Blood Disease Clinical Trial
Official title:
Using DNA-Typing and Erythrocyte Microparticle Analysis to Detect Homologous/Autologous Blood Doping- a Transfusion Study
A total of 12 subjects will be recruited for participation in this study. 6 subjects will receive re-infusion of autologous blood, and 6 subjects (anemic patients) will receive a homologous transfusion.
Homologous blood transfusions (HBT) and autologous blood transfusions (ABT) are abused by
athletes to illegally increase their hemoglobin mass and subsequently improve oxygen
transport.
Anti-Doping labs use flow-cytometry to detect HBT in cheating athletes, but athletes avoid
being tested positive by matching their blood for minor blood groups before transfusion.
Recent publications suggest that DNA typing by Capillary Electrophoresis or RT-PCR might be
an alternative way to detect this kind of doping in athletes. Unfortunately, no data exist on
the clearance of DNA after transfusion of one bag of blood using this methodology.
For the detection of doping with ABT, there is no direct method available and only the
biological passport, a longitudinal collection of hematological parameters can indicate
doping. Recently RBC Microparticles (RBC-MPs) have been described as a potential biomarker
for autologous transfusion. However, also for this methodology, no data on the clearance time
of RBC-MPs are available.
Thus, in this World Anti-Doping Agency (WADA) approved and sponsored project. The
investigators plan to perform a clinical trial in which six healthy subjects receive an ABT
and six healthy subjects or patients a HBT. Blood samples will be collected before and at
several time-points after transfusion. For the detection of HBT the samples will be analyzed
by the official method (cytometry), and the two genotyping methods (STR and RT-PCR) to
compare these different techniques and to see if DNA-typing can replace cytometry.
For the ABT the collected samples will be analyzed for RBC-MPs on a cytometer dedicated for
Microparticles.
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