ERYTHROCYTE PRESERVATION. V. RELATIONSHIP BETWEEN CHEMICAL CHANGES AND VIABILITY OF STORED BLOOD TREATED WITH ADENOSINE 1

Abstract
Reversal of storage lesion with adenosine was demonstrated in rabbit and human blood stored at 4[degree]C in ACD and was characterized by in vitro changes and by the effect on post-transfusion survival. Incubation of 3-week stored blood with adenosine for 1 hour at 37[degree]C resulted in the regeneration of organic phosphates, improvement in osmotic fragility, and increase in intracellular K. Changes were sustained for a subsequent 3-week interval at refrigeration temperature. There was an associated improvement in post-transfusion viability of adenosine-treated cells over the second 3-week period as compared with control ACD blood. Evidence seems to indicate that diminished energy potential of the cell is a primary factor in deterioration of the erythrocyte under these conditions of storage.

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