Evaluation of a method to fluorescently label platelets for in‐human recovery and survival studies

• Published in: Vox sanguinis Vol. 119; no. 7; pp. 764 - 768
• Main Authors: Feldman, Tamar P., Brown, Bethany L.
• Format: Journal Article
• Language: English
• Published: Oxford, UK Blackwell Publishing Ltd 01.07.2024; S. Karger AG
• Subjects: Biotin; Blood Platelets - cytology; Blood Platelets - metabolism; Calcein; Cell Survival; Dyes; Feasibility studies; Female; Flow cytometry; Flow Cytometry - methods; Fluoresceins; Fluorescent Dyes; Fluorescent indicators; Humans; In vitro methods and tests; In vivo methods and tests; in vivo recovery and survival; Labeling; Labels; Male; Multiplexing; platelet labelling; platelet tracking; Platelet Transfusion - methods; Platelets; Radioisotopes; Radiolabelling; Recovery; Staining and Labeling - methods; Survival; Transfusion; platelet tracking; in vivo recovery and survival; platelet labelling
• ISSN: 0042-9007; 1423-0410; 1423-0410
• DOI: 10.1111/vox.13646

Background and Objectives Platelets for transfusion are evaluated for in vivo quality using recovery and survival measurements in healthy human subjects. Radiolabelling is the standard for tracing platelets post‐transfusion but imposes logistical and technical limitations. This study investigates the in vitro feasibility of labelling platelets with the calcein family of fluorescent dyes as an alternative to radioisotopes or biotin. Materials and Methods Protocols for radiolabelling were adapted for use with calcein acetoxymethyl ester (CAM) and biotin. Labelled platelets were analysed by flow cytometry and evaluated for activation and function. We tested feasibility for labelling without manipulation of platelets and for multiplexing of samples. Results Labelling at 2 μg CAM/1010 platelets resulted in >99% of CAM+ platelets. There was no significant difference in activation or aggregation between CAM‐labelled or biotinylated platelets and vehicle controls although %CD62P+ was significantly lower in platelets that were not processed for labelling. Addition of CAM to the platelet storage bag labelled >95% of platelets. Platelet populations labelled with different dyes could be distinguished by flow cytometry. Conclusion These data provide a rationale for further development of CAM and other fluorescent dyes as tools for measuring post‐transfusion kinetics of platelets.