Table 1.
Comparative analysis of a donor-derived platelet product and a potential, non-donor derived platelet product.
| Feature | Donor-derived platelets | Non-donor derived platelets |
|---|---|---|
| Platelet availability: | Limited by availability of donors. Limited availability of appropriate HLA-matched donors. |
Unlimited availability of universal applicable platelets. |
| Platelet yield: | Target: 3×1011 platelets per unit. Significant variation per unit. |
Unlimited and consistent number of platelets per unit. |
| Platelet reactivity: | Significant variation per unit. | Consistent agonist responsiveness of each unit. |
| Platelet half-life: | Significant variation per unit. | Consistent half-life of each platelet unit with anticipated longer half-life due to the young average platelet age. |
| Infectious concerns with platelets: | Bacterial contamination risk of ~1:50,000 units infused. Concerns of known and unknown infections transmitted from donor. |
Less shelf storage time, less bacterial contamination concerns likely. Likely low to no risk of novel infections from cell line. |
| Tumorigenesis/graft versus host (GVHD) risk: | Not a known cause of tumorigenesis. Irradiated units or leukocyte-reduced units have decreased GVHD risk. | Concern over remaining embryonic stem cells in preparation may necessitate product irradiation. |
| Corrected platelet defect: | Not applicable. | Individualized medicine providing corrected platelets for an inherited defect. |
| Novel therapeutic applications: | Not applicable. | Platelets can be altered to provide targeted therapy via platelets of hemostatic or fibrinolytic or anti- angiogenic value, for example. |
| Cost per unit: | Volunteered platelets which limits expense to processing and distribution costs. | Likely to be high secondary to the costs of growing megakaryocytes and isolating final products. |