Smoking habit affects the qualities of stored leukodepleted red blood cells

Aulia Eka Sari Sari (Universitas Indonesia)
Mohammad Sadikin (Departement of Biochemistry & Molecular Biology, Medical Faculty, Universitas Indonesia, Jakarta, Indonesia Center of Hypoxia and Oxicative Stress Studies, Dept of Biochemistry and Molecular Biology Medical Faculty Universitas Indonesia, Jakarta Ind)
Ni Ken Ritchie (Jakarta Blood Transfusion Unit, Indonesian Red Cross, Jakarta, Indonesia)

Indonesian Archives of Biomedical Research (InABR)
Vol 1 No 2 (2021): Indonesian Archives of Biomedical Research (InABR). 1(2): 2021

Background: Pack Red Cell (PRC) is one of the most widely used blood products. Indonesia has a high number of smokers who are potential donors. Smoking is a habit that can cause radicals, triggers oxidative stress so that transfusion becomes ineffective. Objective: This study aimed to determine the relationship between smoking habits and methemoglobin, glutathione, and glucose 6 phosphate dehydrogenase (G6PD) in leukodepleted PRC (PRC-LD) blood bags during storage. Methods: PRC-LD from the Jakarta Red Cross Transfusion Unit were grouped into non-smoker donors (NP), light smoker donors (PR), and moderate smoking donors (PS).  Analysis for methemoglobin, glutathione, and G6PD was performed on days 0, 14, 21, and 35h. The analysis was done spectrophotometrically. Results:  Statistical analysis indicates that methemoglobin was increased on days 21 and 35, glutathione levels decreased progressively on days 0, 14, 21, and 35. The G6PD activities decreased markedly on day 35 in all groups. A significant relationship was found between methemoglobin and glutathione, as well as G6PD and glutathione. Conclusion: Smoking habits make the storage blood condition worse.