Evidence map›Paper›PMID 34974917›Full record

ArticleSurgery2022

Improving packed red blood cell storage with a high-viscosity buffered storage solution.

Kasiemobi E Pulliam, Bernadin Joseph, Amy T Makley, Charles C Caldwell, Alex B Lentsch, Michael D Goodman, Timothy A Pritts

Open access · greenAbstract read
In one paragraph

Article in Surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.5field-weighted citation impact, top 43% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 7 citations in OpenAlex.

  1. The resurgence of whole blood transfusion: Evaluating microcirculatory evidence in hemorrhagic trauma care: A review.Transfusion and apheresis science : official journal of the World Apheresis Association : official journal of the European Society for Haemapheresis · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Kasiemobi E PulliamFrom the Section of General Surgery, Department of Surgery, University of Cincinnati, OH.
Bernadin JosephFrom the Section of General Surgery, Department of Surgery, University of Cincinnati, OH.
Amy T MakleyFrom the Section of General Surgery, Department of Surgery, University of Cincinnati, OH.
Charles C CaldwellFrom the Section of General Surgery, Department of Surgery, University of Cincinnati, OH.
Alex B LentschFrom the Section of General Surgery, Department of Surgery, University of Cincinnati, OH.
Michael D GoodmanFrom the Section of General Surgery, Department of Surgery, University of Cincinnati, OH.
Timothy A PrittsFrom the Section of General Surgery, Department of Surgery, University of Cincinnati, OH. Electronic address: prittsta@ucmail.uc.edu.
University of Cincinnati · US

Funding

HOST RESPONSE TO TRAUMA RESEARCH TRAINING PROGRAMT32GM008478 · NIGMS · UNIVERSITY OF CINCINNATI · PI TIMOTHY A PRITTS, BASILIA ZINGARELLI · 1993 to 2026
$6.7M
Red blood cell microparticles and lung inflammation after hemorrhage and resuscitationR01GM107625 · NIGMS · UNIVERSITY OF CINCINNATI · PI PRITTS, TIMOTHY A · 2014 to 2022
$3.0M
Role of acid sphingomyelinase in the modulation of coagulation after traumatic brain injuryR01GM124156 · NIGMS · UNIVERSITY OF CINCINNATI · PI GOODMAN, MICHAEL · 2018 to 2022
$1.5M
Effect of stored blood on sphingosine-1-phosphate mediated vascular barrier integrityK08GM126316 · NIGMS · UNIVERSITY OF CINCINNATI · PI MAKLEY, AMY T · 2018 to 2021
$794k
NIGMS NIH HHS K08 GM126316NIGMS NIH HHS R01 GM107625NIGMS NIH HHS R01 GM124156NIGMS NIH HHS T32 GM008478
6 · The paper itself

Abstract

backgroundMassive transfusion with older packed red blood cells is associated with increased morbidity and mortality. As packed red blood cells age, they undergo biochemical and structural changes known as the storage lesion. We developed a novel solution to increase viscosity in stored packed red blood cells. We hypothesized that packed red blood cell storage in this solution would blunt storage lesion formation and mitigate the inflammatory response after resuscitation.

methodsBlood was obtained from 8- to 10-week-old C57BL/6 male donor mice or human volunteers and stored as packed red blood cell units for 14 days for mice or 42 days for humans in either standard AS-3 storage solution or EAS-1587, the novel packed red blood cell storage solution. Packed red blood cells were analyzed for microvesicles, cell-free hemoglobin, phosphatidylserine, band-3 protein, glucose utilization, and osmotic fragility. Additional mice underwent hemorrhage and resuscitation with packed red blood cells stored in either AS-3 or EAS-1587. Serum was analyzed for inflammatory markers.

resultsMurine packed red blood cells stored in EAS-1587 demonstrated reductions in microvesicle and cell-free hemoglobin accumulation as well as preserved band-3 expression, increase glucose utilization, reductions in phosphatidylserine expression, and susceptibility to osmotic stress. Serum from mice resuscitated with packed red blood cells stored in EAS-1587 demonstrated reduced proinflammatory cytokines. Human packed red blood cells demonstrated a reduction in microvesicle and cell-free hemoglobin as well as an increase in glucose utilization.

conclusionStorage of packed red blood cells in a novel storage solution mitigated many aspects of the red blood cell storage lesion as well as the inflammatory response to resuscitation after hemorrhage. This modified storage solution may lead to improvement of packed red blood cell storage and reduce harm after massive transfusion.

Indexed as

AdenineBlood PreservationCitratesErythrocytesGlucoseOrgan Preservation SolutionsPhosphatesSodium ChlorideAnimalsBuffersDisease Models, AnimalHumansMaleMiceMice, Inbred C57BLShock, HemorrhagicAdenineAS-3 preservative solutionBuffersCitratesGlucoseOrgan Preservation SolutionsPhosphatesSodium Chloride

Identifiers

PMID34974917
PMCPMC8887606
OpenAlexW4205780449

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.