Effects of blood donation frequencies and types of blood donors on storage lessions as assessed by the level of antioxidants and lipid peroxidation

Abstract

Introduction: Influence of Blood storage lesions on Red Blood Cells transfusion recovery and therapeutic efficacies have been well documented. Several stabilizing additives to counteract or minimize these untoward changes have been formulated. Despite these stabilizers, detectable hemolysis occurs in the blood stored in the blood bank hence, need for search on other contributing factors. Assessment of the effects of Blood Donation Frequencies and Types of Blood Donors on Storage Lesions as Assessed by the Level of Antioxidants and Lipid Peroxidation.

Materials and Methods: Ethically approved cross sectional experimental research on a total numbers of 120 recruited male of family replacement donors (n=30) and Remunerated donors (n=90). Remunerated donors were grouped into three (3) based on the frequency of donation per year as mild (n=30), moderate (n=30) and high frequency (n=30) donors. Four hundred and fifty milliliters (450 ml) of blood drawn from each donor into double blood bag containing CPDA-1 anticoagulant. 100 ml of well mixed blood was transferred into the satellite bag, detached and stored in the blood bank at 2-6 C for 35 days. The blood samples analyzed for MDA, TAP, URIC, and GSH at 0, 7, 14, 21, 28 and 35 days of storage.

Results: In the recruited donors, majority were above 40 years of age where family donors had secondary education, government employed; feed majorly on carbohydrate, none alcohol drinkers, none cigarette smokers with history of donating more than four years before the study and less than four times donation frequency per year. Remunerated blood donors had primary education, self-employed, moderate alcohol drinkers and moderate cigarette smokers donating more than four times a year and more than four years donation experience. In this study, the GPX, TAP and Uric acids for family were higher than remunerated at baseline and the values decrease across the week for both categories. MDA value for family was lower than remunerated donors at baseline and the values increase across the week for both categories.

Discussion: The current findings demonstrate evidences significant level of literacy and moderately balanced diet in all categories of donors but bad social life predominantly among remunerated donors. Also, an unacceptably low activity of antioxidants, high oxidative stress and high lipid peroxidation in high frequency blood donors. Conversely, family replacement donors in this study revealed evidence of increase activity of antioxidants, decrease oxidative stress and decrease lipid peroxidation.

Conclusion: This study established variation in oxidant and antioxidants levels in whole blood stored up to 5 weeks influenced by Blood Donation Frequencies and Types of Blood Donors on Storage Lesions.