Platelet transfusion refractoriness and anti-HLA immunization

被引:40
作者
Blandin, Lucie [1 ]
Douge, Aurore [1 ,2 ]
Fayard, Amandine [3 ]
Bay, Jacques-Olivier [3 ,4 ]
Berlie, Guillaume [5 ]
Pereira, Bruno [6 ]
Lemal, Richard [1 ,4 ]
Rouzaire, Paul [1 ]
机构
[1] Clermont Ferrand Univ Hosp, Histocompatibil & Immunogenet Lab, 58 Rue Montalembert, F-63003 Clermont Ferrand, France
[2] Clermont Ferrand Univ Hosp, Oncol Dept, Clermont Ferrand, France
[3] Clermont Ferrand Univ Hosp, Clin Hematol Dept, Clermont Ferrand, France
[4] Clermont Auvergne Univ, CHELTER EA7453, Clermont Ferrand, France
[5] Etab Francais Sang Auvergne Rhone Alpes, Clermont Ferrand, France
[6] Clermont Ferrand Univ Hosp, DRCI, Biostat Unit, Clermont Ferrand, France
关键词
anti‐ HLA immunization; MFI threshold; platelet transfusion refractoriness;
D O I
10.1111/trf.16358
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Platelet transfusion refractoriness (PTR), defined as an unsatisfactory post-transfusion platelet count increment, is a common complication of patients receiving multiple transfusions. Different strategies are described in the management of PTR. In this work, we demonstrate the efficacy of the detection and identification of anti-HLA antibodies in the recipient using a threshold of 3000 mean fluorescence intensity (MFI), and the seek of donors not expressing HLA antigens against which the patient is immunized.
引用
收藏
页码:1700 / 1704
页数:5
相关论文
共 18 条
[1]   Platelet allo-antibodies identification strategies for preventing and managing platelet refractoriness [J].
Basire, A. ;
Picard, C. .
TRANSFUSION CLINIQUE ET BIOLOGIQUE, 2014, 21 (4-5) :193-206
[2]   Clinical relevance of the HLA system in blood transfusion [J].
Brown, C. J. ;
Navarrete, C. V. .
VOX SANGUINIS, 2011, 101 (02) :93-105
[3]  
Brubaker DB, 1998, AM J HEMATOL, V58, P165, DOI 10.1002/(SICI)1096-8652(199807)58:3<165::AID-AJH2>3.3.CO
[4]  
2-X
[5]   HLA-C expression on platelets: Studies with an HLA-Cw1-specific human monoclonal antibody [J].
Datema, G ;
Stein, S ;
Eijsink, C ;
Mulder, A ;
Claas, FHJ ;
Doxiadis, IIN .
VOX SANGUINIS, 2000, 79 (02) :108-111
[6]  
DUQUESNOY RJ, 1977, TRANSPLANT P, V9, P1827
[7]   Management of the Platelet Refractory Patient [J].
Forest, Stefanie K. ;
Hod, Eldad A. .
HEMATOLOGY-ONCOLOGY CLINICS OF NORTH AMERICA, 2016, 30 (03) :665-+
[8]   Platelet transfusion refractoriness [J].
Hod, Eldad ;
Schwartz, Joseph .
BRITISH JOURNAL OF HAEMATOLOGY, 2008, 142 (03) :348-360
[9]   HLA-selected platelets for platelet refractory patients with HLA antibodies: a single-center experience [J].
Karlstrom, Cecilia ;
Linjama, Tiina ;
Edgren, Gustaf ;
Lauronen, Jouni ;
Wikman, Agneta ;
Hoglund, Petter .
TRANSFUSION, 2019, 59 (03) :945-952
[10]   Frequency and causes of refractoriness in multiply transfused patients [J].
Legler, TJ ;
Fischer, I ;
Dittmann, J ;
Simson, G ;
Lynen, R ;
Humpe, A ;
Riggert, J ;
Schleyer, E ;
Kern, W ;
Hiddemann, W ;
Kohler, M .
ANNALS OF HEMATOLOGY, 1997, 74 (04) :185-189