Changes of blood oxygen affinity in different CPD solutions during liquid storage

Transfusion. 1981 Nov-Dec;21(6):709-14. doi: 10.1046/j.1537-2995.1981.21682085761.x.

Abstract

Soft and hard-packed red blood cells in four different CPD anticoagulant-preservative solutions were stored with and without added glucose, adenine, and electrolytes. The hemoglobin-oxygen affinity of the red blood cell concentrates was tested over a six-week storage period. No single solution conferred better protection than any other against an expected increase in oxygen affinity due to loss of 2,3-DPG during storage. In all solutions, P50 at pH 7.4 decreased linearly when measured in a physiological system using CO2. After six weeks' storage at 4 C, the normal oxygen-binding properties of red blood cells could be restored in all instances following incubation for one hour in a rejuvenation solution. By contrast, red blood cell ATP levels were highest when resuspending solutions contained adenine and added glucose, but did not significantly compensate the allosteric role of 2,3-DPG in regulating oxygen affinity when the latter became depleted.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • 2,3-Diphosphoglycerate
  • Adenosine Triphosphate / pharmacology
  • Anticoagulants / pharmacology*
  • Blood Preservation*
  • Citrates / pharmacology*
  • Diphosphoglyceric Acids / blood
  • Erythrocytes / metabolism
  • Glucose / pharmacology*
  • Humans
  • Hydrogen-Ion Concentration
  • Oxygen / blood*
  • Solutions
  • Time Factors

Substances

  • Anticoagulants
  • Citrates
  • Diphosphoglyceric Acids
  • Solutions
  • 2,3-Diphosphoglycerate
  • citrate phosphate dextrose
  • Adenosine Triphosphate
  • Glucose
  • Oxygen