Blood collected routinely from donors, and preserved with CPDA-1 antic
oagulant (citrate, phosphate, dextrose, adenine), was investigated. Th
e concentration of reduced glutathione, and glutathione peroxidase, gl
utathione S-transferase, glutathione reductase, superoxide dismutase,
and catalase activities in erythrocytes, as well as the total radical-
trapping antioxidant parameter in plasma were determined on days 1, 3,
7, 12, 16, 20 and 25 of storage. At the end of the study, a 30% decre
ase in the reduced glutathione concentration (P < 0.001) and decreases
in glutathione S-transferase (over 20%, P < 0.001), glutathione reduc
tase (over 8%, P < 0.01) and superoxide dismutase (over 10%, P < 0.001
) activities in erythrocytes, together with up to a 30% diminution of
total antioxidant activity in plasma (P < 0.001) were noted. Thus, dur
ing blood storage, glutathione-dependent antioxidant systems in erythr
ocytes and antioxidant defence in plasma are depleted. From the presen
t study, a twelve-clay period can be considered a safe storage limit.
The sequence of events occurring in stored blood, leading to peroxidat
ive injury in erythrocytes, is discussed. (C) 1997 Elsevier Science B.
V.