溶剂-洗涤剂过滤(S/D-F)新鲜冷冻等离子体和低温沉淀迷你池制备在一个新设计的整体一次性处理袋系统。

M El-Ekiaby, M A Sayed, C Caron, S Burnouf, N El-Sharkawy, H Goubran, M Radosevich, J Goudemand, D Blum, L de Melo, V Soulié, J Adam, T Burnouf
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引用次数: 57

摘要

溶剂-洗涤剂(S/D)病毒灭活最近适用于单血浆捐献和低温沉淀小池的治疗。我们在这里提出了一种新的工艺和一种新的袋式系统,其中S/D试剂通过过滤去除,最终产物经过细菌(0.2微米)过滤。回收血浆(FFP)和低温沉淀迷你池(400 +/- 20 mL)进行双级S/D病毒灭活,然后进行一次油提取,并在S/D和邻苯二甲酸二(2-乙基己基)邻苯二甲酸二(DEHP))吸附装置和0.2微米过滤器上过滤。通过十二烷基硫酸钠-聚丙烯酰胺凝胶电泳(SDS-PAGE)比较初始产品和最终产品的视觉外观、血细胞计数和细胞标志物、蛋白质功能活性、血管性血友病因子(VWF)多聚体和蛋白质谱。三(正丁基)磷酸(TnBP)采用气相色谱法定量,Triton X-45和DEHP采用高效液相色谱法定量。大鼠静脉注射6.5 mL/kg进行一般安全性试验。处理后的血浆和低温沉淀非常清晰,蛋白质含量和功能、VWF多聚体和SDS-PAGE图谱保存完好。TnBP < 1, Triton X-45 < 1
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Solvent-detergent filtered (S/D-F) fresh frozen plasma and cryoprecipitate minipools prepared in a newly designed integral disposable processing bag system.
summary. Solvent‐detergent (S/D) viral inactivation was recently adapted to the treatment of single plasma donations and cryoprecipitate minipools. We present here a new process and a new bag system where the S/D reagents are removed by filtration and the final products subjected to bacterial (0·2 μm) filtration. Recovered and apheresis plasma for transfusion (FFP) and cryoprecipitate minipools (400 ± 20 mL) were subjected to double‐stage S/D viral inactivation, followed by one oil extraction and a filtration on a S/D and phthalate [di(2‐ethylhexyl) phthalate (DEHP)] adsorption device and a 0·2 μm filter. The initial and the final products were compared for visual appearance, blood cell count and cell markers, proteins functional activity, von Willebrand factor (VWF) multimers and protein profile by sodium dodecyl sulfate–polyacrylamide gel electrophoresis (SDS–PAGE). Tri (n‐butyl) phosphate (TnBP) was quantified by gas chromatography and Triton X‐45 and DEHP by high‐performance‐liquid chromatography (HPLC). General safety tests were by 6·5 mL/kg intravenous injection in rats. The treated plasmas and cryoprecipitates were very clear and the protein content and functionality, VWF multimers and SDS–PAGE profiles were well preserved. TnBP and Triton X‐45 were < 1 and <25 ppm, respectively, and DEHP (about 5 ppm) was less than it was in the starting materials. Blood cell counts and CD45, CD61 and glycophorin A markers were negative. There was no enhanced toxicity in rats. Thus, plasma and cryoprecipitate can be S/D‐treated in this new CE‐marked disposable integral processing system under conditions preserving protein function and integrity, removing blood cells, S/D agents and DEHP, and ensuring bacterial sterility. This process may offer one additional option to blood establishments for the production of virally inactivated plasma components.
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