Pathophysiology of hemolytic transfusion reactions

被引:48
作者
Davenport, RD [1 ]
机构
[1] Univ Michigan, Univ Hosp, Sch Med, Dept Pathol, Ann Arbor, MI 48109 USA
关键词
D O I
10.1053/j.seminhematol.2005.04.006
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Hemolytic transfusion reactions (HTR) are systemic reactions provoked by immunologic red blood cell (RBC) incompatibility. Clinical and experimental observations of such reactions indicate that they proceed through phases of humoral immune reaction, activation of phagocytes, productions of cytokine mediators, and wide-ranging cellular responses. HTR have many features in common with the systemic inflammatory response syndrome (SIRS). Knowledge of the pathophysiologic mechanisms in HTR suggest that newer biological agents that target complement intermediates or proinflammatory cytokines may be effective agents in the treatment of severe HTRs. © 2005 Elsevier Inc. All rights reserved.
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收藏
页码:165 / 168
页数:4
相关论文
共 18 条
[1]   SYSTEMIC RELEASE OF NEUTROPHIL ELASTASE AND TUMOR-NECROSIS-FACTOR-ALPHA FOLLOWING ABO INCOMPATIBLE BLOOD-TRANSFUSION [J].
BUTLER, J ;
PARKER, D ;
PILLAI, R ;
SHALE, DJ ;
ROCKER, GM .
BRITISH JOURNAL OF HAEMATOLOGY, 1991, 79 (03) :525-526
[2]   BLOCKADE OF CLEARANCE OF IMMUNE-COMPLEXES BY AN ANTI-FC-GAMMA-RECEPTOR MONOCLONAL-ANTIBODY [J].
CLARKSON, SB ;
KIMBERLY, RP ;
VALINSKY, JE ;
WITMER, MD ;
BUSSEL, JB ;
NACHMAN, RL ;
UNKELESS, JC .
JOURNAL OF EXPERIMENTAL MEDICINE, 1986, 164 (02) :474-489
[3]   Anti-D initially stimulates an Fc-dependent leukocyte oxidative burst and subsequently suppresses erythrophagocytosis via interleukin-1 receptor antagonist [J].
Coopamah, MD ;
Freedman, J ;
Semple, JW .
BLOOD, 2003, 102 (08) :2862-2867
[4]   CYTOKINE PRODUCTION IN IGG-MEDIATED RED-CELL INCOMPATIBILITY [J].
DAVENPORT, RD ;
BURDICK, M ;
MOORE, SA ;
KUNKEL, SL .
TRANSFUSION, 1993, 33 (01) :19-24
[5]   MONOCYTE CHEMOATTRACTANT PROTEIN-PRODUCTION IN RED-CELL INCOMPATIBILITY [J].
DAVENPORT, RD ;
BURDICK, M ;
STRIETER, RM ;
KUNKEL, SL .
TRANSFUSION, 1994, 34 (01) :16-19
[6]   IN-VITRO PRODUCTION OF INTERLEUKIN-1 RECEPTOR ANTAGONIST IN IGG-MEDIATED RED-CELL INCOMPATIBILITY [J].
DAVENPORT, RD ;
BURDICK, MD ;
STRIETER, RM ;
KUNKEL, SL .
TRANSFUSION, 1994, 34 (04) :297-303
[7]   RED-CELL ABO INCOMPATIBILITY AND PRODUCTION OF TUMOR-NECROSIS-FACTOR-ALPHA [J].
DAVENPORT, RD ;
STRIETER, RM ;
KUNKEL, SL .
BRITISH JOURNAL OF HAEMATOLOGY, 1991, 78 (04) :540-544
[8]  
DAVENPORT RD, 1990, BLOOD, V76, P2439
[9]  
DAVENPORT RD, 1994, TRANSFUSION, V34, P934
[10]  
DAVENPORT RD, 1994, TRANSFUSION S, V34, pS79