Stability of coagulation proteins in frozen plasma

Stability of coagulation proteins in frozen plasma
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DOI:
10.1097/00001721-200106000-00002
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发表时间:
2001-06-01
影响因子:
1.1
通讯作者:
Gourmelin, Y
Gourmelin, Y
中科院分区:
医学4区
文献类型:
--
作者:
Woodhams, B;Girardot, O;Gourmelin, Y

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本研究报告了正常柠檬酸血浆中所有常用凝血蛋白的冷冻稳定性:活化部分凝血活酶时间、凝血酶原时间(%)、凝血酶时间和纤维蛋白原(Clauss);因子II、V、VII、VIII、IX、X、XI和XII的凝血试验;蛋白C(凝血)、蛋白S(凝血)、抗凝血酶(显色)和纤溶酶原(显色)的功能测定;血管性血友病因子和d -二聚体的免疫学检测。如果在零下24度或更低的温度下冷冻,所有这些因素都可以稳定保存3个月。在零下74度时,所有这些因素(允许10%的变化)至少稳定18个月,大多数稳定24个月。储存6个月后,蛋白质的数量在基线上显示出0.5%的变化,这表明即使在-74度的温度下也会发生一些腐烂。在-74度快速冷冻,然后在-24度储存,与在-24度冷冻和储存相比,没有明显的优势;因此,冻结过程本身并不对稳定性的丧失负责。当小样本(1ml)储存在死区最小的螺旋盖管中时,稳定性最好,特别是在-24度时。凝血蛋白稳定性的降低与温度和时间的影响直接相关。(C) 2001 Lippincott Williams & Wilkins。
This study reports on the frozen stability of all commonly measured coagulation proteins in normal citrated plasma: activated partial thromboplastin time, prothrombin time (%), thrombin time and fibrinogen (Clauss); clotting assays for factors II, V, VII, VIII, IX, X, XI and XII; functional assays for protein C (clotting), protein S (clotting), antithrombin (chromogenic) and plasminogen (chromogenic); and immunological assays for von Willebrand factor and D-dimer. All these factors listed are stable for up to 3 months if frozen at -24 degreesC or lower. At -74 degreesC, all these factors (allowing for 10% variation) were stable for at least 18 months, most were stable for 24 months. The number of proteins showing > 5% variation over baseline after 6 months storage indicates that some decay does occur even at -74 degreesC. There was no clear advantage in snap freezing at -74 degreesC and then storing at -24 degreesC over both freezing and storing at -24 degreesC; therefore, the freezing process itself is not responsible for the loss of stability. The best stability, especially at -24 degreesC, was obtained when small samples (1 ml) were stored in screw-cap tubes with a minimum dead space. The decrease in stability of the coagulation proteins directly correlates with the effect of temperature and time. (C) 2001 Lippincott Williams & Wilkins.