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In Vitro and In Vivo Assessment of T, B and Myeloid Cells Suppressive Activity and Humoral Responses from Transplant Recipients
Published on: August 12, 2017
Transfusion-related immunomodulation: a reappraisal
Lyla A Youssef1, Steven L Spitalnik
1aDepartment of Microbiology & Immunology bDepartment of Pathology & Cell Biology, Columbia University, New York, New York, USA.
Transfusion-related immunomodulation (TRIM) may be mediated by macrophages. Research should investigate immunosuppressive effects from transfused red blood cells (RBCs) and storage lesion by-products.
Area of Science:
- Immunology
- Hematology
Background:
- Transfusion-related immunomodulation (TRIM) is a complex phenomenon.
- Understanding TRIM requires integrating innate, adaptive, and nutritional immunity concepts.
Purpose of the Study:
- To review current knowledge on TRIM.
- To propose a research focus for TRIM, distinguishing effects of pure red blood cells (RBCs) from storage lesion by-products.
- To explore the role of macrophages in TRIM.
Main Methods:
- Literature review and synthesis of existing research on TRIM.
- Analysis of immunological concepts relevant to transfusion.
- Focus on macrophage biology and function.
Main Results:
- Macrophages and monocytes possess 'memory' capabilities.
- Exposure to stimuli induces epigenetic, metabolic, and functional changes in myeloid cells.
- Macrophages are key in RBC clearance and iron recycling.
Conclusions:
- Macrophages are potential mediators of TRIM.
- TRIM's immunosuppressive effects may stem from transfused RBCs and storage lesion by-products.
- Further research is needed to define specific immunosuppressive mechanisms.
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