Donor age contributes more to the rheological properties of stored red blood cells than donor sex and biological age distribution

Abstract: The quality of stored red cell concentrates (RCCs) has been linked to the biological age distribution of red blood cell (RBC) subpopulations. Teenage male RCCs contain higher proportions of biologically old RBCs, with poorer quality. This study sought to assess the contribution of donor se...

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Main Authors: Olga Mykhailova, Mackenzie Brandon-Coatham, Sanaz Hemmatibardehshahi, Mahsa Yazdanbakhsh, Carly Olafson, Qi-Long Yi, Tamir Kanias, Jason P. Acker
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:Blood Advances
Online Access:http://www.sciencedirect.com/science/article/pii/S2473952924006426
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author Olga Mykhailova
Mackenzie Brandon-Coatham
Sanaz Hemmatibardehshahi
Mahsa Yazdanbakhsh
Carly Olafson
Qi-Long Yi
Tamir Kanias
Jason P. Acker
author_facet Olga Mykhailova
Mackenzie Brandon-Coatham
Sanaz Hemmatibardehshahi
Mahsa Yazdanbakhsh
Carly Olafson
Qi-Long Yi
Tamir Kanias
Jason P. Acker
author_sort Olga Mykhailova
collection DOAJ
description Abstract: The quality of stored red cell concentrates (RCCs) has been linked to the biological age distribution of red blood cell (RBC) subpopulations. Teenage male RCCs contain higher proportions of biologically old RBCs, with poorer quality. This study sought to assess the contribution of donor sex and age on the deformability characteristics of RBC subpopulations in stored RCCs. On days 5, 14, 28, and 42 of hypothermic storage, RCCs from healthy teenage male (n = 15), senior male (n = 15), teenage female (n = 15), and senior female (n = 15) donors were biologically age profiled. The deformability of the resulting young RBCs and old RBCs (O-RBCs) was assessed using ektacytometry. Over storage, donor age was the biggest factor influencing the rheology of RBC subpopulations. Teenage male RCCs had the largest reduction in Ohyper (osmolality in the hypertonic region corresponding to 50% of the maximum RBC elongation [EImax]). The strongest correlations between Ohyper and mean corpuscular hemoglobin content (R2 > 0.5) were witnessed with O-RBCs from senior donors, and to a lesser extent with teenage males. Teen O-RBCs, particularly from males, had higher elongation indices, both under isotonic conditions and in the presence of an increasing osmotic gradient. Teen RBCs, regardless of biological age, were discovered to be more rigid (higher shear stress required to reach half the EImax). Donor variation in the age distribution of RBC subpopulations and its downstream effect on deformability serves as further evidence that factors beyond storage could potentially affect RCC quality and transfusion outcomes.
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issn 2473-9529
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spelling doaj-art-4fb91a6e015149aaba04d0550485e4222025-02-12T05:31:36ZengElsevierBlood Advances2473-95292025-02-0194673686Donor age contributes more to the rheological properties of stored red blood cells than donor sex and biological age distributionOlga Mykhailova0Mackenzie Brandon-Coatham1Sanaz Hemmatibardehshahi2Mahsa Yazdanbakhsh3Carly Olafson4Qi-Long Yi5Tamir Kanias6Jason P. Acker7Innovation and Portfolio Management, Canadian Blood Services, Edmonton, AB, CanadaInnovation and Portfolio Management, Canadian Blood Services, Edmonton, AB, CanadaInnovation and Portfolio Management, Canadian Blood Services, Edmonton, AB, Canada; Department of Laboratory Medicine and Pathology, University of Alberta, Edmonton, AB, CanadaInnovation and Portfolio Management, Canadian Blood Services, Edmonton, AB, Canada; Department of Laboratory Medicine and Pathology, University of Alberta, Edmonton, AB, CanadaInnovation and Portfolio Management, Canadian Blood Services, Edmonton, AB, CanadaCanadian Blood Services, Ottawa, ON, CanadaVitalant Research Institute, Denver, CO, USAInnovation and Portfolio Management, Canadian Blood Services, Edmonton, AB, Canada; Department of Laboratory Medicine and Pathology, University of Alberta, Edmonton, AB, Canada; Correspondence: Jason P. Acker, Innovation and Portfolio Management, Canadian Blood Services, 8249-114 St, Edmonton, AB, Canada; T6G 2R8;Abstract: The quality of stored red cell concentrates (RCCs) has been linked to the biological age distribution of red blood cell (RBC) subpopulations. Teenage male RCCs contain higher proportions of biologically old RBCs, with poorer quality. This study sought to assess the contribution of donor sex and age on the deformability characteristics of RBC subpopulations in stored RCCs. On days 5, 14, 28, and 42 of hypothermic storage, RCCs from healthy teenage male (n = 15), senior male (n = 15), teenage female (n = 15), and senior female (n = 15) donors were biologically age profiled. The deformability of the resulting young RBCs and old RBCs (O-RBCs) was assessed using ektacytometry. Over storage, donor age was the biggest factor influencing the rheology of RBC subpopulations. Teenage male RCCs had the largest reduction in Ohyper (osmolality in the hypertonic region corresponding to 50% of the maximum RBC elongation [EImax]). The strongest correlations between Ohyper and mean corpuscular hemoglobin content (R2 > 0.5) were witnessed with O-RBCs from senior donors, and to a lesser extent with teenage males. Teen O-RBCs, particularly from males, had higher elongation indices, both under isotonic conditions and in the presence of an increasing osmotic gradient. Teen RBCs, regardless of biological age, were discovered to be more rigid (higher shear stress required to reach half the EImax). Donor variation in the age distribution of RBC subpopulations and its downstream effect on deformability serves as further evidence that factors beyond storage could potentially affect RCC quality and transfusion outcomes.http://www.sciencedirect.com/science/article/pii/S2473952924006426
spellingShingle Olga Mykhailova
Mackenzie Brandon-Coatham
Sanaz Hemmatibardehshahi
Mahsa Yazdanbakhsh
Carly Olafson
Qi-Long Yi
Tamir Kanias
Jason P. Acker
Donor age contributes more to the rheological properties of stored red blood cells than donor sex and biological age distribution
Blood Advances
title Donor age contributes more to the rheological properties of stored red blood cells than donor sex and biological age distribution
title_full Donor age contributes more to the rheological properties of stored red blood cells than donor sex and biological age distribution
title_fullStr Donor age contributes more to the rheological properties of stored red blood cells than donor sex and biological age distribution
title_full_unstemmed Donor age contributes more to the rheological properties of stored red blood cells than donor sex and biological age distribution
title_short Donor age contributes more to the rheological properties of stored red blood cells than donor sex and biological age distribution
title_sort donor age contributes more to the rheological properties of stored red blood cells than donor sex and biological age distribution
url http://www.sciencedirect.com/science/article/pii/S2473952924006426
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