Rare and transient anti-D antibody response in D− liver transplant recipients transfused with D+ red blood cells
A retrospective analysis was conducted on 20 D− liver transplant (LT) recipients transfused with D+ RBCs perioperatively and screened for RBC antibodies between 2 and 6 months later. None developed anti‐D detectable by the indirect antiglobulin test. Two patients produced weak anti‐D that reacted on...
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| Veröffentlicht in: | Vox sanguinis 2016-07, Vol.111 (1), p.107-110 |
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| container_title | Vox sanguinis |
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| creator | Burin des Roziers, N. Ibanez, C. Samuel, D. Francoz, C. Idri, S. François, A. Mortelecque, R. Bierling, P. Pirenne, F. |
| description | A retrospective analysis was conducted on 20 D− liver transplant (LT) recipients transfused with D+ RBCs perioperatively and screened for RBC antibodies between 2 and 6 months later. None developed anti‐D detectable by the indirect antiglobulin test. Two patients produced weak anti‐D that reacted only with papain‐treated RBCs at 10 and 11 days without any sign of immune haemolysis. Antibodies became quickly undetectable. These data suggest an unusual pattern of alloimmunization in LT recipients with rapid, weak and transient antibody response and support the safety of transfusing D+ RBCs in most of D− patients during LT surgery. |
| doi_str_mv | 10.1111/vox.12392 |
| format | Article |
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None developed anti‐D detectable by the indirect antiglobulin test. Two patients produced weak anti‐D that reacted only with papain‐treated RBCs at 10 and 11 days without any sign of immune haemolysis. Antibodies became quickly undetectable. 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None developed anti‐D detectable by the indirect antiglobulin test. Two patients produced weak anti‐D that reacted only with papain‐treated RBCs at 10 and 11 days without any sign of immune haemolysis. Antibodies became quickly undetectable. These data suggest an unusual pattern of alloimmunization in LT recipients with rapid, weak and transient antibody response and support the safety of transfusing D+ RBCs in most of D− patients during LT surgery.</description><subject>Adult</subject><subject>antibody formation</subject><subject>Blood Transfusion</subject><subject>Blood transfusions</subject><subject>Coombs Test</subject><subject>Erythrocytes</subject><subject>Erythrocytes - cytology</subject><subject>Erythrocytes - immunology</subject><subject>Erythrocytes - metabolism</subject><subject>Female</subject><subject>haemolysis</subject><subject>Hemolysis</subject><subject>Humans</subject><subject>Immunoglobulins</subject><subject>immunosuppression</subject><subject>Isoantibodies - blood</subject><subject>Liver</subject><subject>Liver Transplantation</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Papain - metabolism</subject><subject>Retrospective Studies</subject><subject>Rh-Hr blood group system</subject><subject>Rho(D) Immune Globulin - blood</subject><subject>Rho(D) Immune Globulin - immunology</subject><subject>Transplants & implants</subject><subject>Young Adult</subject><issn>0042-9007</issn><issn>1423-0410</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc1u1DAUhS0EokNhwQsgS2xAKK1_MrG9rDrQIiqKoPyoG8s_d4RLJg520nbegDWPyJPgmbRdIOHNle3vHB3dg9BTSvZoOfuX8XqPMq7YPTSjNeMVqSm5j2aE1KxShIgd9CjnC0KIZHL-EO2wRlE5F2SG0keTAJvO4yGZLgfohnIbQrXYDhv9GifIfewy4NDhxZ9fv3EbLiFNgr4tWCFc6DfaPL0uxwweX4XhO168Kr8e2zZGjx20bX6MHixNm-HJzdxFn9-8Pjs8rk5Oj94eHpxUrm5oyS0d5YI78GwpnaCMUCOZYtbKxlhFHfFQNzUTtRGusUJ5Q411IJ1UjFvDd9GLybdP8ecIedCrkDcJTAdxzJpKUsRsLnlBn_-DXsQxdSXdlqpV2RUt1MuJcinmnGCp-xRWJq01JXpThC5F6G0RhX124zjaFfg78nbzBdifgKvQwvr_TvrL6bdby2pShDzA9Z3CpB-6EVzM9df3R_rDGTl_9-n4XCv-F6Evoq0</recordid><startdate>201607</startdate><enddate>201607</enddate><creator>Burin des Roziers, N.</creator><creator>Ibanez, C.</creator><creator>Samuel, D.</creator><creator>Francoz, C.</creator><creator>Idri, S.</creator><creator>François, A.</creator><creator>Mortelecque, R.</creator><creator>Bierling, P.</creator><creator>Pirenne, F.</creator><general>Blackwell Publishing Ltd</general><general>S. 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None developed anti‐D detectable by the indirect antiglobulin test. Two patients produced weak anti‐D that reacted only with papain‐treated RBCs at 10 and 11 days without any sign of immune haemolysis. Antibodies became quickly undetectable. These data suggest an unusual pattern of alloimmunization in LT recipients with rapid, weak and transient antibody response and support the safety of transfusing D+ RBCs in most of D− patients during LT surgery.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>26918570</pmid><doi>10.1111/vox.12392</doi><tpages>4</tpages></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult antibody formation Blood Transfusion Blood transfusions Coombs Test Erythrocytes Erythrocytes - cytology Erythrocytes - immunology Erythrocytes - metabolism Female haemolysis Hemolysis Humans Immunoglobulins immunosuppression Isoantibodies - blood Liver Liver Transplantation Male Middle Aged Papain - metabolism Retrospective Studies Rh-Hr blood group system Rho(D) Immune Globulin - blood Rho(D) Immune Globulin - immunology Transplants & implants Young Adult |
| title | Rare and transient anti-D antibody response in D− liver transplant recipients transfused with D+ red blood cells |
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