CN104705287B - Erythrocyte cryopreservation liquid and application thereof - Google Patents

Erythrocyte cryopreservation liquid and application thereof Download PDF

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Publication number
CN104705287B
CN104705287B CN201510047839.5A CN201510047839A CN104705287B CN 104705287 B CN104705287 B CN 104705287B CN 201510047839 A CN201510047839 A CN 201510047839A CN 104705287 B CN104705287 B CN 104705287B
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erythrocyte
stored frozen
liquid
defrosting
glycerol
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CN104705287A (en
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王宝燕
万春晶
王袁
徐华
许亚莉
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First Affiliated Hospital of Medical College of Xian Jiaotong University
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First Affiliated Hospital of Medical College of Xian Jiaotong University
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Abstract

The invention discloses an erythrocyte cryopreservation liquid. The erythrocyte cryopreservation liquid comprises 0.8M of potassium citrate monohydrate, 0.4M of sodium dihydrogen phosphate dihydrate, 0.2M of disodium hydrogen phosphate dodecahydrate, and glycerin with the volume concentration of 20-60%. The erythrocyte cryopreservation liquid allows erythrocytes to be disposed at -20DEG C for a long term, and components added to the liquid can improve the water permeability of cell membranes, reduce the formation of intracellular ice crystals and effectively protect erythrocyte membranes; and a thawing protection liquid is added when erythrocytes are thawed at room temperature, so the internal and external physiologic balance of erythrocyte membranes is realized, the rupture of the erythrocyte membranes is avoided, and the purpose of high recovery rate of the erythrocytes is reached.

Description

Erythrocyte stored frozen liquid and its application
Technical field
The invention belongs to erythrocyte Cryopreservation Technology field is and in particular to erythrocyte stored frozen liquid and its application.
Background technology
In clinical blood transfusion work, most importantly defeated use erythrocyte transfusion, its objective is to improve the oxygen supply shape of clinical patients State.Clinical blood transfusion practice finds, if existing for the anti-of other side's red cell antigenses in the serum of donee or blood donor Body, it is possible to cause hemolytic blood transfusion untoward reaction, shows the clinical symptoms of Ink vessel transfusing or extravascular hemolysis, threatens and is subject to blood Person's life security.For guaranteeing clinic blood transfusion safety, need before blood transfusion donee and blood donor's blood group antigen and antibody are entered Row detection, it is to avoid the generation of hemolytic blood transfusion untoward reaction.
The detection of erythrocyte blood type antibody is primarily referred to as the detection of irregular antibody in order to prevent irregular antibody Cause the generation of hemolytic blood transfusion untoward reaction.Because the conventional sense of blood group is not that all blood group antigen are all examined Survey, exist by the possibility of not other blood group antigen stimulating immune systems generation irregular antibodies after testing, so need to be to not advising Then antibody is detected, and provides the erythrocyte of no corresponding antigens for donee, to guarantee transfusion safety.
Detect unknown antibody with known antigen, be the basic skills of immunology detection.Resisted according to erythrocyte blood type The requirement of body detection range, for detecting that the blood group antigen species entrained by the erythrocyte of unknown antibody should be as comprehensive as possible, shows So derive from single individual erythrocyte and be difficult to meet requirements above, single individual erythrocyte can not possibly express all of blood group Antigen, nor conflicting blood group antigen may be expressed simultaneously, such as a certain antigen can not possibly be negative, be sun again Property.For meeting Identification of the antibodies, erythrocyte should be covered as far as possible with the requirement of all blood group antigen, the method for solution can only be selected Multiple individuality erythrocyte.Would commonly be used for detection antibody specificity, the multiple individual erythrocyte carrying multiple blood group antigen claim For cell erythrocyte (panel cell of erythrocyte), also referred to as panel erythrocyte.For ensureing the safety of clinical blood transfusion, Select to meet two conditions during panel erythrocyte:It is anti-that red cell antigenses species should cover that local crowd has as much as possible Former, and comprise the significant antigen of clinical meaning, such as containing RhD, RhC, RhE, Rhc, Rhe, M, N, S, s, P1, Lea、Leb、K、k、 Fya、Fyb、Jka、JkbDeng antigen.
The main points preparing panel erythrocyte are to collect the multiple erythrocyte carrying multiple antigens, constitute the one of logical judgment general layout Group erythrocyte, needs longer time just can complete, its key problem in technology point is to preserve different discovery periods how for a long time Can be used as composing the erythrocyte of cell composition.Frozen red cellses are the effective technologies preserving erythrocyte for a long time, the frost commonly used at present Store method is -80 DEG C or -196 DEG C, and these methods, in addition to required special cell-preservation liquid, also suffer from the drawback that:1. this Class method needs expensive equipment, and -80 DEG C of cryopreservation methods need special ultra cold storage freezer, and -196 DEG C of cryopreservation methods need liquid The frozen equipment of nitrogen, longtime running is costly;2. the process of thawed red blood cell is very long, needs multiple Washed Red Blood Cells, erythrocyte Broken many, the response rate is very low.
Content of the invention
The technical problem to be solved is for above-mentioned the deficiencies in the prior art, provides a kind of erythrocyte frost Preserve liquid, erythrocyte can be made to be positioned over and preserve for a long time under -20 DEG C of temperature conditionss, the component of addition can improve cell membrane and water is led to Permeability, reduces the formation of intracellular ice crystal, effective protection erythrocyte membrane;The erythrocyte of frost is thawed at room temperature, adds solution Physiological equilibrium after freezing protection liquid, inside and outside achievable erythrocyte membrane, it is to avoid the rupture of erythrocyte membrane, reaches erythrocyte high-recovery Target.
For solving above-mentioned technical problem, the technical solution used in the present invention is, a kind of erythrocyte stored frozen liquid, including Following components:Citric Acid Monohydrate tripotassium 0.8M, sodium dihydrogen phosphate dihydrate 0.4M, disodium hydrogen phosphate 0.2M and 20%~ The glycerol of 60% (V/V).
The invention also discloses a kind of method of erythrocyte stored frozen liquid stored frozen erythrocyte, the method includes following Step:
Erythrocyte and erythrocyte stored frozen liquid are sufficiently mixed, the volume ratio of described erythrocyte and stored frozen liquid is 1: 1;It is honored as a queen liquid-tight for the erythrocyte-stored frozen of the mix homogeneously obtaining, cryopreservation;
When needing using erythrocyte, the erythrocyte after stored frozen-stored frozen liquid is carried out reclaiming after defrosting process Obtain erythrocyte;
Wherein, described erythrocyte stored frozen liquid includes following components:Citric Acid Monohydrate tripotassium 0.8M, dihydrogen phosphate dihydrate The glycerol of sodium 0.4M, disodium hydrogen phosphate 0.2M and 20%~60% (V/V).
Further, the cryopreservation temperature of erythrocyte-stored frozen liquid is -20 DEG C.
Further, the protection liquid that thaws includes following components:5% (g/V) sodium citrate, 10%~30% (V/V's) is sweet Oil.
Further, erythrocyte stored frozen liquid includes following components:Citric Acid Monohydrate tripotassium 0.8M, dihydrogen phosphate dihydrate The glycerol of sodium 0.4M, disodium hydrogen phosphate 0.2M and 40% (V/V).
Further, the protection liquid that thaws includes following components:5% (g/V) sodium citrate, the glycerol of 10% (V/V).
Further, the detailed process of defrosting process is:The erythrocyte of stored frozen is thawed at room temperature, is subsequently adding Thaw protection liquid mix homogeneously, adds centrifugal treating after normal saline, obtains red cell suspension.
Further, following process in triplicate:Add centrifugal treating after normal saline.
Erythrocyte stored frozen liquid of the present invention, it is possible to achieve long-term preservation erythrocyte under -20 DEG C of temperature conditionss;Frozen During it is not necessary to the equipment of costliness;Course of defrosting is to thaw under room temperature, after adding the protection liquid that thaws, you can given birth to by adding Reason salt water washing reclaims erythrocyte, takes short, and the erythrocyte response rate is high.The application of erythrocyte stored frozen liquid of the present invention, realizes Small molecule carbohydrate is imported in erythrocyte, small molecule carbohydrate is the component in freezen protective liquid, it is to avoid The damage to erythrocyte membrane during stored frozen of the factors such as ice crystal, in course of defrosting, adds the protection liquid that thaws, realizes red Physiological equilibrium inside and outside cell membrane, it is to avoid the rupture of erythrocyte membrane, reaches the target of erythrocyte high-recovery.Frost is protected after testing The form of the erythrocyte after depositing does not change, and blood group antigen is not decreased obviously.
Brief description
Fig. 1 is erythrocytolysis situation after the stored frozen liquid stored frozen of different ratio, after defrosting for the 1ml erythrocyte Figure;
Fig. 2 is response rate comparison diagram after stored frozen, after defrosting and without frozen erythrocyte for the 1ml erythrocyte;
Fig. 3 be erythrocyte after stored frozen, the aspect graph that detects under an atomic force microscope after defrosting;
Fig. 4 be erythrocyte after stored frozen, after defrosting detection Staphylococal Protein A and RhD antigen coagulation situation map;
Fig. 5 be erythrocyte after stored frozen, after defrosting detection Staphylococal Protein A and IgM anti-D monoclonal antibody coagulation situation Figure.
Specific embodiment
Take healthy premenopausal volunteers venous blood 2ml, EDTA anticoagulant, with brine 3 times, remove plasma fraction, leukocyte And platelet.By the erythrocyte of the enrichment after washing according to 1:The ratio of 1 volume ratio adds stored frozen liquid, is sufficiently mixed.Ice Freeze preservation liquid composition and include Citric Acid Monohydrate tripotassium 0.8M, sodium dihydrogen phosphate dihydrate 0.4M, disodium hydrogen phosphate 0.2M, with And the glycerol of 20%~60% (V/V);Thaw and protect the composition of liquid to include 5% (g/V) sodium citrate, 10%~30% (V/V) Glycerol.After thawing, observe the dissolving situation of erythrocyte.
As shown in figure 1, No. 0 test tube of in figure is the full rupture comparison adding water in erythrocyte, it is comparative example 1;No. 1 and No. 2 It is the normal control adding normal saline in erythrocyte in test tube, be comparative example 2 and comparative example 3;It is to add to implement in No. 3 test tubes Erythrocyte state after the defrosting of the stored frozen liquid in example 1 and the protection liquid that thaws;It is to add ice in embodiment 2 in No. 4 test tubes Freeze the erythrocyte state after preserving liquid and the defrosting of the protection liquid that thaws;It is using the stored frozen liquid in embodiment 3 in No. 5 test tubes State with the protection liquid that thaws;It is the state using the stored frozen liquid in embodiment 4 and the protection liquid that thaws in No. 6 test tubes;No. 7 It is the state using the stored frozen liquid in embodiment 5 in test tube.It can be seen that using red in embodiment 1 embodiment 5 After the frozen erythrocyte of cell stored frozen liquid, hematoclasis is less, wherein minimum with the hematoclasis in embodiment 3, on Clear liquid transparent clear.
Table 1 embodiment and comparative example parameter list (component of the protection liquid that wherein thaws is certain)
Erythrocyte is thawed using after erythrocyte stored frozen liquid stored frozen, adds the erythrocyte solution that the present invention provides Freeze protection liquid.Using the component frozen 1ml erythrocyte of the erythrocyte stored frozen liquid in embodiment 3, during defrosting, add different groups The defrosting protection liquid dividing, as shown in table 2, observes the yield of erythrocyte.As shown in Fig. 2 being using real in No. 1 test tube of in figure Apply the state that liquid and stored frozen liquid gained erythrocyte are protected in the defrosting in example 6;It is using the solution in embodiment 7 in No. 2 test tubes Freeze the state of protection liquid and stored frozen liquid gained erythrocyte;In No. 3 test tubes be using be in embodiment 8 defrosting protection liquid and The state of stored frozen liquid gained erythrocyte;It is erythrocyte in No. 4 test tubes without frost and course of defrosting, only brine The state of 3 times, it as a comparison case 4.In embodiment 6, substantially not poor in erythrocyte yield and comparative example 4 after defrosting Different, and in embodiment 7 and embodiment 8, the erythrocyte response rate is relatively low.
Table 2 is embodiment parameter list (constituent content of wherein stored frozen liquid is certain)
Using the erythrocyte after processing in embodiment 3, with brine 3 times, with the PBS of pH 7.4 by blood Liquid is configured to 1~2 ‰ concentration, takes 5 μ L diluent Deca on clean mica sheet, fixes 15min with 1% glutaraldehyde, uses PBS rinses 3 times, air-dries standby.Sample is scanned be imaged with atomic force microscope, as shown in figure 3, can from figure Know, the red cell morphology after defrosting is complete, smooth in appearance discoid in concave-concave, the stored frozen liquid energy that the present invention provides is described Enough preservation erythrocyte well.
Using the erythrocyte after processing in embodiment 6, the erythrocyte after thawing, brine 3 times use physiology salt Water is made into the red cell suspension of 3% (V/V), is separately added into IgM anti-A monoclonal antibody, the Staphylococal Protein A of detection ABO blood group system (sugar antigen);Add IgM anti-D monoclonal antibody, detection RhD antigen (transmembrane protein class antigen), see Fig. 4 and Fig. 5.Fig. 4 is The reaction result of A monoclonal antibody anti-with IgM, 1 is O-shaped erythrocyte (negative control), and 2 is red blood cells of type A (positive control), 3 is the red blood cells of type A after freezing and thawing.It can be seen that the red blood cells of type A after freezing and thawing, occur by force with anti-A monoclonal antibody Coagulation, illustrates that its Staphylococal Protein A does not weaken.Fig. 5 is D monoclonal antibody reactive result anti-with IgM, and 1 is RhD positive red blood cell (sun Property comparison), 2 and 3 be freeze and thaw after RhD positive red blood cell, 4 be RhD feminine gender erythrocyte (negative control).In figure is visible RhD positive red blood cell after freezing and thawing, there is strong coagulation in D monoclonal antibody anti-with IgM, illustrate that its D antigen does not subtract Weak.
Erythrocyte blood type sugar antigen and transmembrane protein class antigen easily come off from erythrocyte surface or lose, using the present invention The method providing freeze and thaw after erythrocyte, this two classes antigen all no substantially weakens, and illustrate that the present invention is applied to and freezes for a long time Deposit erythrocyte, can be used for preparing panel erythrocyte, can be used for the detection of blood group irregular antibody after thawing.

Claims (6)

1. a kind of method of erythrocyte stored frozen liquid stored frozen erythrocyte is it is characterised in that the method comprises the following steps:
Erythrocyte and erythrocyte stored frozen liquid are sufficiently mixed, the volume ratio of described erythrocyte and stored frozen liquid is 1:1;Will Erythrocyte-the stored frozen of the mix homogeneously obtaining is liquid-tight to be honored as a queen, cryopreservation;The low temperature of described erythrocyte-stored frozen liquid Storage temperature is -20 DEG C;
When needing using erythrocyte, the erythrocyte after stored frozen-stored frozen liquid is carried out recovery after defrosting process and obtains Erythrocyte;
Wherein, described erythrocyte stored frozen liquid includes following components:Citric Acid Monohydrate tripotassium 0.8M, sodium dihydrogen phosphate dihydrate The glycerol of 0.4M, disodium hydrogen phosphate 0.2M and 20%~60% (V/V).
2. according to a kind of stored frozen erythrocyte described in claim 1 method it is characterised in that described defrosting protection liquid bag Include following components:5% (g/V) sodium citrate, the glycerol of 10%~30% (V/V).
3. according to a kind of stored frozen erythrocyte described in claim 1 or 2 method it is characterised in that described erythrocyte ice Freeze preservation liquid and include following components:Citric Acid Monohydrate tripotassium 0.8M, sodium dihydrogen phosphate dihydrate 0.4M, disodium hydrogen phosphate The glycerol of 0.2M and 40% (V/V).
4. according to a kind of stored frozen erythrocyte described in claim 3 method it is characterised in that described defrosting protection liquid bag Include following components:5% (g/V) sodium citrate, the glycerol of 10% (V/V).
5. according to a kind of stored frozen erythrocyte described in claim 4 method it is characterised in that described defrosting process tool Body process is:The erythrocyte of stored frozen is thawed at room temperature, is subsequently adding defrosting protection liquid mix homogeneously, adds physiology salt Centrifugal treating after water, obtains red cell suspension.
6. according to a kind of stored frozen erythrocyte described in claim 5 method it is characterised in that following mistake in triplicate Journey:Add centrifugal treating after normal saline.
CN201510047839.5A 2015-01-30 2015-01-30 Erythrocyte cryopreservation liquid and application thereof Expired - Fee Related CN104705287B (en)

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