Paternal leukocyte alloimmunization as a treatment for hemolytic disease of the newborn in a rabbit model.

Abstract:

OBJECTIVE:The purpose of this study was to evaluate maternal alloimmunization to paternal leukocytes as a treatment for hemolytic disease of the fetus/newborn in a rabbit model. STUDY DESIGN:Twelve does and paired red blood cell-incompatible bucks underwent the experimental protocol. Fetal hematologic parameters that were obtained by ultrasound-guided intracardiac sampling were compared from unaffected, compatible litters; from affected, incompatible litters (after alloimmunization to red blood cell antigens); and from affected, incompatible litters after alloimmunization to paternal leukocytes. Generalized estimation equations were used for statistical analysis. A probability value of <.05 was considered significant. RESULTS:Six of 12 does had at least one affected litter after alloimmunization to paternal leukocytes. After an adjustment for the mating cycle, the fetuses of does that underwent white blood cell immunization exhibited higher hemoglobin and hematocrit levels (beta = 4.6, P <.001, and beta = 11.6, P =.006, respectively) compared with the fetuses of does that were immunized only to red blood cells. CONCLUSION:Maternal alloimmunization to paternal leukocytes decreases the severity of hemolytic disease and may play a role in the treatment of severe hemolytic disease of the newborn in humans.

journal_name

Am J Obstet Gynecol

authors

Whitecar PW,Farb R,Subramanyam L,Dorman K,Balu RB,Moise KJ Jr

doi

10.1067/mob.2002.126960

subject

Has Abstract

pub_date

2002-10-01 00:00:00

pages

977-80

issue

4

eissn

0002-9378

issn

1097-6868

pii

S0002937802002818

journal_volume

187

pub_type

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