nystatin-a1 and citrate-phosphate-dextrose

Human erythrocytes stored for more than 21 days in citrate phosphate dextrose with adenine (CPDA-1) exhibited a marked reduction in volume following incubation for 24 h at 37 degrees C in fresh autologous plasma. This incubation apparently mimics the effects of reinfusion of the stored cells in vivo. These shrunken stored cells have a decreased filterability as measured by their increased transit times through a 5-microns diameter Nuclepore filter. The polyene antifungal agent nystatin was used to reinflate these shrunken cells with different concentrations of potassium ions. A concentration of 90 mM potassium chloride was found to reinflate the shrunken stored cells so that their mean cell volume, mean corpuscular haemoglobin concentration and average densities were the same as those of fresh cells. This reinflation also restored the filterability of the shrunken stored cells so as to be similar to that of fresh cells.

Topics: Adenine; Blood Preservation; Citrates; Erythrocyte Deformability; Erythrocyte Indices; Erythrocytes; Glucose; Humans; Nystatin; Osmolar Concentration; Potassium Chloride; Time Factors

Rabbit blood cells stored for prolonged periods in citrate phosphate dextrose with adenine (CPDA-1) at +4 degrees C show the same decreased volume, increased cell density and decreased filterability as human cells stored under similar conditions. As with human erythrocytes, the stored rabbit cells had to be incubated with autologous fresh plasma for 24 h at 37 degrees C before these changes could be observed (this incubation process apparently mimics the effects of reinfusion). These shrunken stored rabbit cells could also be reinflated using nystatin, so that their mean cell volume, mean corpuscular haemoglobin concentration, average cell densities and filterabilities were restored to normal values. This in vitro reinflation of the stored cells significantly prolonged their in vivo survival rate as determined by radiochromium labelling studies. This reinflation technique may therefore have an application in the prolongation of the useful storage life of human blood.

Topics: Adenine; Animals; Blood Preservation; Cell Survival; Chromium Radioisotopes; Citrates; Erythrocytes; Glucose; Nystatin; Potassium Chloride; Rabbits; Time Factors