Relative importance of immune and non-immune causes of platelet refractoriness.

Abstract:

:In this prospective study, 26 consecutive patients being treated for haematological malignancies receiving standard (i.e. non-leucocyte-depleted) blood components were observed for the development of refractoriness to platelet transfusions. One hundred and sixteen of the 266 (44%) platelet transfusions failed to produce a satisfactory response. In 102/116 (88%), the poor response was in the presence of non-immune factors known to be associated with platelet refractoriness. Non-immune factors were present alone in 78/116 (67%), and in combination with immune factors in a further 24/116 (21%). Immune factors (HLA and platelet-specific antibodies) were present during 29/116 (25%) of unsuccessful platelet transfusions. Statistical analysis confirmed that platelet refractoriness was significantly associated with the presence of non-immune factors. The non-immune factors associated with refractoriness were often multiple, most frequently a combination of fever, infection and antibiotic therapy. This study provides evidence that immune mechanisms were not the predominant cause of platelet refractoriness in the patient population studied. It also suggests that measures for the prevention of HLA alloimmunisation, such as leucocyte depletion, may have a limited impact in reducing the incidence of refractoriness to platelet transfusions.

journal_name

Vox Sang

journal_title

Vox sanguinis

authors

Doughty HA,Murphy MF,Metcalfe P,Rohatiner AZ,Lister TA,Waters AH

doi

10.1111/j.1423-0410.1994.tb00310.x

subject

Has Abstract

pub_date

1994-01-01 00:00:00

pages

200-5

issue

3

eissn

0042-9007

issn

1423-0410

journal_volume

66

pub_type

杂志文章
  • Prospective evaluation of immune haemolysis in liver transplantation.

    abstract:BACKGROUND:Immune haemolysis in liver transplant (LT) can occur due to autoantibodies and alloantibodies. The aim of this study was to evaluate the prevalence and risk factors for immune haemolysis in LT. METHODS:A total of 175 consecutive patients were included. Multiorgan recipients were excluded. Samples, from befo...

    journal_title:Vox sanguinis

    pub_type: 杂志文章

    doi:10.1111/vox.12865

    authors: Brunetta DM,de Barros Carlos LM,Da Silva VFP,de Oliveira Alves TM,Macedo ÊS,Coelho GR,Vasconcelos JBM,De Francesco Daher E,Garcia JHP

    更新日期:2020-01-01 00:00:00

  • PCR-free blood group genotyping using a nanobiosensor.

    abstract:BACKGROUND AND OBJECTIVES:The last two decades have seen major developments in genotyping assays to facilitate the procurement of red blood cell units to alloimmunized patients. To make genotyping faster, simpler and less costly, a nanotechnology approach based on metal/silica fluorescent nanoparticles and a polymer-ba...

    journal_title:Vox sanguinis

    pub_type: 杂志文章

    doi:10.1111/vox.12207

    authors: Brouard D,Ratelle O,Perreault J,Boudreau D,St-Louis M

    更新日期:2015-02-01 00:00:00

  • Human T-cell lymphotropic virus: A simulation model to estimate residual risk with universal leucoreduction and testing strategies in Canada.

    abstract:BACKGROUND AND OBJECTIVES:In Canada, transfusion transmission risk of Human T-cell lymphotropic virus -I/II (HTLV) is addressed by universal leucoreduction and universal antibody testing. We aimed to estimate the risk with the current policy, if testing only first-time donors and if testing were stopped. MATERIALS AND...

    journal_title:Vox sanguinis

    pub_type: 杂志文章

    doi:10.1111/vox.12722

    authors: O'Brien SF,Yi QL,Goldman M,Grégoire Y,Delage G

    更新日期:2018-11-01 00:00:00

  • Rh haplotypes that make e but not hrB usually make VS.

    abstract:BACKGROUND AND OBJECTIVES:The Rh phenotypes hrB- and VS+ are both rare in Whites but more common in Blacks. The high-incidence antigen hrB is present on most red cells that are e+. The presence of VS on red cells is associated with an aberrant expression of e, often called eS. MATERIALS AND METHODS:Using conventional ...

    journal_title:Vox sanguinis

    pub_type: 杂志文章

    doi:10.1046/j.1423-0410.1997.00041.x

    authors: Reid ME,Storry JR,Issitt PD,Combs MR,Beal CL,Mallory DA,Blancher A

    更新日期:1997-01-01 00:00:00

  • A simplified method for the preparation of immune-serum globulin.

    abstract::This report describes the recovery of highly purified immune-serum globulin (ISG) from the 42% ethanol precipitate fraction (42% P) generated during the first step of albumin purification. The method consists of three purification steps: (1) reprecipitation of the 42% P at 20% ethanol, pH 7.2; (2) solubilization of IS...

    journal_title:Vox sanguinis

    pub_type: 杂志文章

    doi:10.1111/j.1423-0410.1981.tb00706.x

    authors: Hao YL,Wickerhauser M

    更新日期:1981-04-01 00:00:00

  • A comparison of in vitro tests for predicting the severity of haemolytic disease of the fetus and newborn.

    abstract::Haemolytic disease of the newborn (HDN) is characterized by the presence of IgG antibodies in the maternal circulation which cause haemolysis in the fetus by crossing the placenta and sensitizing red cells for destruction by macrophages in the fetal spleen. Numerous serological, quantitative and cellular assays have b...

    journal_title:Vox sanguinis

    pub_type: 杂志文章,评审

    doi:10.1111/j.1423-0410.1998.tb05445.x

    authors: Hadley AG

    更新日期:1998-01-01 00:00:00

  • Progression to AIDS in relation to clinical factors and clotting product consumption. A 14-year follow-up of a cohort of 52 Dutch HIV-1-infected haemophilic patients.

    abstract:OBJECTIVE:In order to describe the progression of HIV disease in a cohort of Dutch HIV-1-infected patients with haemophilia and to study the influence of clinical and clotting factors, we performed a 15-year longitudinal clinical and laboratory study. METHODS:The progression to AIDS in relation to type of haemophilia,...

    journal_title:Vox sanguinis

    pub_type: 临床试验,杂志文章

    doi:

    authors: Roosendaal G,van der Schouw Y,Mauser-Bunschoten E,Borleffs J,van den Berg H

    更新日期:1998-01-01 00:00:00

  • Interactions between science, government and media on selection and testing of donors.

    abstract::The international media attention to "bad blood" has fueled governmental action in countries around the world. Donor selection criteria continue to expand, focusing most recently on the possibility of exclusion due to intranasal cocaine use and, in the US, due to incarceration for more than 72 hours. As newer methods ...

    journal_title:Vox sanguinis

    pub_type: 杂志文章,评审

    doi:10.1111/j.1423-0410.1998.tb05465.x

    authors: Sazama K

    更新日期:1998-01-01 00:00:00

  • Occurrence and characterization of lympho-agglutinins in Indian plants.

    abstract::A survey of the occurrence of lympho-agglutinins was carried out on seeds of 150 species of wild and cultivated plants. Potent agglutinins were detected in 17 extracts by employing lymphocytes of man, guinea pig, goat and sheep in the bioassay. Except for one species each of Mimosoideae, Euphorbiaceae and Clusiaceae, ...

    journal_title:Vox sanguinis

    pub_type: 杂志文章

    doi:10.1111/j.1423-0410.1982.tb00034.x

    authors: Sandhu RS,Kamboj SS,Reen RS,Arora JS

    更新日期:1982-01-01 00:00:00

  • Human alloantibodies detecting a red cell antigen apparently identical to MER2.

    abstract::Three examples of an antibody were found to be detecting a red cell polymorphism probably identical to MER2. The antibodies were made by Jews originating from India and living in Israel. Two of them were sibs and the third was unrelated. All 3 had kidney disease requiring renal dialysis and regular blood transfusion. ...

    journal_title:Vox sanguinis

    pub_type: 杂志文章

    doi:10.1111/j.1423-0410.1988.tb05085.x

    authors: Daniels GL,Levene C,Berrebi A,Schechter Y,Moulds M,Sela R,Poole J,Lacey P,Atkins CJ

    更新日期:1988-01-01 00:00:00

  • Post-thaw viable CD34(+) cell count is a valuable predictor of haematopoietic stem cell engraftment in autologous peripheral blood stem cell transplantation.

    abstract:BACKGROUND AND OBJECTIVES:In peripheral blood stem cell transplantation, the number of CD34(+) cells infused is considered a predictor of haematopoietic engraftment. However, the currently accepted minimal threshold of CD34(+) cells/kg was determined by counting CD34(+) cells before freezing, and the loss of viable CD3...

    journal_title:Vox sanguinis

    pub_type: 杂志文章

    doi:10.1111/j.1423-0410.2007.01009.x

    authors: Lee S,Kim S,Kim H,Baek EJ,Jin H,Kim J,Kim HO

    更新日期:2008-02-01 00:00:00

  • Rationale for randomized controlled trials and for intention-to-treat analysis in transfusion medicine: are they one and the same?

    abstract::Articles on the appropriateness of intention-to-treat (ITT) vs. as-treated (AT) analyses of randomized controlled trials (RCTs) have highlighted issues relevant to drug trials, such as approaches suitable for 'explanatory' vs. 'pragmatic' RCTs. These considerations are less relevant to transfusion medicine RCTs, espec...

    journal_title:Vox sanguinis

    pub_type: 杂志文章,评审

    doi:10.1111/j.1423-0410.2008.01089.x

    authors: Vamvakas EC

    更新日期:2008-10-01 00:00:00

  • Detection of a new weak A blood-group allele (Aw11).

    abstract:BACKGROUND AND OBJECTIVES:Weak ABO variants may escape tests using unlicensed sera. MATERIALS AND METHODS:Prior to transfusion, ABO grouping was performed using an automated system and in-house diluted sera, and manual and bedside test techniques. Genotyping and sequencing were performed using standard methods. RESUL...

    journal_title:Vox sanguinis

    pub_type: 杂志文章

    doi:10.1111/j.1423-0410.2006.00752.x

    authors: Pruss A,Heymann GA,Braun J,Kiesewetter HH,Salama A

    更新日期:2006-04-01 00:00:00

  • BS II lectin: a second hemagglutinin isolated from Bandeiraea simplicifolia seeds with affinity for type III polyagglutinable red cells.

    abstract::BS II lectin, a second hemagglutinin isolated from Bandeiraea simplicifolia seeds, agglutinated the red cells from 11 patients manifesting the 'acquired B' antigen phenomenon. The results of serological studies indicate that this lectin has specificity for the type III polyagglutinable receptors rather than for the 'B...

    journal_title:Vox sanguinis

    pub_type: 杂志文章

    doi:10.1111/j.1423-0410.1977.tb04469.x

    authors: Judd WJ,Beck ML,Hicklin BL,Iyer PN,Goldstein IJ

    更新日期:1977-10-01 00:00:00

  • Prevalence and laboratorial determinants of the clinical relevance of antibodies of undetermined specificity.

    abstract:BACKGROUND AND OBJECTIVES:Antibodies of unknown specificity (AUS) are frequently identified in the pre-transfusion testing. These antibodies can be insignificant or potentially cause post-transfusion haemolysis. Information about the prevalence of clinically relevant AUS is still lacking. Our aim was to predict the pot...

    journal_title:Vox sanguinis

    pub_type: 杂志文章

    doi:10.1111/vox.12797

    authors: de Albuquerque da Veiga Conrado MC,Cardoso RA,Dezan MR,Oliveira VB,Neto ADC,Ziza KC,Krieger JE,Pereira AC,Sabino EC,Rocha V,Mendrone-Júnior A,Dinardo CL

    更新日期:2019-08-01 00:00:00

  • Plasma temperature during methylene blue/light treatment influences virus inactivation capacity and product quality.

    abstract:BACKGROUND:Photodynamic treatment using methylene blue (MB) and visible light is in routine use for pathogen inactivation of human plasma in different countries. Ambient and product temperature conditions for human plasma during production may vary between production sites. The influence of different temperature condit...

    journal_title:Vox sanguinis

    pub_type: 杂志文章

    doi:10.1111/vox.12643

    authors: Gravemann U,Handke W,Sumian C,Alvarez I,Reichenberg S,Müller TH,Seltsam A

    更新日期:2018-05-01 00:00:00

  • Systematic use of leukocyte-free blood components to prevent alloimmunization and platelet refractoriness in multitransfused children with cancer.

    abstract::A major drawback in the use of platelet transfusions is the development of platelet refractoriness that is usually caused by alloimmunization provoked by leukocytes present in the blood products. We evaluated the development of alloimmunization both by serological demonstration of HLA antibodies and by clinical demons...

    journal_title:Vox sanguinis

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1423-0410.1993.tb02168.x

    authors: Saarinen UM,Koskimies S,Myllylä G

    更新日期:1993-01-01 00:00:00

  • Platelet characteristic antigens of CD34+ cells in cryopreserved cord blood: a study of platelet-derived microparticles in transplant processing.

    abstract:BACKGROUND AND OBJECTIVES:In previous studies, we found that platelet microparticles (PMPs) bind to cord blood (CB) CD34+ cells and transfer adhesion molecules to them, which enhances their engraftment. Before applying this phenomenon in actual transplants, we investigated the effect of PMPs on cryopreserved CD34+ cell...

    journal_title:Vox sanguinis

    pub_type: 杂志文章

    doi:10.1111/j.1423-0410.2004.00538.x

    authors: Liu B,Chen JS,Cao M,Gu SL,Liao C,Li DZ,Zhong HZ

    更新日期:2004-08-01 00:00:00

  • Phenotype prediction by DNA-based typing of clinically significant blood group systems in Jordanian blood donors.

    abstract:BACKGROUND AND OBJECTIVES:During the past 10 years several DNA-typing methods have been developed to complement routine serological typing for determination of polymorphisms in the ABO, RH, KEL, JK and FY blood group genes. However, the molecular basis of blood groups can differ widely between ethnic groups. The purpos...

    journal_title:Vox sanguinis

    pub_type: 杂志文章

    doi:10.1046/j.1423-0410.2002.00182.x

    authors: Irshaid NM,Ramadan S,Wester ES,Olausson P,Hellberg A,Merza JY,Olsson ML

    更新日期:2002-07-01 00:00:00

  • Sensitivity of assays for the detection of HPA-1a antibodies: results of an international workshop demonstrating the impact of cation chelation from integrin αIIbβ3 on three widely used assays.

    abstract:BACKGROUND AND OBJECTIVES:HPA-1a antibodies account for 70-80% of cases of fetal-neonatal alloimmune thrombocytopenia (FNAIT) in Caucasians. However, numerous workshops have demonstrated variability in their detection. We recently showed that exposure of αIIbβ3 to ethylene diamine tetraacetic acid (EDTA) affected bindi...

    journal_title:Vox sanguinis

    pub_type: 杂志文章

    doi:10.1111/vox.12043

    authors: Allen DL,Metcalfe P,Kaplan C,Kekomaki R,de Haas M,Yusuf R,Ouwehand WH

    更新日期:2013-08-01 00:00:00

  • Effect of periodate oxidation on specific activities and carbohydrate components of human blood group N- and M-specific glycoproteins and glycopeptides.

    abstract::Mild as well as strong periodate oxidation of isolated erythrocyte N and M glycoproteins and glycopeptides gave extensive to complete destruction of N-specificities as measured with Vicia graminea extracts and of N- as well as M- activities determined with all but 1 of 8 animal anti-N and 13 anti-M sera. Results with ...

    journal_title:Vox sanguinis

    pub_type: 杂志文章

    doi:10.1111/j.1423-0410.1978.tb02931.x

    authors: Springer GF,Yang HJ

    更新日期:1978-01-01 00:00:00

  • A 'new' allele, Kpc, at the Kell complex locus.

    abstract::Four Kp(a-b-) Japanese sisters, the product of a consanguineous mating, have otherwise normal Kell antigens. Kpc, a 'new' allele of Kpa and Kpb is the most probable background. ...

    journal_title:Vox sanguinis

    pub_type: 杂志文章

    doi:10.1111/j.1423-0410.1979.tb04395.x

    authors: Yamaguchi H,Okubo Y,Seno T,Matsushita K,Daniels GL

    更新日期:1979-01-01 00:00:00

  • Standardization of bromelin for use in routine one-stage antibody screening.

    abstract::A simple standardization method for bromelin used in routine one-stage antibody screening is described. Bromelin proteinase activity was assayed using casein as the substrate, and converted to units. The use of proteinase activity units for standardization of bromelin resolves differences between commercial preparatio...

    journal_title:Vox sanguinis

    pub_type: 杂志文章

    doi:10.1111/j.1423-0410.1987.tb02991.x

    authors: Mazda T,Ogasawara K,Nakata K,Shimizu M

    更新日期:1987-01-01 00:00:00

  • K12 is located on the Kell blood group protein in proximity to K/k and Jsa/Jsb.

    abstract::K12 is a high-prevalence antigen, with no known antithetical partner, that is associated with the Kell blood group system. We report studies on the 5th propositus (MS) with the K:-12 phenotype and the second case to show that the K12 is inherited. The anti-K12 in his serum did not destroy antigen-positive incompatible...

    journal_title:Vox sanguinis

    pub_type: 杂志文章

    doi:10.1111/j.1423-0410.1995.tb02543.x

    authors: Reid ME,Oyen R,Redman CM,Gillespie G,Jones J,Eckrich R

    更新日期:1995-01-01 00:00:00

  • Designing the blood supply chain: how much, how and where?

    abstract:BACKGROUND:The topology of the blood supply chain network can take different forms in different settings, depending on geography, politics, costs, etc. Many developed countries are moving towards centralized networks. The goal for all blood distribution networks, regardless of topology, remains the same: to satisfy dem...

    journal_title:Vox sanguinis

    pub_type: 杂志文章

    doi:10.1111/vox.12706

    authors: Osorio AF,Brailsford SC,Smith HK,Blake J

    更新日期:2018-11-01 00:00:00

  • The effects of leg crossing and applied tension on blood donor return.

    abstract:BACKGROUND AND OBJECTIVES:Repeated isometric muscle tension (applied tension) during blood donation reduces vasovagal symptoms in many donors. Experiencing vasovagal symptoms has been found to reduce blood donor return. However, does practicing applied tension improve blood donor return? Follow-up results from a random...

    journal_title:Vox sanguinis

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/vox.12055

    authors: Ditto B,Gilchrist PT,Holly CD,Dubuc S,Delage G,France CR

    更新日期:2013-11-01 00:00:00

  • 'One step closer': Acceptability of a programme of plasma donation for fractionation from men who have sex with men.

    abstract:BACKGROUND AND OBJECTIVES:In Canada, Héma-Québec is considering the possibility of allowing men who have sex with men (MSM) to donate plasma for fractionation combined with a mandatory quarantine period. This study aims to assess the acceptability and operational feasibility of the programme in the targeted population....

    journal_title:Vox sanguinis

    pub_type: 杂志文章

    doi:10.1111/vox.12827

    authors: Caruso J,Germain M,Godin G,Myhal G,Pronovost F,Morin M,Otis J

    更新日期:2019-10-01 00:00:00

  • HIV antibody screening of blood donations in the United Kingdom.

    abstract::Routine screening of blood donations for anti-HIV commenced in the UK during October 1985 and by the end of February 1987 approximately 3.7 million donations had been tested. Seventy-two were confirmed anti-HIV positive, i.e. 0.002%. Of the anti-HIV-positive donors interviewed to date, the majority are young homosexua...

    journal_title:Vox sanguinis

    pub_type: 杂志文章

    doi:10.1111/j.1423-0410.1988.tb01609.x

    authors: Gunson HH,Rawlinson VI

    更新日期:1988-01-01 00:00:00

  • Anti-granulocyte antibody screening with extracted granulocyte antigens by a micro-mixed passive hemagglutination method.

    abstract:BACKGROUND AND OBJECTIVES:Serologic tests for granulocyte antibodies, i.e., the granulocyte agglutination test and the granulocyte immunofluorescence test, require panels of typed granulocytes that cannot be preserved for more than a few hours. We have developed a new method in which granulocyte antigens, extracted int...

    journal_title:Vox sanguinis

    pub_type: 临床试验,杂志文章

    doi:10.1159/000031073

    authors: Araki N,Nose Y,Kohsaki M,Mito H,Ito K

    更新日期:1999-01-01 00:00:00

  • Current problems and results in testing microaggregate filters.

    abstract::Most in vitro studies on microaggregate filters focus on the mechanical retention of microparticles. Data are based on bulk techniques such as differential dry weight and screen filtration pressure measurements or single-particle counting using resistance measurement (Coulter principle). Errors in measurements may res...

    journal_title:Vox sanguinis

    pub_type: 杂志文章

    doi:10.1111/j.1423-0410.1979.tb02310.x

    authors: Eisert WG,Eckert G

    更新日期:1979-01-01 00:00:00