. Using a single disposable glycerolization set in an automated, functionally closed system (ACP 215, Haemonetics) each unit was transferred to a 1000-mL PVC plastic bag and glycerolized to a concentration of 40-percent (wt/vol) glycerol and frozen at -80 degrees C. A single disposable deglycerolization set in the ACP 215 was used to deglycerolize the 2 units from the same donor. The deglycerolized RBCs were stored at 4 degrees C in AS-3 for as long as 21 days.
  
  
  RESULTS
  The mean +/- SD freeze-thaw-wash recovery value was 89.4 +/- 3 percent. The residual hemolysis in the RBCs stored at 4 degrees C in AS-3 for 21 days after deglycerolization was 0.9 +/- 0.2 percent, and the units were negative for both aerobic and anaerobic bacteria. The mean Nageotte WBC count was 9 x 10(6) per unit. When the deglycerolized RBCs were given as an autologous transfusion after storage at 4 degrees C in AS-3 for the 7- to 18-day period, the mean +/- SD 24-hour posttransfusion survival was 77 +/- 7 percent, and the index of therapeutic effectiveness was 69 +/- 8 percent.
  
  
  CONCLUSIONS
  Two units of human RBCs collected from a single donor by apheresis in the MCS using an LN8150 set can be glycerolized sequentially with a single disposable set and deglycerolized sequentially with another single disposable set in the ACP 215. The previously frozen RBCs stored in AS-3 for 7 to 18 days at 4 degrees C had acceptable hemolysis and an acceptable mean 24-hour posttransfusion survival value and index of therapeutic effectiveness.
authors.affiliation: Naval Blood Research Laboratory, Boston University School of Medicine, 625 Albany Street, Boston, MA 02118, USA. navblood@bu.edu
authors.forename: C R
authors.initials: CR
authors.lastname: Valeri
authors.forename: G
authors.initials: G
authors.lastname: Ragno
authors.forename: L
authors.initials: L
authors.lastname: Pivacek
authors.forename: E M
authors.initials: EM
authors.lastname: O'Neill
mesh_terms: D000225:Adenine; D001781:Blood Component Removal; D002469:Cell Separation / Q000295:instrumentation; D015925:Cryopreservation / Q000379:methods*; D004905:Erythrocyte Aging; D017707:Erythrocyte Transfusion; D005612:Freeze Drying / Q000379:methods; D005947:Glucose; D005990:Glycerol / Q000378:metabolism* / Q000494:pharmacology*; D006801:Humans; D008353:Mannitol; D012965:Sodium Chloride; D013997:Time Factors
chemical_list: C037839:ADSOL; D008353:Mannitol; D012965:Sodium Chloride; D005947:Glucose; D000225:Adenine; D005990:Glycerol