Abstract

In North America, red blood cells (RBCs) are cryopreserved in a clinical setting using high glycerol concentrations (40% w/v) with slow cooling rates (~1°C/min) prior to storage at −80°C, while European protocols use reduced glycerol concentrations with rapid freezing rates. After thawing and prior to transfusion, glycerol must be removed to avoid intravascular hemolysis. This is a time consuming process requiring specialized equipment. Small molecule ice recrystallization inhibitors (IRIs) such as β-PMP-Glc and β-pBrPh-Glc have the ability to prevent ice recrystallization, a process that contributes to cellular injury and decreased cell viability after cryopreservation. Herein, we report that addition of 110 mM β-PMP-Glc or 30 mM β-pBrPh-Glc to a 15% glycerol solution increases post-thaw RBC integrity by 30-50% using slow cooling rates and emphasize the potential of small molecule IRIs for the preservation of cells.

Highlights

  • Small Molecule Ice Recrystallization Inhibitors Enable Freezing of Human Red Blood Cells with Reduced Glycerol Concentrations

  • Typical clinical cryopreservation protocols for red blood cells (RBCs) in Canada and the United States rely on using high amounts of glycerol (,40%) combined with a slow freezing rate (1uC/min) to 280uC1,7

  • Deglycerolization must be performed prior to transfusion to ensure intracellular glycerol concentrations are less than 1% to prevent intravascular hemolysis upon transfusion[5,7,8,9]

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Summary

Introduction

Small Molecule Ice Recrystallization Inhibitors Enable Freezing of Human Red Blood Cells with Reduced Glycerol Concentrations. Complicated and time consuming post-thaw deglycerolization procedures are necessary to ensure glycerol concentrations are reduced to less than 1% prior to transfusion to prevent post-transfusion intravascular hemolysis[5,7,8,9]. Current research on improving RBC cryopreservation has focused on a number of different aspects of the cryopreservation protocol in an attempt www.nature.com/scientificreports to overcome the limitations associated with using glycerol as a cryoprotectant Towards this end, other cryoprotectants have been examined including non-penetrating additives such as hydroxyethyl starch (HES), polyvinylpyrrolidone (PVP) and dextran[1,29,30,31,32]. The use of small molecule ice recrystallization inhibitors for the cryopreservation of human RBCs has not been explored

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