Results of clinical effectiveness of conventional versus Mirasol-treated Apheresis Platelets in Patients with Hypoproliferative Thrombocytopenia (MiPLATE) trial.

BACKGROUND: The Mirasol® Pathogen Reduction Technology System was developed to reduce transfusion-transmitted diseases in platelet (PLT) products. STUDY DESIGN AND METHODS: MiPLATE trial was a prospective, multicenter, controlled, randomized, non-inferiority (NI) study of the clinical effectiveness of conventional versus Mirasol-treated Apheresis PLTs in participants with hypoproliferative thrombocytopenia. The novel primary endpoint was days of ≥Grade 2 bleeding with an NI margin of 1.6. RESULTS: After 330 participants were randomized, a planned interim analysis of 297 participants (145 MIRASOL, 152 CONTROL) receiving ≥1 study transfusion found a 2.79-relative rate (RR) in the MIRASOL compared to the CONTROL in number of days with ≥Grade 2 bleeding (95% confidence interval [CI] 1.67-4.67). The proportion of subjects with ≥Grade 2 bleeding was 40.0% (n = 58) in MIRASOL and 30.3% (n = 46) in CONTROL (RR = 1.32, 95% CI 0.97-1.81, p = .08). Corrected count increments were lower (p < .01) and the number of PLT transfusion episodes per participant was higher (RR = 1.22, 95% CI 1.05-1.41) in MIRASOL. There was no difference in the days of PLT support (hazard ratio = 0.86, 95% CI 0.68-1.08) or total number of red blood cell transfusions (RR = 1.12, 95% CI 0.91-1.37) between MIRASOL versus CONTROL. Transfusion emergent adverse events were reported in 119 MIRASOL participants (84.4%) compared to 133 (82.6%) participants in CONTROL (p = NS). DISCUSSION: This study did not support that MIRASOL was non-inferior compared to conventional platelets using the novel endpoint number of days with ≥Grade 2 bleeding in MIRASOL when compared to CONTROL.

Retrospective cohort studies of repeat donors reveal donor-dependent variability in the recovery of transfused platelets.

BACKGROUND: The in vivo recovery of transfused platelets is variable and often unpredictable. Although many recipient-dependent factors are well described, donor-dependent variables remain poorly understood. STUDY DESIGN AND METHODS: To explore donor-dependent variables we conducted 2 retrospective studies of platelet transfusion outcomes in repeat donors. One study analyzed multiple autologous, radiolabeled platelet transfusions, and a second study analyzed multiple clinical platelet transfusions from a small cohort of repeat donors. RESULTS: In 36 subjects, multiple within-subject determinations of recovery and survival of radiolabeled autologous platelets revealed a relative consistency in platelet recoveries within donors compared to the range of recoveries among donors. Intraclass correlation coefficients for platelet recovery were 43% to 93%. In 524 ABO-compatible clinical platelet transfusions derived from seven donors, a linear mixed-effects model revealed significant donor-dependent differences in corrected count increments for units stored for 4 or 5 days. CONCLUSIONS: These two studies indicate reproducible donor-dependent differences in transfused platelet recovery, suggesting a possible heritable influence on the quality of transfused platelets.

Polarization-Dependent Lasing Behavior from Low-Symmetry Nanocavity Arrays.

This paper reports how geometric effects in low-symmetry plasmonic nanoparticle arrays can produce polarization-dependent lasing responses. We developed a scalable fabrication procedure to pattern rhombohedral arrays of aluminum anisotropic nanoparticles that support lattice plasmon modes from both first-order and second-order diffraction coupling. We found that nanoparticle shape can be used to engineer the spatial overlap between electromagnetic hot spots of different lattice modes and dye gain to support plasmonic lasing. The lasing behavior revealed that plasmon-exciton energy transfer depends on polarization, with stronger coupling and faster dynamics when the transition dipole moments of the excited gain are aligned with the electric field of the plasmon modes.

Lattice-Resonance Metalenses for Fully Reconfigurable Imaging.

This paper describes a reconfigurable metalens system that can image at visible wavelengths based on arrays of coupled plasmonic nanoparticles. These lenses manipulated the wavefront and focused light by exciting surface lattice resonances that were tuned by patterned polymer blocks on single-particle sites. Predictive design of the dielectric nanoblocks was performed using an evolutionary algorithm to create a range of three-dimensional focusing responses. For scalability, we demonstrated a simple technique for erasing and writing the polymer nanostructures on the metal nanoparticle arrays in a single step using solvent-assisted nanoscale embossing. This reconfigurable materials platform enables tunable focusing with diffraction-limited resolution and offers prospects for highly adaptive, compact imaging.

Stretchable Nanolasing from Hybrid Quadrupole Plasmons.

This paper reports a robust and stretchable nanolaser platform that can preserve its high mode quality by exploiting hybrid quadrupole plasmons as an optical feedback mechanism. Increasing the size of metal nanoparticles in an array can introduce ultrasharp lattice plasmon resonances with out-of-plane charge oscillations that are tolerant to lateral strain. By patterning these nanoparticles onto an elastomeric slab surrounded by liquid gain, we realized reversible, tunable nanolasing with high strain sensitivity and no hysteresis. Our semiquantum modeling demonstrates that lasing build-up occurs at the hybrid quadrupole electromagnetic hot spots, which provides a route toward mechanical modulation of light-matter interactions on the nanoscale.

Structural Engineering in Plasmon Nanolasers.

This review focuses on structural engineering of lasers from the macroscale to the nanoscale, with an emphasis on plasmon nanolasers. Conventional lasers based on Fabry-Pérot cavities are limited in device size. In contrast, plasmon nanolasers can overcome the diffraction limit of light and incorporate unique structural designs to engineer cavity geometries and optical band structure. Since the spaser concept was introduced in 2003, tremendous progress in nanolasing has been made on architectures that exploit metal films and nanoparticles. Theoretical approaches in both frequency and time domains have inspired the development of plasmon nanolasers based on mode analysis and time-dependent lasing buildup. Plasmon nanolasers designed by band-structure engineering open prospects for manipulation of lasing characteristics such as directional emission, real-time tunable wavelengths, and controlled multimode lasing.

Sequential Feature-Density Doubling for Ultraviolet Plasmonics.

Patterning of nanostructures with sub-200 nm periodicities over cm2-scale areas is challenging using standard approaches. This paper demonstrates a scalable technique for feature-density doubling that can generate nanopatterned lines with periodicities down to 100 nm covering >3 cm2. We developed a process based on controlled wet overetching of atomic-layer deposited alumina to tune feature sizes of alumina masks down to several nm. These features transferred into silicon served as masters for template-stripping aluminum nanogratings with three different periodicities. The aluminum nanogratings supported surface plasmon polariton modes at ultraviolet wavelengths that, in agreement with calculations, depended on periodicity and incident excitation angle.

Unidirectional Lasing from Template-Stripped Two-Dimensional Plasmonic Crystals.

Plasmon lasers support cavity structures with sizes below that of the diffraction limit. However, most plasmon-based lasers show bidirectional lasing emission or emission with limited far-field directionality and large radiative losses. Here, we report unidirectional lasing from ultrasmooth, template-stripped two-dimensional (2D) plasmonic crystals. Optically pumped 2D plasmonic crystals (Au or Ag) surrounded by dye molecules exhibited lasing in a single emission direction and their lasing wavelength could be tuned by modulating the dielectric environment. We found that 2D plasmonic crystals were an ideal architecture to screen how nanocavity unit-cell structure, metal material, and gain media affected the lasing response. We discovered that template-stripped strong plasmonic materials with cylindrical posts were an optimal cavity design for a unidirectional laser operating at room temperature.