Display options
Share it on

Daru. 2010;18(2):114-7.

Evaluation of the plasma quality after filtration.

Daru : journal of Faculty of Pharmacy, Tehran University of Medical Sciences

M Mahmoodian Shooshtari, K Mousavi Hosseini

Affiliations

  1. Research Center, Iranian Blood Transfusion Organization, Tehran, Iran.

PMID: 22615604 PMCID: PMC3304377

Abstract

BACKGROUND AND THE PURPOSE OF THE STUDY: The quality of some of the human plasma derived drugs such as coagulation factor VIII and coagulation factor IX which can be used for the treatment of hemophilia A and B, depends on their activity which may be affected by filtration. In this study the quality of plasma with respect to coagulation factors FVII, FVIII, FIX, FV, FXI, Fibrinogen, antithrombin III, anti-plasmin and antitrypsin activities obtained after plasma filtration with CPD (citrate-phosphate-dextrose) using integral filter was evaluated.

METHODS: Sixty units of plasma were individually separated from whole blood by centrifugation and immediately filtered by integral filter system. Specific plasma filtration was carried out between 4 and 20 hrs after blood donation. Before filtration, 60 units of non filtered fresh plasmas were kept as control. Coagulation factors were determined by one-stage clotting assay in an automated system. Antithrombin III activity was determined by immunochrom assay in an automated system. Activity of anti-plasmin was determined by Berichrom α(2)-antiplasmin and antitrypsin activity was assayed with human neutrophil elastase.

RESULTS: The activity of coagulation factors FVIII, FIX, Fibrinogen, FV, and FXI, were not affected by filtration, in all experiments. Filtration only caused negligible change in FVII activity. Antithrombin III, anti-plasmin and antitrypsin activities were not influenced by filtration. Nonfiltrated and filtrated plasma values were not significantly different (P> 0.05).

CONCLUSIONS: Plasma filtration dose not result in a measurable impairment of coagulation factors and inhibitors. Although a little changes in FVII activity was observed after filtration, but these filtration-dependent changes apparently have no impact on the therapeutic quality of whole blood- filtered fresh plasma for transfusion.

Keywords: Blood coagulation factors; Blood inhibitor factors; Fresh frozen plasma; Plasma filtration

References

  1. Vox Sang. 2003 May;84(4):308-17 - PubMed
  2. Vox Sang. 2005 Apr;88(3):164-71 - PubMed
  3. N Engl J Med. 1984 Oct 4;311(14):878-82 - PubMed
  4. Am Rev Respir Dis. 1989 Mar;139(3):783-90 - PubMed
  5. Curr Opin Hematol. 2002 Nov;9(6):521-6 - PubMed
  6. Transfus Med. 2004 Aug;14(4):297-304 - PubMed
  7. Blood. 1994 Sep 15;84(6):1703-21 - PubMed
  8. Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. 2007 Aug;24(4):817-9 - PubMed
  9. Vox Sang. 2004 Oct;87(3):156-64 - PubMed
  10. Transfusion. 1997 Aug;37(8):798-803 - PubMed
  11. Transfusion. 1995 Jan;35(1):13-9 - PubMed
  12. Curr Stud Hematol Blood Transfus. 1994;(60):29-40 - PubMed
  13. Vox Sang. 2005 Jan;88(1):17-21 - PubMed

Publication Types