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Depo kanlarına ilave edilen yüksek doz vitamin C'nin eritrosit parametreleri üzerine etkisi

The effect of high dose of vitamin C added to stored blood on erythrocyte parameters

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Abstract (2. Language): 
All blood components are affected by storage of blood. Oxidant - antioxidant balance is also affected. In this study the changes of erythrocyte parameters occurred during the storage and protective effect of high dose of vitamin C added to stored blood were investigated. For this purpose, the whole bloods were taken from ten donor (five donor control group and five donor study group). High dose of vitamin C (10 mmol/L) was added to the blood bags of study group, and Red Blood Cells (RBC) and Mean Corpuscular Volume (MCV) were determined from stored blood. Plasma Thiobarbituric Acid Reactive Substance (TBARS), an indicator of lipid peroxidation, and Antioxidant Defense Potential (AOP) were studied to evaluate oxidant - antioxidant balance. Plasma K+ level and Lactate Dehydrogenase (LDH) activity were studied to determine erythrocyte hemolysis. Measurements were done at the day 0, 1, 3, 5, 7, 10, 14, 21, 28, and 35 of the storage. Depending on time, while TBARS, K+ and LDH increasing AOP decreased in both control and study groups. TBARS was lower in study group than control group whereas AOP was higher in study group than control group. The increase in K+ and LDH depending on storage time was lesser in study group than control group. Although RBC decreased in both groups, the decrease in study group was lesser than control group. MCV increased in control group depending on time though there was no significant change in study group. Consequently, it can be suggested that high dose of vitamin C given to the stored blood can improve the viability and longevity of red cells by reducing cell damage caused by free radicals.
Abstract (Original Language): 
Tüm kan komponentieri kanın depolanmasından etkilenirler. Oksidan - antioksidan denge de aynı zamanda etkilenir. Bu çalışmada, kanların depolanması süresince eritrosit parametrelerinde oluşan değişiklikler ve depo kanlarına eklenen yüksek doz vitamin C 'nin koruyucu etkileri araştırıldı. Bu amaçla, beşi kontrol ve beşi çalışma olmak üzere on donörden tam kan alındı. Çalışma grubundaki kan torbalarına yüksek doz vitamin C (10 mmol/L) eklendi. Kan torbalardan Red Blood Cells (RBC) ve Mean Corpuscular Volume (MCV) sayımları yapıldı. Plazmada oksidan - antioksidan dengeyi değerlendirmek için lipid peroksidasyonunun bir göstergesi olan Thiobarbituric Acid Reactive Substance (TBARS), ve Antioksidan Potansiyel (AOP) çalışıldı. Eritrosit hemolizini değerlendirmek için plazma K+ düzeyi ve Laktat Dehidrojenaz (LDH) aktivitesi çalışıldı. Ölçümler depolanmanın 0, 1, 3, 5, 7, 10, 14, 21, 28, ve 35. günlerinde yapıldı. Depolanma süresine bağlı olarak her iki grupta TBARS, K+ ve LDH artarken AOP azaldı. Çalışma grubunda kontrol grubuna göre TBARS daha düşük iken AOP daha yüksekti. K+ ve LDH'daki depolanma süresine bağlı artma çalışma grubunda kontrol grubuna göre daha düşüktü. RBC zamana bağlı olarak her iki grupta da azalırken, çalışma grubunda kontrol grubuna göre azalma daha azdı. Kontrol grubunda MCV de zamana bağlı bir artış varken çalışma grubunda anlamlı bir artış olmadı. Sonuç olarak, depo kanlarına yüksek konsantrasyonda vitamin C ilave edilmesinin, serbest radikallerin neden olduğu hücre hasarını azaltarak eritrositlerin yaşam kabiliyetini ve süresini artırabileceği kanısına vardık.
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REFERENCES

References: 

1- Gibson JG, Evans RD, Aub JC, Sack T, Peacock WC. The post-transfusion survival of preserved human erythrocytes stored as whole blood, or in resuspension, after removal of plasma, by means of two isotopes of radioactive iron. J Clin Invest 1947; 26: 7J5-738.
2- Ross JF, Finch CA, Peacock WE, Sammons MC. The in vitro preservation and post-transfusion survival of stored blood. J Clin Invest 1947; 26: 687-703.
3- Brecher ME, Zylstra-H oiling VW, Pineda A A. Rejuvenation of erythrocytes preserved with AS-1 andAS-3. Am J Clin Pathol 1991; 96: 767-769.
4- Valeri CR, Valeri DA, Gray A, Melaragno A, Dennis RC, Emerson CP. Viability and function of red blood cell concentrations stored at 4°C for 35 days in CPDA-1, CPDA-2, or CPDA-3. Transfusion 1982; 22: 210-216.
5- Aslan R, Sekeroglu MR, Tarakcioglu M, Koylu H. Investigation of malondialdehyde formation and antioxidant enzyme activity in stored blood. Haematologia 1997; 28: 233-237.
6- Knight J A, Voorhees RP, Martin L, Anstall H. The effect of metal chelators on lipid peroxidation in irradiated erythrocytes. Ann Clin Lab Sci 1992; 22; 417-422.
7- Lachant NA, Noble NA, Myrhe BA, Tanaka KR. Antioxidant metabolism during blood storage and its relationship to posttransfusion red cell survival. Am JHematol 1984; 17: 237-249.
8- Lee DM. Malondialdehyde formation in stored plasma. Biochem Biophys Res Commun 1980; 95: 1663-1672.
9- Draper HH, Hadley M. Malondialdehyde determination as index of lipid peroxidation. Methods Enzymol 1990; 186: 421-431.
10- Durak I, Karabacak HI, Buyukkocak S, Cimen MYB, Kaçmaz M, Omeroglu E, Ozturk HS. Impaired antioxidant defence system in the kidney tissues from rabbits treated with cyclosporine. Nephron 1998; 78: 207-211.
11- Chiu D, Lubin B, Shohet SB. Peroxidative reactions in red cell biology. In Pryor W: Free Radicals in Biology (vol 5). San Diego, Academic, 1982, 115-160.
12- Chiu DTY, Claster S. Measurement of red cell membrane oxidation and the generation of oxidative intermediates, in Shohet SB, Mohandes N: Red Cell Membrane. Livingston, Saunders, 1988, 203-236.
13- Carrel RW, Winterbourn CC, Rachmilewitz EA. Activated oxygen and hemolysis. Br J Haematol 1975; 30: 259-264.
14- Biaber B, Curnett JT, Kipnes RS. Biologic defense mechanisms. Evidence for the participation of superoxide in bacterial killing by xanthine oxidase. J Lab Clin Med 1977; 85: 235-244.
15- Jain SK, Shohet SB. A novel phospholipid in irrversibly sickled cells: Evidence for in vivo peroxidative membrane damage in sickle cell disease. Blood 1984; 63: 363-367.
16- Salin ML, McCord JM. Free radicals and inflammation. Protection of phagocytosing leukocytes by superoxide dismutase. J Clin Invest 1975; 56: 1319¬1323.
17- Weiss SJ, Young J, LoBuglio AF, Slivka A, Nimeh NF. Role of hydrogen peroxide in neutrophil-mediated destruction of cultured endothelial cells. J Clin Invest 1981; 68: 714-21.
18- Weiss SJ. The role of superoxide in the destruction of erythrocyte targets by human neutrophils. J Biol Chem 1980; 255: 9912-9917.
19- Claster S, Chiu DTY, Quintanilha A. Neutrophils mediated lipid peroxidation in human red cells. Blood 1984; 64: 1079-1084.
20- Claster S, Quintanilha A, Schott MA. Neutrophil-induced K1 leak in human red cells: A potential mechanism for infection-mediated hemolysis. J Lab Clin Med 1987; 109: 201-210.
21- Frei B, England L, Ames BN. Ascorbate is an outstanding antioxidant in human blood plasma. Proc Natl Acad Sci USA 1989; 86: 6377-6381.
22- Frei, B, Stocker R, Ames BN. Antioxidant defenses and lipid peroxidation in human blood plasma. Proc Natl Acad Sci USA 1988; 85: 9748-9752.
23- Stocks J, Dormandy TL. The autooxidation of human red cell lipids induced by hydrogen peroxide. Br J Haematol, 1971; 20: 95-111.
24- Knight JA, Blaylock RC, Searles DA. The effect of vitamins C and E on lipid peroxidation in stored erythrocytes. Ann Clin Lab Sci 1993; 23: 51-56.
25- Regnault C, Postaire ER, Rousset GJ, Bejot M, Hazebroucq GF. Influence of beta carotene, vitamin E, and vitamin C on endogenous antioxidant defenses in erythrocytes. Ann Pharmacother 1993; 27: 1349-50.
26- Stadtman E. Ascorbic acid and oxidative inactivaiion of proteins. AmJClinNutr 1991; 54:1125S-1128S.
27- Samakyozyn VM, Aust SD. Role of iron in lipid peroxidation. In: Hayaishi O, Niki E, Kondo M, Yoshikawa T, Medical, biochemical and chemical aspects of free radicals. Amsterdam, Elsevier, 1988; 41-8.
28- Vincent TE, Mendir atta S, May JM. Inhibition of aldose reductase in human erythrocytes by vitamin C. Diabetes Res Clin Pract 1999; 43: 1-8.
SDÜ Tıp Fakültesi Dergisi 2000; 7 (2)
41
Vitamin C'nin eritrosit parametrelerine etkisi / Gültekin, Akdoğan, Tunç, Kılınç, Sütçü
29- JialaI
I
, Vega Gl, Grundy SM. Physiologic levels of ascorbate inhibit the oxidative modification of low density lipoprotein. Atherosclerosis 1990; 82: 185-191.
30- Banhegyi G, Braun L, Csala M, Puskas F, Mandl J. Ascorbate metabolism and its regulation in animals. Free Rad Biol Med 1997; 23:793-803.

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