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. 2018 Apr 9;5:84. doi: 10.3389/fmed.2018.00084

Table 1.

Parameters having proven or theoretical influence on the quality of the processed blood component (BC).

Main categories Main items adding diversity Level of diversity
Donor dependent parameters (genetically controlled)
  • Sex/gender

  • Immunogenetic characteristics (blood groups)

  • Natural iso-antibodies

  • Two

  • By the thousands (millions if applied also to HLA antigens)

  • Variable


Donor dependent parameters (only partly genetically controlled)
  • Immunization status

  • Nutrition, metabolism

  • Hygiene and intoxications (therapeutic and recreational drugs, supplements, alcohol, tobacco)

  • Meal; or fast

  • Nycthemeral cycle

  • Genital cycle and periods

  • Outside temperature condition

Hundreds of influential parameters

Donor independent parameters (BC processing)
  • Shipping time and temperature

  • Needles, plastics and bags, rotators, automats for collection and intermediate storage

  • Devices for cell separation

  • Working temperature

  • Additives (anticoagulant, solutions, pathogen inactivation, etc.)

  • Filtration steps (meshes, temperature, timing, etc.)

  • Pooling steps

  • Preservation conditions

  • Physical interactions in shelf-life conditions (stacking, shocks, thermic differences, shipping, etc.)

  • Variable

  • Dozens influential parameters


Patient (recipient, beneficiary) dependent parameters
  • Blood group

  • Immunization status

  • Matching conditions

  • By the thousands

Each parameter being independent from the preceding one, diversity is created by the multiplication as opposed to the addition of all. The final diversity goes by the million or more. Not all parameters are equally influential but it clearly appears from the table that one given BC collected by one individual, despite being “standardized” to a norm, is unlikely to be “standard.”