Ascorbic acid improves membrane fragility and decreases haemolysis during red blood cell storage.

BACKGROUND: Changes that occur to red blood cells (RBCs) during routine blood bank storage include decreased deformability, increased haemolysis and oxidative damage. Oxidative injury to the RBC membrane and haemoglobin can affect changes in shape and deformability. Ascorbic acid (AA) is an antioxidant that maintains haemoglobin in a reduced state and minimises RBC oxidative injury. We hypothesised that AA would improve membrane fragility and decrease haemolysis during storage. METHODS: Whole blood derived, AS-5 preserved, pre-storage leucoreduced RBC units were exposed to either AA or saline control solutions. Several rheological and biochemical parameters were measured serially during storage, including RBC membrane mechanical fragility, percent haemolysis and methaemoglobin levels. RESULTS: AA exposure significantly reduced mechanical fragility and haemolysis over the entire storage period. The highest two concentrations of AA affected the greatest reductions in mechanical fragility and percent haemolysis. Addition of AA to the RBCs did not significantly alter their biochemical parameters compared to control RBCs incubated with saline. CONCLUSION: AA reduced RBC membrane fragility and decreased haemolysis during storage without adversely affecting other RBC biochemical parameters. The clinical significance of these findings needs to be determined.

Early pregnancy loss in brood mares.

During 1985, linear-array ultrasonography was used to study early pregnancy loss in commercial brood mares: 600/1115 (54%) of the cycles resulted in detected pregnancy at Week 2 after ovulation and 80 (13%) of these pregnancies resulted in early pregnancy loss. The pregnancy loss rate was significantly higher (P less than 0.05) for twin pregnancies (10/41) than for singleton pregnancies (70/559). The pregnancy loss rate was significantly higher (P less than 0.05) at 2-4 weeks (29/60) than at 6-8 weeks (12/60). The pregnancy rate was significantly less (P less than 0.05) for post-partum mares inseminated at the foal heat (157/302) than for those inseminated at a subsequent oestrus (203/334). Mares with a history of endometritis had a significantly higher (P less than 0.05) per cycle pregnancy loss rate (7/26) than did mares with a history of not having endometritis (64/498). When mares that had lost pregnancies were re-mated, 37/75 (49%) detectable pregnancies resulted and 7 (19%) of these pregnancies were again lost. The per cycle pregnancy rate was 56% (153/273), 55% (177/319), 60% (130/216), 51% (72/142), 45% (34/76) and 33% (12/36) for mares aged 2-5, 6-9, 10-13, 14-17, 18-21 and greater than 21 years, respectively. The corresponding per cycle pregnancy loss rates were 12%, 14%, 9%, 14%, 24% and 33%.