Rr. Stromberg et al., LOSS OF RED-BLOOD-CELL VIABILITY ASSOCIATED WITH LIMITED THERMAL INACTIVATION OF EXTRACELLULAR HIV-1, Vox sanguinis, 67(3), 1994, pp. 260-266
The effects of incubation at mildly elevated temperatures on HIV-1 ina
ctivation and in vitro red blood cell properties were investigated. Re
d cells (55% Hct) were leukodepleted (3 log(10)) by filtration, mainta
ined at 45 or 47 degrees C for 4 or 8 h, and then stored at 4 degrees
C. Hemolysis was twice that of controls after 42-day storage for sampl
es treated for 4 h at 45 degrees C, and five times larger for samples
heated at 47 degrees C. There was also a significant increase in the r
ate of potassium loss, an early decrease in ATP levels, and an initial
drop in pH for samples treated at either temperature. Larger differen
ces were observed for samples exposed to these elevated temperatures f
or 8 h. Osmotic deformability curves obtained by ektacytometry showed
dramatic decreases in red cell deformability at both temperatures and
for both time periods. HIV-1 inactivation in red cells treated at 45 d
egrees C (approximately 0.25 log(10)/h) was considerably less than tha
t obtained in tissue culture medium (1-2 log(10)/h). Since the decreas
e in red cell deformability is likely to indicate reduced red cell fun
ction and survival, and the rate of HIV-1 inactivation is low, mild he
at treatment is not an adequate process for viral inactivation of red
cell products.