The Post-Storage Performance of RBCs from Beta-Thalassemia Trait Donors Is Related to Their Storability Profile

Blood donors with beta-thalassemia traits (βThal<sup>+</sup>) have proven to be good “storers”, since their stored RBCs are resistant to lysis and resilient against oxidative/proteotoxic stress. To examine the performance of these RBCs post-storage, stored βThal<sup>+</sup> a...

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Autores principales: Alkmini T. Anastasiadi, Efthymios C. Paronis, Vasiliki-Zoi Arvaniti, Athanasios D. Velentzas, Anastasia C. Apostolidou, Evangelos G. Balafas, Monika Dzieciatkowska, Nikolaos G. Kostomitsopoulos, Konstantinos Stamoulis, Issidora S. Papassideri, Angelo D’Alessandro, Anastasios G. Kriebardis, Marianna H. Antonelou, Vassilis L. Tzounakas
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:435b05caaebd470b9f720d563728e3752021-11-25T17:54:59ZThe Post-Storage Performance of RBCs from Beta-Thalassemia Trait Donors Is Related to Their Storability Profile10.3390/ijms2222122811422-00671661-6596https://doaj.org/article/435b05caaebd470b9f720d563728e3752021-11-01T00:00:00Zhttps://www.mdpi.com/1422-0067/22/22/12281https://doaj.org/toc/1661-6596https://doaj.org/toc/1422-0067Blood donors with beta-thalassemia traits (βThal<sup>+</sup>) have proven to be good “storers”, since their stored RBCs are resistant to lysis and resilient against oxidative/proteotoxic stress. To examine the performance of these RBCs post-storage, stored βThal<sup>+</sup> and control RBCs were reconstituted in plasma donated from transfusion-dependent beta-thalassemic patients and healthy controls, and incubated for 24 h at body temperature. Several physiological parameters, including hemolysis, were evaluated. Moreover, labeled fresh/stored RBCs from the two groups were transfused in mice to assess 24 h recovery. All hemolysis metrics were better in the group of heterozygotes and distinguished them against controls in the plasma environment. The reconstituted βThal<sup>+</sup> samples also presented higher proteasome activity and fewer procoagulant extracellular vesicles. Transfusion to mice demonstrated that βThal<sup>+</sup> RBCs present a marginal trend for higher recovery, regardless of the recipient’s immune background and the RBC storage age. According to correlation analysis, several of these advantageous post-storage characteristics are related to storage phenotypes, like the cytoskeleton composition, low cellular fragility, and enhanced membrane proteostasis that characterize stored βThal<sup>+</sup> RBCs. Overall, it seems that the intrinsic physiology of βThal<sup>+</sup> RBCs benefits them in conditions mimicking a recipient environment, and in the circulation of animal models; findings that warrant validation in clinical trials.Alkmini T. AnastasiadiEfthymios C. ParonisVasiliki-Zoi ArvanitiAthanasios D. VelentzasAnastasia C. ApostolidouEvangelos G. BalafasMonika DzieciatkowskaNikolaos G. KostomitsopoulosKonstantinos StamoulisIssidora S. PapassideriAngelo D’AlessandroAnastasios G. KriebardisMarianna H. AntonelouVassilis L. TzounakasMDPI AGarticlered blood cellsblood transfusionbeta-thalassemiabiomarkersdonor variationpost-transfusion recoveryBiology (General)QH301-705.5ChemistryQD1-999ENInternational Journal of Molecular Sciences, Vol 22, Iss 12281, p 12281 (2021)
institution DOAJ
collection DOAJ
language EN
topic red blood cells
blood transfusion
beta-thalassemia
biomarkers
donor variation
post-transfusion recovery
Biology (General)
QH301-705.5
Chemistry
QD1-999
spellingShingle red blood cells
blood transfusion
beta-thalassemia
biomarkers
donor variation
post-transfusion recovery
Biology (General)
QH301-705.5
Chemistry
QD1-999
Alkmini T. Anastasiadi
Efthymios C. Paronis
Vasiliki-Zoi Arvaniti
Athanasios D. Velentzas
Anastasia C. Apostolidou
Evangelos G. Balafas
Monika Dzieciatkowska
Nikolaos G. Kostomitsopoulos
Konstantinos Stamoulis
Issidora S. Papassideri
Angelo D’Alessandro
Anastasios G. Kriebardis
Marianna H. Antonelou
Vassilis L. Tzounakas
The Post-Storage Performance of RBCs from Beta-Thalassemia Trait Donors Is Related to Their Storability Profile
description Blood donors with beta-thalassemia traits (βThal<sup>+</sup>) have proven to be good “storers”, since their stored RBCs are resistant to lysis and resilient against oxidative/proteotoxic stress. To examine the performance of these RBCs post-storage, stored βThal<sup>+</sup> and control RBCs were reconstituted in plasma donated from transfusion-dependent beta-thalassemic patients and healthy controls, and incubated for 24 h at body temperature. Several physiological parameters, including hemolysis, were evaluated. Moreover, labeled fresh/stored RBCs from the two groups were transfused in mice to assess 24 h recovery. All hemolysis metrics were better in the group of heterozygotes and distinguished them against controls in the plasma environment. The reconstituted βThal<sup>+</sup> samples also presented higher proteasome activity and fewer procoagulant extracellular vesicles. Transfusion to mice demonstrated that βThal<sup>+</sup> RBCs present a marginal trend for higher recovery, regardless of the recipient’s immune background and the RBC storage age. According to correlation analysis, several of these advantageous post-storage characteristics are related to storage phenotypes, like the cytoskeleton composition, low cellular fragility, and enhanced membrane proteostasis that characterize stored βThal<sup>+</sup> RBCs. Overall, it seems that the intrinsic physiology of βThal<sup>+</sup> RBCs benefits them in conditions mimicking a recipient environment, and in the circulation of animal models; findings that warrant validation in clinical trials.
format article
author Alkmini T. Anastasiadi
Efthymios C. Paronis
Vasiliki-Zoi Arvaniti
Athanasios D. Velentzas
Anastasia C. Apostolidou
Evangelos G. Balafas
Monika Dzieciatkowska
Nikolaos G. Kostomitsopoulos
Konstantinos Stamoulis
Issidora S. Papassideri
Angelo D’Alessandro
Anastasios G. Kriebardis
Marianna H. Antonelou
Vassilis L. Tzounakas
author_facet Alkmini T. Anastasiadi
Efthymios C. Paronis
Vasiliki-Zoi Arvaniti
Athanasios D. Velentzas
Anastasia C. Apostolidou
Evangelos G. Balafas
Monika Dzieciatkowska
Nikolaos G. Kostomitsopoulos
Konstantinos Stamoulis
Issidora S. Papassideri
Angelo D’Alessandro
Anastasios G. Kriebardis
Marianna H. Antonelou
Vassilis L. Tzounakas
author_sort Alkmini T. Anastasiadi
title The Post-Storage Performance of RBCs from Beta-Thalassemia Trait Donors Is Related to Their Storability Profile
title_short The Post-Storage Performance of RBCs from Beta-Thalassemia Trait Donors Is Related to Their Storability Profile
title_full The Post-Storage Performance of RBCs from Beta-Thalassemia Trait Donors Is Related to Their Storability Profile
title_fullStr The Post-Storage Performance of RBCs from Beta-Thalassemia Trait Donors Is Related to Their Storability Profile
title_full_unstemmed The Post-Storage Performance of RBCs from Beta-Thalassemia Trait Donors Is Related to Their Storability Profile
title_sort post-storage performance of rbcs from beta-thalassemia trait donors is related to their storability profile
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/435b05caaebd470b9f720d563728e375
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