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From the Temple University School of Medicine, The Sol Sherry
Thrombosis Research Center, Philadelphia, PA; and Scientific and
Laboratory Services, Pall Corp, Port Washington, NY.
When blood (plasma) contacts certain foreign surfaces, factor XII
can activate and trigger a series of reactions leading to cleavage of
kininogens with subsequent release of bradykinin. In this study, we
investigated two different widely used leukocyte removal filters, Pall
PXL8K (A) and Asahi PLS-5A (B), to test whether clinically significant
contact activation occurred during leukodepletion of platelet-rich
plasma (PRP). Kininogens were measured by particle concentration
fluorescence immunoassay (PCFIA), which can detect cleavage of high and
low molecular weight kininogens (HK and LK), the parent molecules of
bradykinin, to determine if contact activation had occurred. A slight,
nonsignificant decrease in HK and LK was observed with filter A after
the first 5 mL was filtered that returned to prefiltration levels by
the end of the filtration. Specific TotK (the combined measurement of
HK and LK heavy chains divided by plasma protein concentration) showed a small, significant decrease with filter A after the first 5 mL of
platelet concentrates was filtered that returned to prefiltration levels by the end of the filtration. There were no significant increases or decreases in the cleaved kininogen index (CKI), an index
of HK proteolytic activation or HK and LK destruction (with release of
bradykinin). These data suggest that small amounts of both HK and LK
initially adsorb to filter A and then desorb, primarily intact. These
data also indicate that no significant contact activation, as measured
by PCFIA, occurs during leukodepletion of platelet concentrates with
either filter A or B.
Blood, Vol. 92 No. 2 (July 15), 1998:
pp. 616-622
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