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Updated: Feb 1, 2026

Mitigation of Blood Borne Cell Attachment to Metal Implants through CD47-Derived Peptide Immobilization
Published on: December 3, 2020
Monoclonal anti-CD47 interference in red cell and platelet testing.
Randall W Velliquette1, Judith Aeschlimann1, Julie Kirkegaard1
1Immunohematology and Genomics Laboratory, New York Blood Center, New York, New York; and the Community Blood Center, Kansas City, Missouri.
Anti-CD47 antibody interferes with blood transfusion testing, causing false positives. Multiple red blood cell adsorptions or specific anti-IgG reagents are needed to mitigate this interference.
Area of Science:
- Transfusion Medicine
- Immunology
- Oncology
Background:
- Anti-CD47 (Hu5F9-G4) is an investigational IgG4 antibody for treating malignancies.
- CD47 blockade aims to enhance phagocytosis and anti-tumor responses.
- This study assesses anti-CD47 interference in pretransfusion testing.
Purpose of the Study:
- Evaluate drug interference of anti-CD47 in pretransfusion testing.
- Determine strategies to mitigate this interference.
- Compare anti-CD47 interference with anti-CD38 (Daratumumab).
Main Methods:
- Standard pretransfusion testing methods were used.
- Red blood cells (RBCs) were treated with dithiothreitol and enzymes.
- Allo-adsorption and platelet antibody testing were performed.
Main Results:
- Anti-CD47 caused significant interference (3+ to 4+ reactions) in all testing phases.
- High titers (up to 16,384) were observed with D- RBCs.
- Interference was removed by multiple RBC alloadsorptions or specific anti-IgG reagents.
Conclusions:
- Anti-CD47 significantly interferes with all pretransfusion testing, including ABO reverse typing.
- Mitigation requires multiple RBC alloadsorptions.
- Using monoclonal Gamma-clone anti-IgG for indirect antiglobulin testing can overcome interference.
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