BACKGROUND Refractoriness to platelet transfusion because of HLA antibodies can jeopardize the outcome of patients who require platelet support during surgery. As routine screening for HLA antibodies would pose a huge burden on presurgical work-ups, a stratification of patients according to the risk of having HLA antibodies is warranted. STUDY DESIGN AND METHODS Clinical and laboratory data f...

Red blood cell (RBC) transfusions are essential for patients with hematological disorders and bone marrow failure syndromes. Despite ABO matching, RBC transfusions can lead to production of alloantibodies against "minor" blood group antigens. Non-ABO alloimmunization is a leading cause of transfusion-associated mortality in the U.S. Despite its clinical importance, little is known about the imm...

Bone marrow transplantation (BMT) is now an option for some patients with sickle cell disease (SCD). Many SCD patients are multiply transfused with red blood cells (RBCs), and may be immunized to alloantigens other than erythrocyte antigens. Because platelet refractoriness is a significant complication during BMT, we wished to determine the prevalence of alloimmunization to platelets in transfu...

Abstract Red blood cell (RBC) transfusion can induce anti-RBC antibodies that promote hemolytic events. Patients with systemic lupus erythematosus (SLE) have an increased frequency of RBC alloimmunization, and two-thirds patients express a type 1 interferon (IFNα/β) gene signature. We previously reported IFNα/β induces alloimmunization in the IFNα/β-dependent pristane mouse model. However, it i...

DOI: 10.5581/1516-8484.20130131 Red Blood Cell (RBC) alloimmunization remains a major complication for transfusiondependent patients but factors governing risk for alloimmunization are little known. Antibody production is a serious complication in patients on long-term transfusion therapy; it may cause potentially life-threatening delayed hemolytic transfusion reactions (DHTRs), autoantibody fo...

The discovery of ABO(H) blood group antigens resulted in the birth of transfusion medicine and allowed for the first time the use of a laboratory test that could predict immunologic outcomes prior to transfusion. Although ABO(H) antibody testing continues to represent one of the first and most common examples of personalized medicine, it was not until many years later that the existence of non-...

et al. Hereditary fibrinogen A alpha-chain amyloidosis: phenotypic characterization of a systemic disease and the role of liver transplantation. treatment, and prognosis of hereditary fibrinogen Aalpha-chain amyloidosis. Mutant fibrinogen A-alpha-chain associated with hereditary renal amyloidosis and peripheral neuropathy. and serial monitoring of human visceral amyloid deposits provide evidenc...

The characteristics and natural history of alloimmunization to HLA were studied in five patients with Hunter's syndrome receiving long term transfusions of leukocytes collected from human leukocyte antigen (HLA) matched donors. Patients were not given any other blood component transfusions. All patients became alloimmunized at an average interval of eight months following an average of 15 trans...

Platelets express a variety of immunogenic markers on the cell surface. Some of these antigens are shared with other cell types as in the case of HLA antigens, which are shared with virtually all nucleated cells in the body, whereas others are observed to be essentially platelet specific. This chapter reviews the antigens expressed on platelets, the various patterns of alloimmunization to these...

INTRODUCTION Alloimmunization is a reaction of the immune system to foreign antigens. For prevention of alloantibody formation, performing of type and screen test is necessary on a patient's blood specimen as part of pre-transfusion testing. MATERIALS AND METHOD In this cross-sectional study, type and screen test done for 1420 patients with elective surgery for detection of alloantibody in Im...