von Willebrand factor, clotting factors, and clotting inhibitors in apheresis platelet concentrates

Weiss DR, Franke D, Strasser EF, Ringwald J, Zimmermann R, Eckstein R (2014)


Publication Type: Journal article

Publication year: 2014

Journal

Publisher: Wiley-Blackwell

Book Volume: 54

Pages Range: 633-9

Journal Issue: 3

DOI: 10.1111/trf.12304

Abstract

Apheresis platelet concentrates (APCs) are usually stored in citrated plasma at 22°C. The stability of coagulation proteins-von Willebrand factor (vWF), clotting factors (CFs), and their inhibitors-has often been described in association with the storage of thawed plasma. However, fewer data are available regarding changes in APCs.We measured CF activities and inhibitors in APCs on the day of manufacture (Day 0) and on Days 4, 5, and 7. vWF was determined by measuring vWF antigen (vWF:Ag) and vWF ristocetin cofactor (vWF:RCo) and by multimer analysis.Twenty-one PCs obtained by plateletpheresis were studied. Major changes were observed for Factor (F)VIII (37% loss of activity within 4 days), FV (20% within 4 days), and protein S (76% within 4 days). All other CF activities remained higher than 80% over the 7 days. Fibrinogen and the inhibitors antithrombin and protein C remained quite stable. FXI, FXII, and FXIII actually increased during storage (8, 11, and 12% within 4 days). vWF:Ag increased during storage of APCs by 2% per day, with a relative loss of vWF:RCo and high-molecular-weight multimers.Even after 7 days of storage at 22°C, the hemostatic potential of the plasma content in APCs was roughly preserved. The increase in FXII antigen indicates that this CF may also be stored in platelets; however, this has not yet been described.

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How to cite

APA:

Weiss, D.R., Franke, D., Strasser, E.F., Ringwald, J., Zimmermann, R., & Eckstein, R. (2014). von Willebrand factor, clotting factors, and clotting inhibitors in apheresis platelet concentrates. Transfusion, 54(3), 633-9. https://dx.doi.org/10.1111/trf.12304

MLA:

Weiss, Dominik R., et al. "von Willebrand factor, clotting factors, and clotting inhibitors in apheresis platelet concentrates." Transfusion 54.3 (2014): 633-9.

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