Evidence map›Paper›PMID 23901933›Full record

ArticleTransfusion2014

Microhemodynamic aberrations created by transfusion of stored blood.

Ozlem Yalcin, Daniel Ortiz, Amy G Tsai, Paul C Johnson, Pedro Cabrales

Abstract read
In one paragraph

Article in Transfusion, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed.

  1. Trial
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  14. Red blood cell storage lesion: causes and potential clinical consequences.Blood transfusion = Trasfusione del sangue · 2019
    Review
  15. Article
  16. Article
  17. Article
  18. Rat red blood cell storage lesions in various additive solutions.Clinical hemorheology and microcirculation · 2017
    Article
  19. Blood storage alters mechanical stress responses of erythrocytes.Clinical hemorheology and microcirculation · 2017
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ozlem YalcinDepartment of Bioengineering, University of California San Diego, La Jolla, California.
Daniel Ortiz
Amy G Tsai
Paul C Johnson
Pedro Cabrales

Funding

New Paradigms in the Design of Blood SubstitutesP01HL071064 · NHLBI · YESHIVA UNIVERSITY · PI PEISACH, JACK · 2002 to 2006
$11.8M
Recombinant HbAp Production for In Vivo Toxicity StudiesP01HL110900 · NHLBI · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI FRIEDMAN, JOEL M · 2012 to 2016
$10.6M
Bioengineering Design of Artificial BloodR01HL064395 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI INTAGLIETTA, MARCOS · 2007 to 2011
$3.6M
BLOOD FLOW AND RHEOLOGY IN THE VENOUS MICROCIRCULATIONR01HL052684 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI CABRALES, PEDRO · 1996 to 2011
$3.3M
TRANSFUSION TRIGGER EXTENSION BY PLASMA EXPANDERSR01HL062354 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI INTAGLIETTA, MARCOS · 2000 to 2009
$2.9M
FUNCTIONAL ASPECTS OF OXYGEN DELIVERYR01HL062318 · NHLBI · UNIVERSITY OF CALIFORNIA SAN DIEGO · PI INTAGLIETTA, MARCOS · 2001 to 2004
$1.5M
NHLBI NIH HHS P01 HL071064NHLBI NIH HHS P01 HL110900NHLBI NIH HHS R01 HL052684NHLBI NIH HHS R01 HL062318NHLBI NIH HHS R01 HL062354NHLBI NIH HHS R01 HL064395NHLBI NIH HHS R01 HL52684
6 · The paper itself

Abstract

backgroundHuman red blood cells (RBCs) can be stored for up to 42 days under controlled conditions. Physical and chemical changes occur during RBC storage, altering their function. This study links stored cell mechanical changes with hemodynamic functional alterations upon transfusion. STUDY DESIGN AND

methodsMechanical properties of fresh and stored RBCs were evaluated in vitro. Their transfusion effects were evaluated in vivo using intravital microscopy of the rat's cremaster muscle preparation. Rats were hemodiluted to 30% hematocrit, to mimic an anemic state before transfusion, and then exchange-transfused with fresh or stored cells.

resultsIn vitro studies on rheology and oxygen affinity of stored cells confirmed previously published results. Storage was found to modify static and dynamic RBC mechanic behavior. After transfusion, systemic hemodynamics were similar for fresh and stored cells; however, microvascular hemodynamics were drastically affected by stored cells. Stored cells reduced blood flow and oxygen delivery. Additionally, the presence of stored cells in circulation affected cell-to-cell and cell-to-wall interactions and affected cell hydrodynamics. Stored cells disrupted the RBC cell-free layer and wall shear stress signals.

conclusionThe reduced cell deformability due to RBC "storage lesions" caused pathologic changes in microvascular hemodynamics, endothelial cell mechanotransduction, and RBC dynamics. Thus, the mechanical changes of blood-banked cells can limit transfusion ability to achieve its intended goal.

Indexed as

Transfusion ReactionAnimalsBlood PreservationCells, CulturedElastic ModulusErythrocyte DeformabilityHemodynamicsHumansMicrocirculationOxygenRatsRats, Sprague-DawleyShear StrengthVascular DiseasesOxygen

Identifiers

PMID23901933
PMCPMC4105299

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.