Leukodepletion to Prevent Transfusion Reactions: Effects on Cytokines and Other Biologic Response Modifiers

作者: Gary Stack , Edward L. Snyder

DOI: 10.1007/978-3-662-26538-3_6

关键词: In vitroIn vivoMechanism (biology)ImmunologyBlood transfusionBlood componentBiologic responseMedicineHuman leukocyte antigenPost transfusion

摘要: The role of allogeneic leukocytes in causing febrile nonhemolytic trans­fusion (FNHTR) reactions has been known since the mid-1950s. Recent data suggests plausible mechanisms which pro-inflammatory cytokines (IL-lα, IL-1β, IL-6 and TNF-α) mediate symptom com­plex this reaction to blood transfusion. Furthermore, source these may be host reacting or donor producing vitro during storage vivo post Leukodepletion post-storage, reduces occur­rence FNHTRs by former mechanism pre-storage leukodeple­tion should effective prevent either mechanism. Formal comparisons leukodepleted cellular products versus post-storage have not yet performed.

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