Document Detail


Screening for autologous blood transfusions.
MedLine Citation:
PMID:  19199200     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The ratio between the amount of hemoglobin in the mature erythrocyte population and the reticulocytes (RBCHb:RetHb ratio) has previously been suggested as a marker to screen for EPO-abuse. We speculated that the reinfusion of blood would lead to a marked increase in this ratio, making it a valuable parameter in the screening for autologous blood doping. Three bags of blood (approximately 201+/-11 g of Hb) were withdrawn from 16 males and stored at either -80 degrees C (-80 T, n=8) or +4 degrees C (+4 T, n=8) and reinfused 10 weeks or 4 weeks later, respectively. Seven subjects served as controls. Different erythrocyte parameters were measured on a hematological analyzer serially throughout and during a 4 week wash-out period. By using RBCHb:RetHb ratio cut-off limits of 145.7 (1:100) ('suspicious') and 182.9 (1:1000) ('positive'), 35.4% (-80 T) and 19.6% (+4 T) of all samples obtained during a 4 week wash-out period were identified as 'suspicious', and 18.8% (-80 T) and 4.3% (+4 T) as 'positive'. In total, 7 out of 16 (43.8%) subjects had at least one sample exceeding 182.9. Compared to the currently used indirect parameters, the RBCHb:RetHb ratio is the best indicator of autologous blood doping after reinfusion, and the parameter could be used in a testing setting, once stability validation has been performed.
Authors:
J Mørkeberg; B Belhage; M Ashenden; A Bornø; K Sharpe; M H Dziegiel; R Damsgaard
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-02-06
Journal Detail:
Title:  International journal of sports medicine     Volume:  30     ISSN:  1439-3964     ISO Abbreviation:  Int J Sports Med     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-03-26     Completed Date:  2009-06-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8008349     Medline TA:  Int J Sports Med     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  285-92     Citation Subset:  IM    
Affiliation:
Department of Anaesthesiology, Bispebjerg Hospital, Copenhagen NV, Denmark. jakobmoerkeberg@hotmail.com
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Blood Preservation / methods
Blood Transfusion, Autologous*
Doping in Sports / methods*
Erythrocytes / metabolism
Hemoglobins / analysis*,  metabolism
Humans
Male
Reticulocytes / metabolism
Substance Abuse Detection / methods*
Temperature
Young Adult
Chemical
Reg. No./Substance:
0/Hemoglobins

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Military diving training improved arterial compliance.
Next Document:  Effects of differentiated music on cycling time trial.