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Preparing lyophilized plasma with the preserved activity of coagulation factors

https://doi.org/10.18821/0234-5730-2016-61-4-204-208

Abstract

The use of a freeze-dried plasma has a number of advantages over fresh frozen plasma (FFP) as for the provision of transfusion care in the field conditions, as well for the carrying out diagnostic studies of the hemostatic system. The execution of diagnostic tests requires for the availability of Biological Standards, plasma calibrator and control material with high stability of target indices in the storage of lyophilized reagents. Plasma lyophilization process causes significant changes in coagulation indices and is accompanied by an increase in plasma pH. The aim of the study was to obtain a freeze-dried human plasma without the pronounced changes in the activity of clotting factors under lyophilization and storage. The acidification of pooled FFP from at least 20 donors before lyophilization to pH values of 7.0–7.1 by HEPES buffer solution at a final concentration of 50 mM was shown to increase the stability of the hemostatic system factors and retain physiological plasma pH after lyophilisation. In conditions of an accelerated storage just so lyophilized plasmas are characterized by the greater stability of all determined coagulation indices. Thus, the proposed approach makes it possible to obtain storage-stable, lyophilized forms of diagnostic reagents and control materials.

About the Authors

A. L. Berkovskiy
National Research Center for Hematology
Russian Federation

Berkovskiy Aron L., MD, PhD, head of the laboratory of the Laboratory of fractionation of blood proteins and standardization of methods for control of plasma preparations; http://elibrary.ru/author_profile.asp?id=274100, SPIN-код: 7483-6451, Author ID: 274100.

Moscow, 125167



E. V. Sergeeva
National Research Center for Hematology
Russian Federation

http://elibrary.ru/author_profile.asp?id=715035, SPIN-код: 9945-5440, Author ID: 715035.

Moscow, 125167



A. V. Suvorov
National Research Center for Hematology
Russian Federation

http://elibrary.ru/author_profile.asp?id=715044, SPIN-код: 7178-4822, Author ID: 715044.

Moscow, 125167



I. D. Gurvits
National Research Center for Hematology
Russian Federation
Moscow, 125167


E. V. Anisimova
National Research Center for Hematology
Russian Federation
Moscow, 125167


V. G. Savchenko
National Research Center for Hematology
Russian Federation

Researcher ID: C-6191-2016, Scopus Author ID: 8532861000.

Moscow, 125167



References

1. Bakaltcheva I., O’Sullivan A.M., Hmel P., Ogbu H. Freeze-dried whole plasma: Evaluation sucrose, trehalose, sorbitol, mannitol and glycine as stabilizers. Thromb. Res. 2007; 120(1): 105–15.

2. Krutvacho T., Chuansumrit A., Isarangkura P., Pintadit P., Hathirat P., Chiewsilp P. Response of hemophilia with bleeding to fresh dry plasma. Southeast Asian J. Trop. Med. Public Health. 1993; 24 (Suppl. 1): 169–73.

3. Chuansumrit A., Krasaesub S., Angchaisuksiri P., Hathirat P., Isarangkura P. Survival analysis of patients with haemophilia at the International Haemophilia Training Centre, Bangkok, Thailand. Haemophilia. 2004; 10(5): 542–9.

4. Sailliol A. Blood plasma lyophilization process. Patent US 0143198 A1; 2013.

5. Hellstern P., Sachse H., Schwinn H., Oberfrank K. Manufacture and in vitro characterization of a solvent/detergent-treated human plasma. Vox Sang. 1992; 63(3): 178–85.

6. Trobisch H. Results of a quality-control study of lyophilized pooled plasmas which have been virally inactivated using a solvent detergent method (modified Horowitz procedure). Beitr. Infusionsther. 1991; 28: 92–109.

7. Bakaltcheva I. Freeze-dried plasma format for the trauma care field. Patent US 0233671 A1; 2010.

8. Matejtschuk P., Stanley M., Jefferson P. Freeze-drying of biological standards. In: Rey L., May J.C., eds. Freeze-drying/lyophilization of pharmaceutical and biological products. New York, London: Informa Healthcare; 2010: 317–53.

9. Savinykh E.Yu. Preparation of lyophilized substrates for the study of plasma procoagulant activity. Dis. St. Peterburg; 1999. (in Russian)

10. Savinykh E.Yu., Tarasova V.N., Platonova G.K. Substrate plasma in the research methods of coagulation. In: Blood products and blood substitutes, production, control and application: Proceeding of the Science Practice Conference. Kirov; 1995: 41–3. (in Russian)

11. Hugler P., Trobish H., Neuman H., Moller А., Sirtl C., Derdak M., et al. Quality control of three different conventional fresh-frozen plasma preparations and one new virus-inactivated lyophilized pooled plasma preparation. Klin. Wochenschr. 1991; 69(3): 157–61.

12. Bakaltcheva I., Ketchum L. Method of producing glycine-stabilized lyophilized plasma. Patent US 7,931,319; 2011.

13. Heimburger N., Sieber A., Schwinn H. Stable plasma, process for preparing it and its use as comparative plasma in coagulation tests. Patent US4,056,484; 1977.

14. Technical Regulations on blood safety requirements, its products, bloodsubstituting solutions and technical equipment used in transfusion-infusion therapy. Approved RF Government Decree №29 of 26 Jan 2010. (in Russian). Available at: http://base.garant.ru/12172686/ (Accessed 09.10.16).

15. Ragimov A.A., Shcherbakova G.N.Guide infusion-transfusion therapy. Moscow: Medical Information Agency; 2003. (in Russian)

16. Sword-Nilsson A.M., Persson P.O., Johnson U., Lethagen S. Factors influencing factor VIII activity in frozen plasma. Vox Sang. 2006; 90(1): 33–9.

17. European Directorate for the Quality of Medicines and Health Care. Guide to the preparation, use and quality assurance of blood components. 18 th ed. Strasbourg: Council of Europe Publishing; 2015.

18. Wilder D., Reid N., Bakaltcheva I. Hypertonic resuscitation and blood coagulation. In vitro comparison of several hypertonic solutions for their action on platelet and plasma coagulation. Thrombos. Res. 2002; 107(5): 255–61.


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For citations:


Berkovskiy A.L., Sergeeva E.V., Suvorov A.V., Gurvits I.D., Anisimova E.V., Savchenko V.G. Preparing lyophilized plasma with the preserved activity of coagulation factors. Russian journal of hematology and transfusiology. 2016;61(4):204-208. (In Russ.) https://doi.org/10.18821/0234-5730-2016-61-4-204-208

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ISSN 0234-5730 (Print)
ISSN 2411-3042 (Online)