Red blood cell endothelial cells. Exposure of red blood cells to physiological levels of shear stress activates nitric oxide synthase and export of nitric oxide, which may contribute to the regulation of vascular tonus. Red blood cells can also produce hydrogen sulfide, a signalling gas that acts to relax vessel walls. It is believed that the cardioprotective effects of garlic are due to red blood cells converting its sulfur compounds into hydrogen sulfide. Red blood cells also play a part in the body's immune response: when lysed by pathogens such as bacteria, their hemoglobin releases free radicals, which break down the pathogen's cell
Packed red blood cells as anaphylaxis, red blood cell breakdown, infection, volume overload, and lung injury. With current preparation methods in the developed world the risk of viral infections such as hepatitis C and HIV/AIDS are less than one in a million. However, the risks of infection are higher in low income countries. Packed red blood cells are produced from whole blood or by apheresis. They typically last for three to six weeks. The widespread use of packed red blood cells began in the 1960s. It is on the World Health Organization's List of Essential Medicines, the most effective and safe medicines needed in