Erythrocyte preservation solution and application thereof
Technical Field
The invention belongs to the technical field of medical treatment, and particularly relates to a red blood cell preservation solution and application thereof.
Background
Red Blood Cells (RBC) are the major constituent cells of human blood, RBC content in adult bloodUp to 5X 10 12 /L(5×10 9 Per mL,5000 million/mL) and hematocrit (the percentage of red blood cells in whole blood) of 40-50%. The primary physiological function of erythrocytes is to transport oxygen from the lungs and release it to the body for metabolism. In emergency cases such as blood loss, anemia and the like, the number of red blood cells of the organism is seriously reduced, and life safety is endangered. Therefore, erythrocyte transfusion has become a fundamental treatment for clinically critical patients. Currently, red blood cells for transfusion emergency are mainly from social donation, and then are separated by red blood cells and stored in red blood cell preservation solution. However, when blood is stored in a liquid matrix, a series of biochemical and structural changes to the red blood cells occur, i.e., damage to the red blood cells during storage can affect the survival of the red blood cells after transfusion and cause functional changes. At present, development of erythrocyte preservation solution has become an important point and a hot spot of research by a plurality of scholars.
CN1857312a discloses a erythrocyte cryoprotectant comprising small molecule sugar (trehalose, glucose, sucrose, maltose, fructose or mannitol), sodium chloride, potassium dihydrogen phosphate and disodium hydrogen phosphate. The protective liquid can realize deep low-temperature preservation of the red blood cells, reduce the hemolysis rate of the red blood cells, greatly simplify the washing procedure of the red blood cells after thawing, but the preservation time of the protective liquid on the red blood cells needs to be further improved.
CN111919835a discloses a preservation solution for maintaining erythrocyte activity, comprising: heparin-poloxamer, glycine, monopotassium phosphate, basic fibroblast growth factor and trimethoprim can ensure the oxygen carrying activity of erythrocytes, but the preservation solution only maintains the activity of erythrocytes by increasing the effective concentration of nitric oxide gas, and no study on apoptosis and hemolysis of erythrocytes is disclosed.
CN104705287a discloses a red blood cell cryopreservation solution comprising: tripotassium citrate monohydrate, sodium dihydrogen phosphate dihydrate, disodium hydrogen phosphate dodecahydrate and glycerin. The preservation solution can realize physiological balance inside and outside erythrocyte membranes and avoid rupture of the erythrocyte membranes, but the existence of glycerol can cause complicated washing process in later use of the erythrocyte, thereby causing burden to medical staff.
Based on the above research, it can be seen that the development of the red blood cell preservation solution at present is very much, and although the red blood cell preservation solution can obviously prolong the service life of red blood cells, the key anti-apoptosis and anti-hemolysis core technology of the red blood cells is not mastered, and the research on further improving the anti-apoptosis, anti-hemolysis and anti-natural disintegration capabilities of the red blood cell preservation solution on the red blood cells and prolonging the preservation time of the red blood cells is still needed.
Disclosure of Invention
Aiming at the defects and actual requirements of the prior art, the invention aims to provide a red blood cell preservation solution and application thereof. The red blood cell preservation solution can strongly protect red blood cells and extremely remarkably prolong the service life of the red blood cells.
In order to achieve the aim of the invention, the invention adopts the following technical scheme:
in a first aspect, the present invention provides a red blood cell preservation solution comprising a red blood cell preservation base solution and an antioxidant comprising uric acid.
According to the invention, uric acid is introduced into the erythrocyte preservation base solution as an antioxidant, so that erythrocytes can be further activated, the anti-hemolytic apoptosis capability of the erythrocytes is remarkably enhanced, the in-vitro preservation time is remarkably prolonged, and the method has great application value for the ultra-long-term in-vitro low-temperature preservation of erythrocytes for blood transfusion.
While hepatic xanthine dehydrogenase (xanthine dehydrogenase, XDH) is the rate-limiting enzyme for uric acid production, the lack of XDH enzyme in erythrocytes means that even if adenine (a precursor for uric acid production) is added to the existing erythrocyte preservation solution, erythrocytes cannot efficiently produce uric acid. Thus, unless added extracellularly, erythrocytes themselves are unable to store sufficient levels of uric acid. Uric acid is a purine metabolite specific to primates (humans, etc.). In other mammals, uric acid is further metabolized to allantoin for excretion with urine. Studies have demonstrated that uric acid, which is an antioxidant, can effectively increase the life span of model organisms, and thus uric acid is not only a metabolic end product in the human body, but also has important physiological functions.
In the present invention, the base red blood cell preservation solution may be a commercially available red blood cell preservation solution (including MAP preparation or Aldrich solution).
Wherein the MAP preparation contains trisodium citrate, citric acid, glucose, sodium dihydrogen phosphate, adenine, sodium chloride and mannitol.
The Alzhi liquid contains sodium chloride, sodium citrate, citric acid and glucose.
In the invention, the concentration of uric acid in the red blood cell preservation solution is 10-1000 mu M.
The 10-1000. Mu.M may be 10. Mu.M, 50. Mu.M, 100. Mu.M, 200. Mu.M, 300. Mu.M, 400. Mu.M, 500. Mu.M, 600. Mu.M, 700. Mu.M, 800. Mu.M, 900. Mu.M, 1000. Mu.M, etc.
Other values within the above numerical ranges are selectable, and will not be described in detail herein.
Preferably, the uric acid is present in the red blood cell preservation solution at a concentration of 200-800. Mu.M.
Further preferably, the uric acid is present in the red blood cell preservation solution at a concentration of 300 to 500. Mu.M.
The concentration of uric acid in the red blood cell preservation solution is 10-1000 mu M, which can ensure the protection of red blood cells, preferably 200-800 mu M, more preferably 300-500 mu M, because the normal value of uric acid level in human body is 100-300 mu M, and hyperuricemia can reach 500 mu M. In addition, according to the in vitro erythrocyte culture experiment of the invention, 300-500 mu M uric acid can extremely obviously protect erythrocytes and resist the hemolysis phenomenon induced by vitamin C. In addition, even without vitamin C, erythrocytes will naturally hemolyze in MAP nutrient solution, and the addition of uric acid can obviously protect erythrocytes against natural hemolysis reaction.
In the invention, the use temperature of the erythrocyte preservation solution is 4-10 ℃.
The temperature of 4-10deg.C can be 4deg.C, 4.5 deg.C, 5.5 deg.C, 6 deg.C, 6.5 deg.C, 7 deg.C, 7.5 deg.C, 8 deg.C, 8.5 deg.C, 9 deg.C, 9.5 deg.C or 10deg.C, etc.
Other values within the above numerical ranges are selectable, and will not be described in detail herein.
In a second aspect, the present invention provides a use of the red blood cell preservation solution according to the first aspect for preserving red blood cells in vitro.
Compared with the prior art, the invention has the following beneficial effects:
according to the invention, uric acid is introduced into the erythrocyte preservation base solution as an antioxidant, so that erythrocytes can be activated, the anti-hemolytic apoptosis capability of the erythrocytes is remarkably enhanced, and the membrane steady state of the erythrocytes is improved, thereby realizing long-term preservation of the erythrocytes in an optimal state, and having great application value for the ultra-long-term in-vitro low-temperature preservation of erythrocytes for blood transfusion.
Drawings
FIG. 1 is a graph showing the results of preservation of erythrocytes by the erythrocyte preservation solution obtained in example 1;
FIG. 2 is a graph showing the preservation result of erythrocytes by the erythrocyte preservation solution obtained in example 2;
FIG. 3 is a graph showing the preservation result of erythrocytes by the erythrocyte preservation solution obtained in example 3;
FIG. 4 is a graph showing the preservation result of red blood cells by the red blood cell preservation solution obtained in example 4;
FIG. 5 is a graph showing the preservation result of erythrocytes by the erythrocyte preservation solution obtained in example 5;
FIG. 6 is a graph showing the preservation result of erythrocytes by the erythrocyte preservation solution obtained in example 6;
FIG. 7 is a graph showing the preservation result of red blood cells by the red blood cell preservation solution obtained in comparative example 1;
FIG. 8 is a graph of apoptosis of erythrocytes in various dosing groups.
Detailed Description
The technical scheme of the invention is further described by the following specific embodiments. It will be apparent to those skilled in the art that the examples are merely to aid in understanding the invention and are not to be construed as a specific limitation thereof.
The corresponding materials and sources of raw materials in the following preparation examples, comparative examples and test examples were purchased as follows:
wherein, MAP reagent is purchased from Shanghai remote mu organism, and the model is R18099; the Aldrich fluid is purchased from Beijing Soy Bao, model R1016; uric acid was purchased from Shanghai source leaf organism under model S30610. The remaining materials and starting materials are available from other commercial sources without specific description.
Example 1
The present embodiment provides a red blood cell preservation solution, comprising: 1mL MAP reagent, 500. Mu.M uric acid.
Wherein 500. Mu.M refers to the concentration of uric acid in the red blood cell preservation solution.
Example 2
The present embodiment provides a red blood cell preservation solution, comprising: 1mL MAP reagent, 200. Mu.M uric acid.
Wherein 200. Mu.M refers to the concentration of uric acid in the red blood cell preservation solution.
Example 3
This example provides a red blood cell preservation solution differing from example 1 only in that the uric acid concentration in the red blood cell preservation solution is 10. Mu.M, and the remaining parameters remain the same as in example 1.
Example 4
This example provides a red blood cell preservation solution differing from example 1 only in that the uric acid concentration in the red blood cell preservation solution is 50. Mu.M, and the remaining parameters remain the same as in example 1.
Example 5
This example provides a red blood cell preservation solution differing from example 1 only in that the uric acid concentration in the red blood cell preservation solution is 100. Mu.M, and the remaining parameters remain the same as in example 1.
Example 6
This example provides a red blood cell preservation solution differing from example 1 only in that the uric acid concentration in the red blood cell preservation solution is 1000. Mu.M, and the remaining parameters remain the same as in example 1.
Comparative example 1
This comparative example provides a red blood cell preservation solution differing from example 1 only in that the red blood cell preservation solution does not include uric acid, and the remaining parameters remain the same as example 1.
Test example 1
This test example uses the red blood cell preservation solutions obtained in examples 1 to 6 and comparative example 1 to preserve red blood cells and observe the anti-hemolytic apoptosis ability of red blood cells.
The test method is as follows: the red blood cells were counted by taking 1mL of human peripheral blood. The cells were seeded in 12-well plates according to the standard of 50 ten thousand RBC/1mL red blood cell stock solution. Incubation at 37 ℃. After 24h observation was carried out under a microscope.
As shown in FIGS. 1-7, it can be seen from FIGS. 1-6 that the red blood cell preservation solution provided by the present invention still has a large number of RBCs in the non-hemolyzed finished state and bright cells after 24 hours of preservation time for red blood cells. Whereas the erythrocytes in FIG. 7 (which also contained no uric acid in their preservation) were substantially completely hemolyzed after 24h incubation at 37℃with only erythrocyte membrane structure remaining. By comparison, the specific protective effect of uric acid on erythrocytes can be fully demonstrated.
Test example 2
In this test example, 100 ten thousand erythrocytes were placed in 1640 medium, each in normoxic (21% O) 2 ) And low oxygen (5% O) 2 ) A1 mM Vitamin C (VC), 500. Mu.M Uric Acid (UA), 1mM VC+500. Mu.M UA double-factor dosing experiment was performed under the control, and after 3 days, observation was performed under a microscope.
As shown in FIG. 8, after 3 days of drug addition, compared with the control group (i.e., ctrl group), the 1mM VC group had a large number of hemolytic apoptosis, while the 500. Mu.M UA group had significantly reduced hemolytic apoptosis. In particular at 5% O 2 Nearly 100% of the erythrocytes are hemolyzed by VC, while at least 50% of erythrocytes have a complete cell membrane structure under UA protection. As can be seen from the vc+ua group, UA can strongly protect erythrocytes against VC-induced apoptosis by hemolysis.
In conclusion, uric acid is introduced into the erythrocyte preservation base solution as an antioxidant, so that erythrocytes can be activated, the anti-hemolytic apoptosis capacity of the erythrocytes is remarkably enhanced, and the membrane steady state of the erythrocytes is further improved, so that the erythrocytes in the optimal state can be preserved for a long time, and the method has great application value for the ultra-long-period in-vitro low-temperature preservation of erythrocytes for blood transfusion and has wide application prospect.
The applicant declares that the above is only a specific embodiment of the present invention, but the scope of the present invention is not limited thereto, and it should be apparent to those skilled in the art that any changes or substitutions that are easily conceivable within the technical scope of the present invention disclosed by the present invention fall within the scope of the present invention and the disclosure.