Document Detail


Extracellular haemoglobin, oxidative stress and quality of red blood cells relative to perioperative blood salvage.
MedLine Citation:
PMID:  20158444     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The quality of blood-pack units in perioperative blood salvage was studied with respect to the presence of extracellular haemoglobin (Hb) and in terms of oxidative stress and the mechanical properties of red blood cells (RBC). METHODS: The study was performed on blood-pack units and patients' blood after retransfusion. Results were compared to those obtained in patients prior to autotransfusion. Free Hb, non-protein thiols (as antioxidant marker) and markers of oxidative stress (conjugated dienes, thiobarbituric reactive substances and protein carbonyl content) were measured. The mechanical properties of RBC were evaluated by their osmotic fragility, membrane fluidity by measuring the fluorescence anisotropy of an extrinsic probe and permeability by measurement of extracellular K(+) and lactate dehydrogenase. RESULTS: Despite washing, extracellular Hb concentrations remained high (up to 0.7 g/L in blood-pack units) and was associated with a decrease of haptoglobin in patients, despite a concomitant inflammatory syndrome. In blood-pack units, we observed a decrease in antioxidant markers along with an increase in oxidative stress markers in association with an alteration of RBC membrane properties. CONCLUSIONS: Haemolysis must be limited during perioperative blood salvage in order to prevent exposure to oxidative stress and improve the efficiency of autotransfusion.
Authors:
Papa Madieye Gueye; Françoise Bertrand; Guy Duportail; Jean-Marc Lessinger
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical chemistry and laboratory medicine : CCLM / FESCC     Volume:  48     ISSN:  1434-6621     ISO Abbreviation:  Clin. Chem. Lab. Med.     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-05-10     Completed Date:  2010-07-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9806306     Medline TA:  Clin Chem Lab Med     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  677-83     Citation Subset:  IM    
Affiliation:
Laboratoire de Biochimie Pharmaceutique, Centre Hospitalier Universitaire National de Fann, Université Cheikh Anta Diop, Dakar, Sénégal.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Antioxidants / metabolism
Biological Markers / blood
Blood Preservation
Blood Transfusion, Autologous / methods*
Erythrocyte Membrane / metabolism,  physiology
Erythrocytes / chemistry,  cytology,  physiology*
Haptoglobins / analysis
Hemoglobins / analysis*
Hemolysis
Humans
Membrane Fluidity
Middle Aged
Osmotic Fragility
Oxidative Stress*
Stress, Mechanical
Sulfhydryl Compounds / chemistry
Chemical
Reg. No./Substance:
0/Antioxidants; 0/Biological Markers; 0/Haptoglobins; 0/Hemoglobins; 0/Sulfhydryl Compounds

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