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Platelet transfusion refractoriness caused by a mismatch in HLA-C antigens.

Identifieur interne : 004543 ( Main/Exploration ); précédent : 004542; suivant : 004544

Platelet transfusion refractoriness caused by a mismatch in HLA-C antigens.

Auteurs : Satoshi Saito [Japon] ; Satoshi Ota ; Hideyuki Seshimo ; Yuichiro Yamazaki ; Setsuo Nomura ; Toshihiro Ito ; Jun Miki ; Masao Ota ; Hirofumi Fukushima ; Hiroo Maeda

Source :

RBID : pubmed:11961234

Descripteurs français

English descriptors

Abstract

BACKGROUND

HLA-C antigens have been thought to be of little significance in determining the efficacy of platelet transfusions. However, six alloimmunized patients were encountered who were refractory to platelet transfusions because of anti-HLA-Cw3, -Cw3, -Cw7, or -Cw8.

STUDY DESIGN AND METHODS

Between 1995 and the present, 88 patients with hematologic malignancies became refractory to random-donor platelet transfusions due to HLA antibodies. HLA-A- and HLA-B-compatible platelet transfusions were successful in boosting platelet levels with 82 of the patients. This study concerns the remaining six HLA-immunized patients who were refractory to HLA-A- and HLA-B-compatible platelet transfusions. The response to the platelet transfusions was assessed by calculating both 1- and 24-hour posttransfusion CCIs for each transfusion.

RESULTS

The average CCI(1 hour) and CCI(24 hours) in all patients were 20.0 and 12.8 for HLA-A-, HLA-B-, and HLA-C-compatible transfusions and were 1.4 and 1.2 for HLA-A- and HLA-B-compatible but HLA-C-incompatible transfusions, respectively (p < 0.001).

CONCLUSION

These findings clearly indicate that matching of the HLA-C antigens is also required in some alloimmunized patients to obtain the effectiveness of platelet transfusions.


DOI: 10.1046/j.1537-2995.2002.00051.x
PubMed: 11961234


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<term>Adolescent (MeSH)</term>
<term>Blood Group Incompatibility (MeSH)</term>
<term>Blood Platelets (immunology)</term>
<term>Child, Preschool (MeSH)</term>
<term>Female (MeSH)</term>
<term>HLA-C Antigens (analysis)</term>
<term>HLA-C Antigens (immunology)</term>
<term>Hematologic Neoplasms (blood)</term>
<term>Hematologic Neoplasms (therapy)</term>
<term>Histocompatibility (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Isoantibodies (blood)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Platelet Count (MeSH)</term>
<term>Platelet Transfusion (MeSH)</term>
<term>Treatment Outcome (MeSH)</term>
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<term>Adolescent (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Alloanticorps (sang)</term>
<term>Antigènes HLA-C (analyse)</term>
<term>Antigènes HLA-C (immunologie)</term>
<term>Enfant d'âge préscolaire (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Histocompatibilité (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Incompatibilité sanguine (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Numération des plaquettes (MeSH)</term>
<term>Plaquettes (immunologie)</term>
<term>Résultat thérapeutique (MeSH)</term>
<term>Transfusion de plaquettes (MeSH)</term>
<term>Tumeurs hématologiques (sang)</term>
<term>Tumeurs hématologiques (thérapie)</term>
</keywords>
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<term>HLA-C Antigens</term>
</keywords>
<keywords scheme="MESH" qualifier="analyse" xml:lang="fr">
<term>Antigènes HLA-C</term>
</keywords>
<keywords scheme="MESH" qualifier="blood" xml:lang="en">
<term>Hematologic Neoplasms</term>
<term>Isoantibodies</term>
</keywords>
<keywords scheme="MESH" qualifier="immunologie" xml:lang="fr">
<term>Antigènes HLA-C</term>
<term>Plaquettes</term>
</keywords>
<keywords scheme="MESH" qualifier="immunology" xml:lang="en">
<term>Blood Platelets</term>
<term>HLA-C Antigens</term>
</keywords>
<keywords scheme="MESH" qualifier="sang" xml:lang="fr">
<term>Alloanticorps</term>
<term>Tumeurs hématologiques</term>
</keywords>
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<term>Hematologic Neoplasms</term>
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<term>Tumeurs hématologiques</term>
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<term>Adolescent</term>
<term>Blood Group Incompatibility</term>
<term>Child, Preschool</term>
<term>Female</term>
<term>Histocompatibility</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Platelet Count</term>
<term>Platelet Transfusion</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adolescent</term>
<term>Adulte d'âge moyen</term>
<term>Enfant d'âge préscolaire</term>
<term>Femelle</term>
<term>Histocompatibilité</term>
<term>Humains</term>
<term>Incompatibilité sanguine</term>
<term>Mâle</term>
<term>Numération des plaquettes</term>
<term>Résultat thérapeutique</term>
<term>Transfusion de plaquettes</term>
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<front>
<div type="abstract" xml:lang="en">
<p>
<b>BACKGROUND</b>
</p>
<p>HLA-C antigens have been thought to be of little significance in determining the efficacy of platelet transfusions. However, six alloimmunized patients were encountered who were refractory to platelet transfusions because of anti-HLA-Cw3, -Cw3, -Cw7, or -Cw8.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>STUDY DESIGN AND METHODS</b>
</p>
<p>Between 1995 and the present, 88 patients with hematologic malignancies became refractory to random-donor platelet transfusions due to HLA antibodies. HLA-A- and HLA-B-compatible platelet transfusions were successful in boosting platelet levels with 82 of the patients. This study concerns the remaining six HLA-immunized patients who were refractory to HLA-A- and HLA-B-compatible platelet transfusions. The response to the platelet transfusions was assessed by calculating both 1- and 24-hour posttransfusion CCIs for each transfusion.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>The average CCI(1 hour) and CCI(24 hours) in all patients were 20.0 and 12.8 for HLA-A-, HLA-B-, and HLA-C-compatible transfusions and were 1.4 and 1.2 for HLA-A- and HLA-B-compatible but HLA-C-incompatible transfusions, respectively (p < 0.001).</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSION</b>
</p>
<p>These findings clearly indicate that matching of the HLA-C antigens is also required in some alloimmunized patients to obtain the effectiveness of platelet transfusions.</p>
</div>
</front>
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