Stochastic modeling of human RBC alloimmunization: evidence for a distinct population of immunologic responders.

Abstract:

:Red blood cell (RBC) transfusion is unique as a common large-scale intravenous introduction of foreign tissue and provides a valuable opportunity to study human immunologic response to intravenous foreign antigen. Patients receiving RBC transfusions are at risk of forming alloantibodies against donor RBC antigens, and valid estimates of alloimmunization risk are clinically important, but little is known about the factors governing this risk or, more generally, about determinants of human response to intravenous antigen. Here, we mine large electronic patient databases enabling us to model RBC alloimmunization as a stochastic process. We identify a subgroup of transfusion recipients that has a dramatically increased risk of alloimmunization that appears to be genetically determined because it is independent of common disease states, patient age, or the number of alloantibodies already formed, and only weakly dependent on transfusion count.

journal_name

Blood

journal_title

Blood

authors

Higgins JM,Sloan SR

doi

10.1182/blood-2008-03-146415

subject

Has Abstract

pub_date

2008-09-15 00:00:00

pages

2546-53

issue

6

eissn

0006-4971

issn

1528-0020

pii

blood-2008-03-146415

journal_volume

112

pub_type

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