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buildings for Engineering, laboratories and R&D were built in the 4 Source: Blood - An Epic History of Medicine and Commerce; Douglas Starr;
A greater focus on Quality Assurance became a priority and a
early 1990s. London: Little, Brown, 1999; ISBN 0316911461
range of specialist functions were introduced such as a dedicated
microbiology department to test the quality of the manufacturing In 1998 the theoretical risk of transmission of nvCJD resulted in 5 Source: http://www.bloodbook.com/trans-history.html
environment. a major change for BPLs operations. The factory underwent a 6 Source: Alice Kidd in The Crest , Summer 1990
major sanitisation exercise and plasma was purchased from
There were also key changes to the manufacturing process with 7 Source: Blood Products Laboratory: Long Term Management Plan, April 1987,
blood centres in the USA.
a greater emphasis on patient safety, improved aseptic filling Building Design Partnership
operations and sterile filtration of the product.
Foreword
A lot has happened in that time and you might characterize our Underlying these apparently never ending changes is the element of BPL
history as either constant or constantly changing. In the latter constancy. We remain on the same rather pleasant site in rural During the 1940s, Brinkhous and McFarlane discovered that
category you may recall the fact that BPL came to Elstree as a Hertfordshire. The raw material from which we make our products transfusions using whole blood or plasma provided a means of FVIII
guest of the Lister Institute and eventually took over the site. We is still fundamentally the same raw material, the process by which replacement. Applications using this early discovery were limited
have the evolutions in the product range with the additions of we break that raw material into its component parts and extract it is due to naturally low concentrations of this anti-haemophilic factor in The Early Years
special coagulation factors and immunoglobulins, the introduction still basically the same process. blood and plasma and volume constraints in the circulatory system.
of new steps to make purer product, the introduction of steps to The number of people at Elstree may have increased dramatically Work in the development of blood products continued. In the
eliminate viruses and to make safer product. Great strides, great During this time, Professor R. A. Kekwick, working at the Lister
and while there is nobody is here today who was with BPL in 1954, 1950s, Kekwickdeveloped a method of fractionating out a
change. Institute undertook experimental and production work with A.S.
but there remains certain unchanging values to which we all adhere fibrinogen fraction rich in Factor VIII, the anti-haemophilic globulin.
McFarlane. The two scientists devised a process to clarify outdated
A variety of external events, however, have thrown BPL and, indeed - the desire to make products which are not only safe and This led to the first clinical use of Factor VIII in treating haemophilia
blood plasma to render it suitable for transfusion2.
the whole industry, into turmoil from time to time. Few will ever efficacious but which in every case save lives and which make a in 1957 and the need for large scale plasma fractionation, which
forget the advent of non-A, non-B hepatitis and the emergence of difference, not just to the patients who receive them but to their In 1943, Kekwick was appointed Head of the Lister s Biophysics BPL provided5.
variant CJD, to name but two. families and friends as well. In 1978, the Lister Institute sold the entire Elstree site to the
Division, Kekwick established the Blood Filtration Unit and he and
Lister Institute of his team worked on methods of freeze-drying plasma and then of
In 1959, a group led by Pool discovered that cryoprecipitate - the Government. As a result, the distinction of the scientists and
In addition, the demand for products has increased over the years For 50 years, BPL has been making that difference and will
as more and more patients are successfully treated and are able to continue to do so into the future. Another 50 years? Who can tell, Preventative Medicine 1
separating out proteins in blood plasma. These early products were
cold, insoluble globulin precipitate formed during the slow thawing technicians dining in separate canteens was ended as BPL took
of plasma — contained a five-fold higher concentration of FVIII sole occupancy of the site. The average wage for a laboratory
live normal lives. To cope with this, the BPL infrastructure has but however far the future of BPL stretches ahead, people who live In 1902 Dagger Farm in Aldenham, Hertfordshire, was sold to the used to meet the needs of the Armed Services and civilian compared to that of plasma. technician at BPL was £25.67 per week6.
developed enormously to the state-of-the-art plant that we now that future will be able to look back at an ever-lengthening history of Lister Institute of Preventative Medicine. It was located along the establishments.
have, together with the new R&D, Technical, Engineering and development, achievement and making a difference. By 1964, it was shown that cryoprecipitate could be separated by The running of BPL was transferred to the North West Thames
appropriately called Dagger Lane, where a nineteenth century In 1948 the Blood Filtration Unit came under the joint management
Warehouse buildings. As well as importing our basic raw materials, Happy Birthday BPL. centrifugation and stored frozen. Because cryoprecipitate contained Regional Health Authority as an interim measure. In 1982 a Special
murder by stabbing had infamously occurred. of the Medical Research Council (MRC) and the Lister Institute, and
BPL now export products to all corners of the world. other proteins, such as fibrinogen, albumin and immunoglobulins, Health Authority was created called the Central Blood Laboratories
Joseph Lister had established his world famous Institute in 1891 to the name was changed to the Blood Products Research Unit. It
these needed to be extracted through the process of fractionation Authority (CBLA). Which administered BPL, PFL, Biomedical
undertake scientific research into the causes, prevention and occupied the newly built laboratories (or Building 25 ) and its aim
using ethanol. The use of fractionation had been developed by the Services and the Bristol based International Blood Group Reference
What is BPL treatment of disease and to prepare and supply protective and was directed towards the preparation of plasma fractions for clinical
American Doctor Edwin Cohn in the 1940s. Laboratory (IBGRL) for approximately ten years.
curative materials such as vaccines and antitoxins. use3.
BPL is a not-for-profit organisation of the NHS and produces a Fractionation also allowed the amount of Factor VIII to be PFL
range of plasma derived therapeutic products. The 35 acre Elstree site was used to house various farm animals concentrated to over 400 times the natural concentration found in In 1967 the Plasma Fractionation Laboratory (PFL) opened in
which were used to develop life saving vaccines for the treatment of blood plasma. By the late 1960s the process of freeze-drying Oxford (at the Churchill Hospital, Headington). Staffed by a small
The plasma is fractionated by a process which separates out the
then serious illnesses like diphtheria and scarlet fever. Queensbury (lyophilisation) was used to produce, concentrate and preserve number of people, PFL was established as BPLs pilot plant and to
plasma components into different product groupings. These
Lodge, built in 1886 and currently BPLs administration centre, was Factor VIII products. produce special products for the treatment of rare forms of
products include coagulation factors for the control of haemophilia
the location of the research laboratories. haemophilia. The Oxford laboratories were a highly innovative
(A and B) and other inherited bleeding disorders; specific and non- Some of the other proteins extracted through fractionation could be
specific immunoglobulins (antibodies) for the treatment of people A number of eminent scientists worked at the Lister Institute research centre - developing the first heat treatment process for
developed into different blood products. The first major non-
born with weak immune systems; and albumin for those who need including Harden (the discoverer of co-enzymes) and the Factors VIII and IX in the mid-1980s - until their closure in 1992
coagulation factor to be developed was the Anti-D immunoglobulin
a restoration of their circulating blood volume. and thawing under controlled conditions, and extracting the clotting In 1954, the Government wished to establish a site for increased when all operations and staff were transferred to BPL.
microbiologist MacConkey. for treating rhesus-negative mothers.
factors from the thawed material. Following purification and production of blood products. This followed on from the importance
These products are distributed around hospitals in England and In 1954, the Lister Institute shared the Elstree site with the newly of blood in therapeutic medicine, the need for blood products BPLD
concentration, the finished bulk solutions are sterile filtered and
Wales, with any excess sold on a global market with all proceeds formed Blood Products Laboratory . In 1978, due to financial during the Second World War (particularly the use of albumin4) and The Blood Products Laboratory Diagnostics (BPLD) operation was
aseptically filled.
returned to the NHS. pressures and a decline in the demand for smallpox vaccines, the the formation on 26th September 1946 of the National Blood established in 1986 with the aim to provide a service for blood
After the clotting factors have been separated, the remaining liquid Lister Institute was forced to leave due to financial problems and BPL Transfusion Service. It had also been discovered that a second grouping tests, for the identification of correct blood groups of
The plasma is separated and purified by a process called Plasma
is bulked in large capacity vessels and centrifuged in sub-zero took sole control of the site. form of haemophilia (Haemophilia B) existed, which was treatable donors and patients, and diagnostic kits, such as screening cells,
Fractionation. Plasma arrives at BPL frozen. After quarantine, the
conditions. Proteins are separated by the addition of ethanol and with blood protein called Factor IX. for various blood centres and hospitals.
plasma is sent for processing. The first product (cryoprecipitate) is
other reagents. The precipitates are further processed to remove
separated and is used to process the clotting factors. This is An agreement was reached between the Government, MRC and Closed in 1995, BPLD its operations were transferred to different
residual alcohol and processed as albumins or immunoglobulins.
performed by separating plasma from individual packs; crushing the Lister Institute and the Blood Products Laboratory was centres within the blood transfusion service.
These products are also sterile filtered and aseptically filled.
established with funding from the Ministry of Health. Enlarged
During processing a number of quality checks are performed by facilities for plasma fractionation and freeze-drying were
BPLs Quality Assurance and Quality Control departments. established.
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