In vitro platelet production for transfusion purposes: Where are we now?

被引:9
作者
Martinez-Botia, Patricia [1 ,2 ]
Acebes-Huerta, Andrea [1 ]
Seghatchian, Jerard [3 ]
Gutierrez, Laura [1 ,2 ]
机构
[1] Inst Invest Sanitaria Principado Asturias ISPA, Platelet Res Lab, Oviedo, Spain
[2] Univ Oviedo, Dept Med, Oviedo, Spain
[3] Int Consultancy Strateg Advices Safety Improvemen, London, England
关键词
Platelet transfusion; Megakaryocyte differentiation; In vitro PLT culture; Primary culture development; Cell reprogramming; PLURIPOTENT STEM-CELLS; EX-VIVO EXPANSION; BONE-MARROW; CORD BLOOD; HUMAN MEGAKARYOCYTES; HUMAN FIBROBLASTS; PERIPHERAL-BLOOD; GENERATION; DIFFERENTIATION; MICE;
D O I
10.1016/j.transci.2020.102864
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Over the last decade there has been a worldwide increase in the demand of platelet concentrates (PCs) for transfusion. This is, to a great extent, due to a growing and aging population with the concomitant increase in the incidence of onco-hematological diseases, which require frequent platelet (PLT) transfusions. Currently, PLTs are sourced uniquely from donations, and their storage time is limited only to a few days. The necessity to store PCs at room temperature (to minimize loss of PLT functional integrity), poses a major risk for bacterial contamination. While the implementation of pathogen reduction treatments (PRTs) and new-generation PLT additive solutions have allowed the extension of the shelf life and a safer PLT transfusion product, the concern of PCs shortage still pressures the scientific community to find alternative solutions with the aim of meeting the PLT transfusion increasing demand. In this concise report, we will focus on the efforts made to produce, in in vitro culture, high yields of viable and functional PLTs for transfusion purposes in a cost-effective manner, meeting not only current Good Manufacturing Practices (cGMPs), but also transfusion safety standards.
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页数:4
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