Evidence map›Paper›PMID 21645005›Full record

ArticleTransfusion2011

Transfusion of fresh murine red blood cells reverses adverse effects of older stored red blood cells.

Jeanne E Hendrickson, Eldad A Hod, Krystalyn E Hudson, Steven L Spitalnik, James C Zimring

Abstract read
In one paragraph

Article in Transfusion, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Research progress in RBC alloimmunization.Frontiers in immunology · 2025
    Review
  4. Article
  5. Review
  6. Article
  7. Red blood cell storage lesion: causes and potential clinical consequences.Blood transfusion = Trasfusione del sangue · 2019
    Review
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Factors Influencing RBC Alloimmunization: Lessons Learned from Murine Models.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2014
    Review
  14. Does prolonged storage of red blood cells cause harm?British journal of haematology · 2014
    Review
  15. Article
  16. Article
  17. Fresh blood for transfusion: how old is too old for red blood cell units?Blood transfusion = Trasfusione del sangue · 2012
    Article
  18. Red blood cell storage and alloimmunization: a fact or a myth?Revista brasileira de hematologia e hemoterapia
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Jeanne E HendricksonDivision of Pediatric Hematology/Oncology, Department of Pathology and Laboratory Medicine, Aflac Cancer Center and Blood Disorders Service, Children's Healthcare of Atlanta, Emory University School of Medicine, Atlanta, Georgia 30322, USA.
Eldad A Hod
Krystalyn E Hudson
Steven L Spitalnik
James C Zimring

Funding

Serious Hazards of Transfusion & Cellular Therapies: Mechanisms and InterventionP01HL086773 · NHLBI · EMORY UNIVERSITY · PI ROBACK, JOHN D · 2008 to 2019
$17.9M
Training Grant in Transfusion Medicine (T32)T32HL069769 · NHLBI · EMORY UNIVERSITY · PI Una T O'Doherty, John D Roback · 2004 to 2026
$2.6M
Regulation of RBC Alloimmunization by Different Types of Recipient InflammationK08HL092959 · NHLBI · EMORY UNIVERSITY · PI HENDRICKSON, JEANNE E · 2009 to 2012
$514k
NHLBI NIH HHS (HL092959NHLBI NIH HHS K08 HL092959NHLBI NIH HHS P01 HL086773NHLBI NIH HHS T32 HL069769
6 · The paper itself

Abstract

backgroundAlthough a subset of recent studies have suggested that red blood cell (RBC) storage length is associated with adverse patient outcomes, others have shown no such relationship. Adults may be transfused with RBC units of different storage lengths, and existing studies do not take into consideration that fresh RBCs may alter responses to concurrently transfused stored RBCs. To test this possibility, we utilized a murine model and investigated transfusion outcomes of fresh, stored, or fresh-plus-stored RBCs. STUDY DESIGN AND

methodsFresh, 14-day-stored or fresh plus 14-day-stored leukoreduced RBCs from HOD-transgenic donors (with RBC-specific expression of hen egg lysozyme, ovalbumin, and human Duffy(b)) were transfused into naïve C57BL/6 recipients. Serum cytokines and anti-HOD alloimmunization were evaluated after transfusion.

resultsIn six of six experiments (n = 90 mice total), a proinflammatory serum cytokine storm of interleukin-6, keratinocyte-derived chemokine/CXCL1, and monocyte chemoattractant protein-1 was observed in transfusion recipients of stored but not fresh RBCs, along with high degrees of anti-HOD alloimmunization. However, concurrent transfusion of fresh HOD RBCs along with stored HOD RBCs significantly decreased these adverse outcomes (p < 0.05).

conclusionsThese results are consistent with fresh murine HOD RBCs losing protective properties during storage, and introduce a previously unrecognized variable in RBC storage studies. If translatable to humans, uniform "old blood" groups may be needed in future clinical studies to more accurately investigate the biologic effects of older RBC units.

Indexed as

Erythrocyte TransfusionAdultAnimalsBlood PreservationCytokinesErythrocytesHumansMiceMice, TransgenicTime FactorsCytokines

Identifiers

PMID21645005
PMCPMC3175330

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.