Divalent magnesium restores cytoskeletal storage lesions in cold-stored platelet concentrates

Abstract Cold storage of platelet concentrates (PC) has become attractive due to the reduced risk of bacterial proliferation, but in vivo circulation time of cold-stored platelets is reduced. Ca2+ release from storage organelles and higher activity of Ca2+ pumps at temperatures < 15 °C triggers c...

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Main Authors: Konstanze Aurich, Jan Wesche, Martin Ulbricht, Oliver Otto, Andreas Greinacher, Raghavendra Palankar
Format: Article
Language:English
Published: Nature Portfolio 2022-04-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-10231-x
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author Konstanze Aurich
Jan Wesche
Martin Ulbricht
Oliver Otto
Andreas Greinacher
Raghavendra Palankar
author_facet Konstanze Aurich
Jan Wesche
Martin Ulbricht
Oliver Otto
Andreas Greinacher
Raghavendra Palankar
author_sort Konstanze Aurich
collection DOAJ
description Abstract Cold storage of platelet concentrates (PC) has become attractive due to the reduced risk of bacterial proliferation, but in vivo circulation time of cold-stored platelets is reduced. Ca2+ release from storage organelles and higher activity of Ca2+ pumps at temperatures < 15 °C triggers cytoskeleton changes. This is suppressed by Mg2+ addition, avoiding a shift in Ca2+ hemostasis and cytoskeletal alterations. We report on the impact of 2–10 mM Mg2+ on cytoskeleton alterations of platelets from PC stored at room temperature (RT) or 4 °C in additive solution (PAS), 30% plasma. Deformation of platelets was assessed by real-time deformability cytometry (RT-DC), a method for biomechanical cell characterization. Deformation was strongly affected by storage at 4 °C and preserved by Mg2+ addition ≥ 4 mM Mg2+ (mean ± SD of median deformation 4 °C vs. 4 °C + 10 mM Mg2+ 0.073 ± 0.021 vs. 0.118 ± 0.023, p < 0.01; n = 6, day 7). These results were confirmed by immunofluorescence microscopy, showing that Mg2+  ≥ 4 mM prevents 4 °C storage induced cytoskeletal structure lesion. Standard in vitro platelet function tests showed minor differences between RT and cold-stored platelets. Hypotonic shock response was not significantly different between RT stored (56.38 ± 29.36%) and cold-stored platelets with (55.22 ± 11.16%) or without magnesium (45.65 ± 11.59%; p = 0.042, all n = 6, day 1). CD62P expression and platelet aggregation response were similar between RT and 4 °C stored platelets, with minor changes in the presence of higher Mg2+ concentrations. In conclusion, increasing Mg2+ up to 10 mM in PAS counteracts 4 °C storage lesions in platelets, maintains platelet cytoskeletal integrity and biomechanical properties comparable to RT stored platelets.
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spelling doaj.art-1a137f41e5554d4eaafe150da5d0d5d52022-12-22T00:10:17ZengNature PortfolioScientific Reports2045-23222022-04-011211910.1038/s41598-022-10231-xDivalent magnesium restores cytoskeletal storage lesions in cold-stored platelet concentratesKonstanze Aurich0Jan Wesche1Martin Ulbricht2Oliver Otto3Andreas Greinacher4Raghavendra Palankar5Institut für Transfusionsmedizin, Universitätsmedizin GreifswaldInstitut für Transfusionsmedizin, Universitätsmedizin GreifswaldInstitut für Transfusionsmedizin, Universitätsmedizin GreifswaldZentrum Für Innovationskompetenz: Humorale Immunreaktionen Bei Kardiovaskulären Erkrankungen, Universität GreifswaldInstitut für Transfusionsmedizin, Universitätsmedizin GreifswaldInstitut für Transfusionsmedizin, Universitätsmedizin GreifswaldAbstract Cold storage of platelet concentrates (PC) has become attractive due to the reduced risk of bacterial proliferation, but in vivo circulation time of cold-stored platelets is reduced. Ca2+ release from storage organelles and higher activity of Ca2+ pumps at temperatures < 15 °C triggers cytoskeleton changes. This is suppressed by Mg2+ addition, avoiding a shift in Ca2+ hemostasis and cytoskeletal alterations. We report on the impact of 2–10 mM Mg2+ on cytoskeleton alterations of platelets from PC stored at room temperature (RT) or 4 °C in additive solution (PAS), 30% plasma. Deformation of platelets was assessed by real-time deformability cytometry (RT-DC), a method for biomechanical cell characterization. Deformation was strongly affected by storage at 4 °C and preserved by Mg2+ addition ≥ 4 mM Mg2+ (mean ± SD of median deformation 4 °C vs. 4 °C + 10 mM Mg2+ 0.073 ± 0.021 vs. 0.118 ± 0.023, p < 0.01; n = 6, day 7). These results were confirmed by immunofluorescence microscopy, showing that Mg2+  ≥ 4 mM prevents 4 °C storage induced cytoskeletal structure lesion. Standard in vitro platelet function tests showed minor differences between RT and cold-stored platelets. Hypotonic shock response was not significantly different between RT stored (56.38 ± 29.36%) and cold-stored platelets with (55.22 ± 11.16%) or without magnesium (45.65 ± 11.59%; p = 0.042, all n = 6, day 1). CD62P expression and platelet aggregation response were similar between RT and 4 °C stored platelets, with minor changes in the presence of higher Mg2+ concentrations. In conclusion, increasing Mg2+ up to 10 mM in PAS counteracts 4 °C storage lesions in platelets, maintains platelet cytoskeletal integrity and biomechanical properties comparable to RT stored platelets.https://doi.org/10.1038/s41598-022-10231-x
spellingShingle Konstanze Aurich
Jan Wesche
Martin Ulbricht
Oliver Otto
Andreas Greinacher
Raghavendra Palankar
Divalent magnesium restores cytoskeletal storage lesions in cold-stored platelet concentrates
Scientific Reports
title Divalent magnesium restores cytoskeletal storage lesions in cold-stored platelet concentrates
title_full Divalent magnesium restores cytoskeletal storage lesions in cold-stored platelet concentrates
title_fullStr Divalent magnesium restores cytoskeletal storage lesions in cold-stored platelet concentrates
title_full_unstemmed Divalent magnesium restores cytoskeletal storage lesions in cold-stored platelet concentrates
title_short Divalent magnesium restores cytoskeletal storage lesions in cold-stored platelet concentrates
title_sort divalent magnesium restores cytoskeletal storage lesions in cold stored platelet concentrates
url https://doi.org/10.1038/s41598-022-10231-x
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