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      Frozen fresh blood plasma preserves the functionality of native human α 2-macroglobulin

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          Abstract

          Human α 2-macroglobulin (hα 2M) is a large homotetrameric protein involved in the broad inhibition of endopeptidases. Following cleavage within a bait region, hα 2M undergoes stepwise transitions from its native, expanded, highly flexible, active conformation to an induced, compact, triggered conformation. As a consequence, the peptidase is entrapped by an irreversible Venus flytrap mechanism. Given the importance of hα 2M, biochemical studies galore over more than seven decades have attempted to ascertain its role, typically using authentic hα 2M purified from frozen and non-frozen fresh blood plasma, and even outdated plasma. However, hα 2M is sensitive once isolated and purified, and becomes heterogeneous during storage and/or freezing, raising concerns about the functional competence of frozen plasma-derived hα 2M. We therefore used a combination of native and sodium dodecylsulfate polyacrylamide gel electrophoresis, affinity and ion-exchange chromatography, multi-angle laser light scattering after size-exclusion chromatography, free cysteine quantification, and peptidase inhibition assays with endopeptidases of two catalytic classes and three protein substrates, to characterize the biochemical and biophysical properties of hα 2M purified ad hoc either from fresh plasma or frozen fresh plasma after thawing. We found no differences in the molecular or functional properties of the preparations, indicating that protective components in plasma maintain native hα 2M in a functionally competent state despite freezing.

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          Tissue sulfhydryl groups

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            Human plasma proteinase inhibitors.

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              Guidelines for the use of fresh-frozen plasma, cryoprecipitate and cryosupernatant.

              The indications for transfusing fresh-frozen plasma (FFP), cryoprecipitate and cryosupernatant plasma are very limited. When transfused they can have unpredictable adverse effects. The risks of transmitting infection are similar to those of other blood components unless a pathogen-reduced plasma (PRP) is used. Of particular concern are allergic reactions and anaphylaxis, transfusion-related acute lung injury, and haemolysis from transfused antibodies to blood group antigens, especially A and B. FFP is not indicated in disseminated intravascular coagulation without bleeding, is only recommended as a plasma exchange medium for thrombotic thrombocytopenic purpura (for which cryosupernatant is a possible alternative), should never be used to reverse warfarin anticoagulation in the absence of severe bleeding, and has only a very limited place in prophylaxis prior to liver biopsy. When used for surgical or traumatic bleeding, FFP and cryoprecipitate doses should be guided by coagulation studies, which may include near-patient testing. FFP is not indicated to reverse vitamin K deficiency for neonates or patients in intensive care units. PRP may be used as an alternative to FFP. In the UK, PRP from countries with a low bovine spongiform encephalopathy incidence is recommended by the Departments of Health for children born after 1 January 1996. Arrangements for limited supplies of single donor PRP of non-UK origin are expected to be completed in 2004. Batched pooled commercially prepared PRP from donors in the USA (Octaplas) is licensed and available in the UK. FFP must be thawed using a technique that avoids risk of bacterial contamination. Plastic packs containing any of these plasma products are brittle in the frozen state and must be handled with care.
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                Author and article information

                Contributors
                fxgr@ibmb.csic.es
                theodorosgoulas@uth.gr
                Journal
                Sci Rep
                Sci Rep
                Scientific Reports
                Nature Publishing Group UK (London )
                2045-2322
                20 March 2023
                20 March 2023
                2023
                : 13
                : 4579
                Affiliations
                [1 ]GRID grid.428973.3, ISNI 0000 0004 1757 9848, Proteolysis Lab, , Molecular Biology Institute of Barcelona (CSIC), ; Barcelona Science Park, c/Baldiri Reixac 15-21, 08028 Barcelona, Catalonia Spain
                [2 ]GRID grid.410558.d, ISNI 0000 0001 0035 6670, Department of Food Science and Nutrition, School of Agricultural Sciences, , University of Thessaly, ; 43100 Karditsa, Greece
                Article
                31800
                10.1038/s41598-023-31800-8
                10027685
                36941303
                bd27dce3-8362-4283-9613-9afe4abc57eb
                © The Author(s) 2023

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

                History
                : 11 September 2022
                : 17 March 2023
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                © The Author(s) 2023

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                biochemistry,biological techniques,biophysics,molecular biology
                Uncategorized
                biochemistry, biological techniques, biophysics, molecular biology

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