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Sensitization by platelet transfusion.

A Brand1

  • 1Immunohaematologie en Bloedbank, Academisch Ziekenhuis, Leiden, Holland.

Schweizerische Medizinische Wochenschrift
|March 30, 1991
PubMed
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Rigorous white cell depletion of blood components can prevent HLA-antigen alloimmunization in patients without prior transfusions or pregnancy. However, presensitized patients remain at risk due to residual HLA-class I antigens.

Area of Science:

  • Immunology
  • Transfusion Medicine

Background:

  • Alloimmunization to HLA-antigens poses a risk in patients receiving blood products.
  • Previous blood transfusions or pregnancies can sensitize individuals to HLA-antigens.

Purpose of the Study:

  • To evaluate the effectiveness of white cell depletion in preventing HLA-antigen alloimmunization.
  • To identify remaining risks for presensitized patients.

Main Methods:

  • Analysis of current knowledge on white cell depletion strategies for blood components.
  • Assessment of alloimmunization risk in different patient populations.

Main Results:

  • White cell depletion before storage, omitting bedside filtration, virtually prevents alloimmunization in naive patients.

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  • Presensitized patients face a significant risk of secondary antibody response due to residual HLA-class I antigens.
  • Conclusions:

    • Strict white cell depletion protocols are crucial for preventing de novo alloimmunization.
    • Alternative strategies are needed to mitigate alloimmunization risk in HLA-sensitized individuals.