Long‐term detection of microchimaerism in peripheral blood after pretransplantation blood transfusion

Renal allograft survival is prolonged after pretransplantation blood transfusion. The aim of this study was to test retrospectively the development and persistence of microchimaerism after pretransplantation blood transfusion and to assess whether the type of blood transfusion (partially matched [= ...

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Veröffentlicht in:British journal of haematology 1998-09, Vol.102 (4), p.1004-1009
Hauptverfasser: Vervoordeldonk, Susan F., Doumaid, Karim, Remmerswaal, Ester B. M., Ten Berge, Ineke J. M., Wilmink, Joep M., DE Waal, Leo P., Boog, Claire J. P.
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container_end_page 1009
container_issue 4
container_start_page 1004
container_title British journal of haematology
container_volume 102
creator Vervoordeldonk, Susan F.
Doumaid, Karim
Remmerswaal, Ester B. M.
Ten Berge, Ineke J. M.
Wilmink, Joep M.
DE Waal, Leo P.
Boog, Claire J. P.
description Renal allograft survival is prolonged after pretransplantation blood transfusion. The aim of this study was to test retrospectively the development and persistence of microchimaerism after pretransplantation blood transfusion and to assess whether the type of blood transfusion (partially matched [= sharing of at least one HLA‐B and one HLA‐DR antigen between blood donor and recipient] versus mismatched) influences the (continued) presence of donor‐type cells. A sensitive nested PCR technique based on HLA‐DRB1 allele‐specific amplification using sequence‐specific primers (detection level: one donor cell among 105 recipient cells) for detection of donor cells was implemented in our laboratory. We studied 21 patients for microchimaerism in the peripheral blood compartment, following blood transfusion. Our preliminary data show that microchimaerism was detectable up to 8 weeks after blood transfusion. In all patients receiving a partially matched blood transfusion, donor‐type cells were detected in the first week after transfusion, in 7/8 patients 2–4 weeks after transfusion, and in some patients up to 8 weeks after transfusion. After mismatched transfusion a tendency to shorter duration of microchimaerism was observed.
doi_str_mv 10.1046/j.1365-2141.1998.00862.x
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A sensitive nested PCR technique based on HLA‐DRB1 allele‐specific amplification using sequence‐specific primers (detection level: one donor cell among 105 recipient cells) for detection of donor cells was implemented in our laboratory. We studied 21 patients for microchimaerism in the peripheral blood compartment, following blood transfusion. Our preliminary data show that microchimaerism was detectable up to 8 weeks after blood transfusion. In all patients receiving a partially matched blood transfusion, donor‐type cells were detected in the first week after transfusion, in 7/8 patients 2–4 weeks after transfusion, and in some patients up to 8 weeks after transfusion. After mismatched transfusion a tendency to shorter duration of microchimaerism was observed.</description><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Blood Transfusion</subject><subject>Blood. Blood and plasma substitutes. Blood products. Blood cells. Blood typing. Plasmapheresis. Apheresis</subject><subject>Chimera</subject><subject>Female</subject><subject>Hematology</subject><subject>Histocompatibility Testing</subject><subject>HLA matching</subject><subject>HLA-DR3 Antigen - blood</subject><subject>HLA-DR7 Antigen - blood</subject><subject>Humans</subject><subject>Kidney Transplantation</subject><subject>Male</subject><subject>Medical sciences</subject><subject>microchimaerism</subject><subject>PCR</subject><subject>Polymerase Chain Reaction</subject><subject>pre‐transplantation</subject><subject>Retrospective Studies</subject><subject>Time Factors</subject><subject>Transfusions. Complications. Transfusion reactions. 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P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long‐term detection of microchimaerism in peripheral blood after pretransplantation blood transfusion</atitle><jtitle>British journal of haematology</jtitle><addtitle>Br J Haematol</addtitle><date>1998-09</date><risdate>1998</risdate><volume>102</volume><issue>4</issue><spage>1004</spage><epage>1009</epage><pages>1004-1009</pages><issn>0007-1048</issn><eissn>1365-2141</eissn><coden>BJHEAL</coden><abstract>Renal allograft survival is prolonged after pretransplantation blood transfusion. The aim of this study was to test retrospectively the development and persistence of microchimaerism after pretransplantation blood transfusion and to assess whether the type of blood transfusion (partially matched [= sharing of at least one HLA‐B and one HLA‐DR antigen between blood donor and recipient] versus mismatched) influences the (continued) presence of donor‐type cells. 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subjects Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Blood Transfusion
Blood. Blood and plasma substitutes. Blood products. Blood cells. Blood typing. Plasmapheresis. Apheresis
Chimera
Female
Hematology
Histocompatibility Testing
HLA matching
HLA-DR3 Antigen - blood
HLA-DR7 Antigen - blood
Humans
Kidney Transplantation
Male
Medical sciences
microchimaerism
PCR
Polymerase Chain Reaction
pre‐transplantation
Retrospective Studies
Time Factors
Transfusions. Complications. Transfusion reactions. Cell and gene therapy
title Long‐term detection of microchimaerism in peripheral blood after pretransplantation blood transfusion
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