System for extended storage of red blood cells and methods of use
A system and methodology for the preservation of red blood cells is described in which red blood cells are oxygen or oxygen and carbon dioxide depleted, treated and are stored in an anaerobic environment to optimize preparation for transfusion. More particularly, a system and method for extended storage of red blood cells from collection to transfusion that optimizes red blood cells prior to transfusion is described.
1. A method of preparing red blood cells for transfusion in the treatment of an inherited hemoglobinopathy in a subject in need thereof comprising:
obtaining whole blood;
separating red blood cells from said whole blood to form packed red blood cells;
depleting oxygen and carbon dioxide from said packed red blood cells prior to storage to prepare depleted packed red blood cells; and
storing said depleted packed red blood cells in an anaerobic storage bag comprising an outer bag having a barrier film that is impermeable to oxygen and carbon dioxide, and an inner bag in contact with said red blood cells, wherein said depleted packed red blood cells are maintained in an anaerobic condition, to form stored depleted red blood cells.
2. The method of claim 1 , further comprising oxygenating said stored depleted red blood cells.
3. The method of claim 1 , further comprising transfusing said red blood cells into a subject in need thereof.
4. The method of claim 1 , wherein said inherited hemoglobinopathy is thalassemia.
5. The method of claim 1 , wherein said inherited hemoglobinopathy is alpha-thalassemia.
6. The method of claim 1 , wherein said inherited hemoglobinopathy is beta-thalassemia.
7. The method of claim 1 , wherein said stored depleted red blood cells comprise an initial oxygen saturation of less than 3 Torr.
8. The method of claim 1 , wherein said subject in need thereof requires 30 or more units of blood per year.
9. The method of claim 1 , wherein said stored depleted red blood cells have higher 24-hr recovery and reduced excess iron when transfused into said subject in need thereof, compared to red blood cells not oxygen depleted.
10. The method of claim 1 , further comprising reducing iron overload in said subject in need thereof.
11. The method of claim 1 , wherein said stored oxygen depleted red blood cells are stored for up to 42 days.
12. The method of claim 1 , wherein said anaerobic storage bag further comprises a sorbent comprising an oxygen sorbent, a carbon dioxide sorbent, or a combination thereof, disposed between said inner bag and said outer bag.
13. The method of claim 1 , further comprising adding an additive solution to said packed red blood cells to form a suspension of packed red blood cells.
14. The method of claim 13 , wherein said additive solution comprises AS-1, AS-3, AS-5, SAGM, PAGG-SM, PAGG-GM, MAP, SOLX, ESOL, EAS61, OFAS1, OFAS3, or any combinations thereof.
15. The method of claim 1 , wherein said anaerobic storage bag is irradiated by gamma or x-ray irradiation.
16. The method of claim 1 , further comprising gamma or x-ray irradiating said depleted packed red blood cells before transfusion.
17. The method of claim 1 , wherein said red blood cells reduce complications from chronic transfusion therapy in said subject in need thereof.
18. The method of claim 17 , wherein said red blood cells have higher 24-hr recovery and reduced excess iron when transfused into said subject in need thereof, compared to red blood cells not oxygen depleted.
19. The method of claim 3 , wherein said red blood cells reduce morbidity from chronic transfusion therapy in a subject in need thereof.
20. The method of claim 19 , wherein said stored depleted red blood cells have higher 24-hr recovery and reduced excess iron when transfused into said subject in need thereof, compared to red blood cells not oxygen depleted.