Anaphylactic transfusion reactions in haptoglobin-deficient patients with IgE and IgG haptoglobin antibodies

BACKGROUND : Patients with haptoglobin deficiency associated with haptoglobin IgG antibodies, who experienced severe nonhemolytic transfusion reactions (NHTRs), have been identified in Japan. Haptoglobin deficiency therefore might be a risk factor for NHTRs. STUDY DESIGN AND METHODS : A total of 413...

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Veröffentlicht in:Transfusion (Philadelphia, Pa.) Pa.), 2002-06, Vol.42 (6), p.766-773
Hauptverfasser: Shimada, Eiko, Tadokoro, Kenji, Watanabe, Yoshihisa, Ikeda, Kazuyo, Niihara, Hiromi, Maeda, Ikiko, Isa, Kazumi, Moriya, Susumu, Ashida, Takashi, Mitsunaga, Shigeki, Nakajima, Kazunori, Juji, Takeo
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container_issue 6
container_start_page 766
container_title Transfusion (Philadelphia, Pa.)
container_volume 42
creator Shimada, Eiko
Tadokoro, Kenji
Watanabe, Yoshihisa
Ikeda, Kazuyo
Niihara, Hiromi
Maeda, Ikiko
Isa, Kazumi
Moriya, Susumu
Ashida, Takashi
Mitsunaga, Shigeki
Nakajima, Kazunori
Juji, Takeo
description BACKGROUND : Patients with haptoglobin deficiency associated with haptoglobin IgG antibodies, who experienced severe nonhemolytic transfusion reactions (NHTRs), have been identified in Japan. Haptoglobin deficiency therefore might be a risk factor for NHTRs. STUDY DESIGN AND METHODS : A total of 4138 cases of voluntarily reported NHTRs in Japan, including 367 cases of immediate‐onset anaphylactic NHTRs, were examined to identify haptoglobin deficiency. Serum haptoglobin IgG and IgE antibodies were determined in haptoglobin‐deficient patients to elucidate the mechanism underlying the transfusion reactions. RESULTS : Seven patients with haptoglobin deficiency were identified. Six of them experienced severe and acute NHTRs. Six of them were identified to be homozygous for the Hp del allele of the haptoglobin gene. Both haptoglobin IgG and IgE antibodies were detected in serum samples of all the patients. The stimulative effects of blood transfusion on the production of hap‐ toglobin antibodies in the patients and the relation‐ ship between the presence of the antibodies and the occurrence of the transfusion reactions were observed. CONCLUSION : Anaphylactic NHTRs in these patients with haptoglobin deficiency associated with serum haptoglobin antibodies were suggested to be prevalent in Japan. In addition to IgG antibodies, IgE haptoglobin antibodies detected in the sera of such patients were suggested to play a role in the occurrence of the reactions.
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Haptoglobin deficiency therefore might be a risk factor for NHTRs. STUDY DESIGN AND METHODS : A total of 4138 cases of voluntarily reported NHTRs in Japan, including 367 cases of immediate‐onset anaphylactic NHTRs, were examined to identify haptoglobin deficiency. Serum haptoglobin IgG and IgE antibodies were determined in haptoglobin‐deficient patients to elucidate the mechanism underlying the transfusion reactions. RESULTS : Seven patients with haptoglobin deficiency were identified. Six of them experienced severe and acute NHTRs. Six of them were identified to be homozygous for the Hp del allele of the haptoglobin gene. Both haptoglobin IgG and IgE antibodies were detected in serum samples of all the patients. The stimulative effects of blood transfusion on the production of hap‐ toglobin antibodies in the patients and the relation‐ ship between the presence of the antibodies and the occurrence of the transfusion reactions were observed. CONCLUSION : Anaphylactic NHTRs in these patients with haptoglobin deficiency associated with serum haptoglobin antibodies were suggested to be prevalent in Japan. In addition to IgG antibodies, IgE haptoglobin antibodies detected in the sera of such patients were suggested to play a role in the occurrence of the reactions.</description><identifier>ISSN: 0041-1132</identifier><identifier>EISSN: 1537-2995</identifier><identifier>DOI: 10.1046/j.1537-2995.2002.00117.x</identifier><identifier>PMID: 12147031</identifier><identifier>CODEN: TRANAT</identifier><language>eng</language><publisher>Boston, MA, USA: Blackwell Science Inc</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Alleles ; Anaphylaxis - epidemiology ; Anaphylaxis - etiology ; Anaphylaxis - immunology ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Antibody Specificity ; Arteriosclerosis Obliterans - immunology ; Arteriosclerosis Obliterans - therapy ; Basophils - immunology ; Basophils - metabolism ; Biological and medical sciences ; Blood. Blood and plasma substitutes. Blood products. Blood cells. Blood typing. Plasmapheresis. Apheresis ; Blotting, Western ; Child ; Child, Preschool ; Comorbidity ; Enzyme-Linked Immunosorbent Assay ; Female ; Gene Deletion ; Genotype ; Haptoglobins - deficiency ; Haptoglobins - genetics ; Humans ; Hypersensitivity, Immediate - etiology ; Hypersensitivity, Immediate - immunology ; Immunization ; Immunodiffusion ; Immunoglobulin E - immunology ; Immunoglobulin G - immunology ; Infant ; Infant, Newborn ; Isoantibodies - immunology ; Japan - epidemiology ; Kidney Failure, Chronic - immunology ; Kidney Failure, Chronic - therapy ; Male ; Mass Screening ; Mast Cells - immunology ; Mast Cells - metabolism ; Medical sciences ; Middle Aged ; Myelodysplastic Syndromes - immunology ; Myelodysplastic Syndromes - therapy ; Pregnancy ; Pregnancy Complications - immunology ; Prevalence ; Receptors, IgE - immunology ; Registries ; Transfusion Reaction ; Transfusions. Complications. Transfusion reactions. Cell and gene therapy ; Urinary Bladder Neoplasms - immunology ; Urinary Bladder Neoplasms - therapy</subject><ispartof>Transfusion (Philadelphia, Pa.), 2002-06, Vol.42 (6), p.766-773</ispartof><rights>2002 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4347-d4fe2c1f02abec1ac49f0ac2889f19eb8ba3fbe0ec8a628ec6ab181eda5c63953</citedby><cites>FETCH-LOGICAL-c4347-d4fe2c1f02abec1ac49f0ac2889f19eb8ba3fbe0ec8a628ec6ab181eda5c63953</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1046%2Fj.1537-2995.2002.00117.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1046%2Fj.1537-2995.2002.00117.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=13800460$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12147031$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shimada, Eiko</creatorcontrib><creatorcontrib>Tadokoro, Kenji</creatorcontrib><creatorcontrib>Watanabe, Yoshihisa</creatorcontrib><creatorcontrib>Ikeda, Kazuyo</creatorcontrib><creatorcontrib>Niihara, Hiromi</creatorcontrib><creatorcontrib>Maeda, Ikiko</creatorcontrib><creatorcontrib>Isa, Kazumi</creatorcontrib><creatorcontrib>Moriya, Susumu</creatorcontrib><creatorcontrib>Ashida, Takashi</creatorcontrib><creatorcontrib>Mitsunaga, Shigeki</creatorcontrib><creatorcontrib>Nakajima, Kazunori</creatorcontrib><creatorcontrib>Juji, Takeo</creatorcontrib><title>Anaphylactic transfusion reactions in haptoglobin-deficient patients with IgE and IgG haptoglobin antibodies</title><title>Transfusion (Philadelphia, Pa.)</title><addtitle>Transfusion</addtitle><description>BACKGROUND : Patients with haptoglobin deficiency associated with haptoglobin IgG antibodies, who experienced severe nonhemolytic transfusion reactions (NHTRs), have been identified in Japan. Haptoglobin deficiency therefore might be a risk factor for NHTRs. STUDY DESIGN AND METHODS : A total of 4138 cases of voluntarily reported NHTRs in Japan, including 367 cases of immediate‐onset anaphylactic NHTRs, were examined to identify haptoglobin deficiency. Serum haptoglobin IgG and IgE antibodies were determined in haptoglobin‐deficient patients to elucidate the mechanism underlying the transfusion reactions. RESULTS : Seven patients with haptoglobin deficiency were identified. Six of them experienced severe and acute NHTRs. Six of them were identified to be homozygous for the Hp del allele of the haptoglobin gene. Both haptoglobin IgG and IgE antibodies were detected in serum samples of all the patients. The stimulative effects of blood transfusion on the production of hap‐ toglobin antibodies in the patients and the relation‐ ship between the presence of the antibodies and the occurrence of the transfusion reactions were observed. CONCLUSION : Anaphylactic NHTRs in these patients with haptoglobin deficiency associated with serum haptoglobin antibodies were suggested to be prevalent in Japan. In addition to IgG antibodies, IgE haptoglobin antibodies detected in the sera of such patients were suggested to play a role in the occurrence of the reactions.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Alleles</subject><subject>Anaphylaxis - epidemiology</subject><subject>Anaphylaxis - etiology</subject><subject>Anaphylaxis - immunology</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Antibody Specificity</subject><subject>Arteriosclerosis Obliterans - immunology</subject><subject>Arteriosclerosis Obliterans - therapy</subject><subject>Basophils - immunology</subject><subject>Basophils - metabolism</subject><subject>Biological and medical sciences</subject><subject>Blood. Blood and plasma substitutes. Blood products. Blood cells. Blood typing. Plasmapheresis. Apheresis</subject><subject>Blotting, Western</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Comorbidity</subject><subject>Enzyme-Linked Immunosorbent Assay</subject><subject>Female</subject><subject>Gene Deletion</subject><subject>Genotype</subject><subject>Haptoglobins - deficiency</subject><subject>Haptoglobins - genetics</subject><subject>Humans</subject><subject>Hypersensitivity, Immediate - etiology</subject><subject>Hypersensitivity, Immediate - immunology</subject><subject>Immunization</subject><subject>Immunodiffusion</subject><subject>Immunoglobulin E - immunology</subject><subject>Immunoglobulin G - immunology</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Isoantibodies - immunology</subject><subject>Japan - epidemiology</subject><subject>Kidney Failure, Chronic - immunology</subject><subject>Kidney Failure, Chronic - therapy</subject><subject>Male</subject><subject>Mass Screening</subject><subject>Mast Cells - immunology</subject><subject>Mast Cells - metabolism</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Myelodysplastic Syndromes - immunology</subject><subject>Myelodysplastic Syndromes - therapy</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - immunology</subject><subject>Prevalence</subject><subject>Receptors, IgE - immunology</subject><subject>Registries</subject><subject>Transfusion Reaction</subject><subject>Transfusions. Complications. Transfusion reactions. 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Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Antibody Specificity</topic><topic>Arteriosclerosis Obliterans - immunology</topic><topic>Arteriosclerosis Obliterans - therapy</topic><topic>Basophils - immunology</topic><topic>Basophils - metabolism</topic><topic>Biological and medical sciences</topic><topic>Blood. Blood and plasma substitutes. Blood products. Blood cells. Blood typing. Plasmapheresis. Apheresis</topic><topic>Blotting, Western</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Comorbidity</topic><topic>Enzyme-Linked Immunosorbent Assay</topic><topic>Female</topic><topic>Gene Deletion</topic><topic>Genotype</topic><topic>Haptoglobins - deficiency</topic><topic>Haptoglobins - genetics</topic><topic>Humans</topic><topic>Hypersensitivity, Immediate - etiology</topic><topic>Hypersensitivity, Immediate - immunology</topic><topic>Immunization</topic><topic>Immunodiffusion</topic><topic>Immunoglobulin E - immunology</topic><topic>Immunoglobulin G - immunology</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Isoantibodies - immunology</topic><topic>Japan - epidemiology</topic><topic>Kidney Failure, Chronic - immunology</topic><topic>Kidney Failure, Chronic - therapy</topic><topic>Male</topic><topic>Mass Screening</topic><topic>Mast Cells - immunology</topic><topic>Mast Cells - metabolism</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Myelodysplastic Syndromes - immunology</topic><topic>Myelodysplastic Syndromes - therapy</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - immunology</topic><topic>Prevalence</topic><topic>Receptors, IgE - immunology</topic><topic>Registries</topic><topic>Transfusion Reaction</topic><topic>Transfusions. Complications. Transfusion reactions. Cell and gene therapy</topic><topic>Urinary Bladder Neoplasms - immunology</topic><topic>Urinary Bladder Neoplasms - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shimada, Eiko</creatorcontrib><creatorcontrib>Tadokoro, Kenji</creatorcontrib><creatorcontrib>Watanabe, Yoshihisa</creatorcontrib><creatorcontrib>Ikeda, Kazuyo</creatorcontrib><creatorcontrib>Niihara, Hiromi</creatorcontrib><creatorcontrib>Maeda, Ikiko</creatorcontrib><creatorcontrib>Isa, Kazumi</creatorcontrib><creatorcontrib>Moriya, Susumu</creatorcontrib><creatorcontrib>Ashida, Takashi</creatorcontrib><creatorcontrib>Mitsunaga, Shigeki</creatorcontrib><creatorcontrib>Nakajima, Kazunori</creatorcontrib><creatorcontrib>Juji, Takeo</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Transfusion (Philadelphia, Pa.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shimada, Eiko</au><au>Tadokoro, Kenji</au><au>Watanabe, Yoshihisa</au><au>Ikeda, Kazuyo</au><au>Niihara, Hiromi</au><au>Maeda, Ikiko</au><au>Isa, Kazumi</au><au>Moriya, Susumu</au><au>Ashida, Takashi</au><au>Mitsunaga, Shigeki</au><au>Nakajima, Kazunori</au><au>Juji, Takeo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anaphylactic transfusion reactions in haptoglobin-deficient patients with IgE and IgG haptoglobin antibodies</atitle><jtitle>Transfusion (Philadelphia, Pa.)</jtitle><addtitle>Transfusion</addtitle><date>2002-06</date><risdate>2002</risdate><volume>42</volume><issue>6</issue><spage>766</spage><epage>773</epage><pages>766-773</pages><issn>0041-1132</issn><eissn>1537-2995</eissn><coden>TRANAT</coden><abstract>BACKGROUND : Patients with haptoglobin deficiency associated with haptoglobin IgG antibodies, who experienced severe nonhemolytic transfusion reactions (NHTRs), have been identified in Japan. Haptoglobin deficiency therefore might be a risk factor for NHTRs. STUDY DESIGN AND METHODS : A total of 4138 cases of voluntarily reported NHTRs in Japan, including 367 cases of immediate‐onset anaphylactic NHTRs, were examined to identify haptoglobin deficiency. Serum haptoglobin IgG and IgE antibodies were determined in haptoglobin‐deficient patients to elucidate the mechanism underlying the transfusion reactions. RESULTS : Seven patients with haptoglobin deficiency were identified. Six of them experienced severe and acute NHTRs. Six of them were identified to be homozygous for the Hp del allele of the haptoglobin gene. Both haptoglobin IgG and IgE antibodies were detected in serum samples of all the patients. The stimulative effects of blood transfusion on the production of hap‐ toglobin antibodies in the patients and the relation‐ ship between the presence of the antibodies and the occurrence of the transfusion reactions were observed. CONCLUSION : Anaphylactic NHTRs in these patients with haptoglobin deficiency associated with serum haptoglobin antibodies were suggested to be prevalent in Japan. In addition to IgG antibodies, IgE haptoglobin antibodies detected in the sera of such patients were suggested to play a role in the occurrence of the reactions.</abstract><cop>Boston, MA, USA</cop><pub>Blackwell Science Inc</pub><pmid>12147031</pmid><doi>10.1046/j.1537-2995.2002.00117.x</doi><tpages>8</tpages></addata></record>
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subjects Adolescent
Adult
Aged
Aged, 80 and over
Alleles
Anaphylaxis - epidemiology
Anaphylaxis - etiology
Anaphylaxis - immunology
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Antibody Specificity
Arteriosclerosis Obliterans - immunology
Arteriosclerosis Obliterans - therapy
Basophils - immunology
Basophils - metabolism
Biological and medical sciences
Blood. Blood and plasma substitutes. Blood products. Blood cells. Blood typing. Plasmapheresis. Apheresis
Blotting, Western
Child
Child, Preschool
Comorbidity
Enzyme-Linked Immunosorbent Assay
Female
Gene Deletion
Genotype
Haptoglobins - deficiency
Haptoglobins - genetics
Humans
Hypersensitivity, Immediate - etiology
Hypersensitivity, Immediate - immunology
Immunization
Immunodiffusion
Immunoglobulin E - immunology
Immunoglobulin G - immunology
Infant
Infant, Newborn
Isoantibodies - immunology
Japan - epidemiology
Kidney Failure, Chronic - immunology
Kidney Failure, Chronic - therapy
Male
Mass Screening
Mast Cells - immunology
Mast Cells - metabolism
Medical sciences
Middle Aged
Myelodysplastic Syndromes - immunology
Myelodysplastic Syndromes - therapy
Pregnancy
Pregnancy Complications - immunology
Prevalence
Receptors, IgE - immunology
Registries
Transfusion Reaction
Transfusions. Complications. Transfusion reactions. Cell and gene therapy
Urinary Bladder Neoplasms - immunology
Urinary Bladder Neoplasms - therapy
title Anaphylactic transfusion reactions in haptoglobin-deficient patients with IgE and IgG haptoglobin antibodies
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