Evidence map›Paper›PMID 22682673›Full record

ReviewTransfusion clinique et biologique : journal de la Societe francaise de transfusion sanguine2012

Stored red blood cell transfusions: Iron, inflammation, immunity, and infection.

E A Hod, S L Spitalnik

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Transfusion clinique et biologique : journal de la Societe francaise de transfusion sanguine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06840756 (Effects of Donor-recipient Sex-matched Versus Sex-mismatched Red Blood Cell Transfusion on Outcomes in Critically Ill Adult Patients), which is not on this map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed
5.7field-weighted citation impact, top 3% of its field
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.

NCT06840756 phase4recruitingnot on this mapstarted 2025, after this paper: background citation

Effects of Donor-recipient Sex-matched Versus Sex-mismatched Red Blood Cell Transfusion on Outcomes in Critically Ill Adult Patients

TypeinterventionalSponsorMichelle ZellerRan2025 to 2029Enrolled11,082ConditionsRed Blood Cell Transfusions, Sex Differences, Health Services, Critically Ill Intensive Care Unit PatientsArmsSex-mismatched red blood cell transfusions, Sex-matched red blood cell transfusions
3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 102 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Stored RBC transfusions leads to the systemic inflammatory response syndrome in anemic murine neonates.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2024
    Article
  7. Article
  8. Risk Assessment of Red Cell Transfusion in Congenital Heart Disease.The Thoracic and cardiovascular surgeon · 2022
    Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Red blood cell storage lesion: causes and potential clinical consequences.Blood transfusion = Trasfusione del sangue · 2019
    Review
  14. Article
  15. Article
  16. Article
  17. Characteristics of Extracellular Vesicles in Red Blood Concentrates Change with Storage Time and Blood Manufacturing Method.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2018
    Article
  18. Review
  19. Article
  20. Observational
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

2 authors at 1 institution in 1 country.

E A HodLaboratory of Transfusion Biology, Department of Pathology and Cell Biology, Columbia University College of Physicians and Surgeons, New York Presbyterian Hospital, New York, NY 10032, USA.
S L Spitalnik
Columbia University · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR024156 · NCRR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GINSBERG, HENRY N · 2006 to 2011
$53.0M
Harmful effects of transfusion of older stored red cells: iron and inflammationR01HL098014 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SPITALNIK, STEVEN L · 2009 to 2012
$1.9M
Mechanisms of effect of iron status & interventions on malaria & other infectionsU01HD064827 · NICHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SPITALNIK, STEVEN L · 2009 to 2012
$771k
Mechanisms underlying the harmful effects of stored red blood cell transfusionsK08HL103756 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI HOD, ELDAD ARIE · 2010 to 2014
$655k
NCRR NIH HHS UL1 RR024156NCRR NIH HHS UL1-RR024156NHLBI NIH HHS K08 HL103756NHLBI NIH HHS K08-HL103756NHLBI NIH HHS R01 HL098014NHLBI NIH HHS R01-HL098014NICHD NIH HHS U01 HD064827NICHD NIH HHS U01-HD064827
6 · The paper itself

Abstract

The potential adverse effects of transfusion of red blood cells after prolonged storage have been hotly debated. During refrigerated storage, red blood cells are damaged, a process known as the red blood cell "storage lesion." We hypothesized that the delivery of a bolus of iron derived from these rapidly cleared, damaged, red blood cells is responsible for some of the adverse effects of transfusion. Iron may play a role in producing a pro-inflammatory response to transfused red blood cells, potentially through the effects of reactive oxygen species on stress pathways and inflammasome activation. Furthermore, the excess iron may impair the host's ability to combat infection by its innate iron-withholding pathways. This symposium paper summarizes the background for the "iron hypothesis" as it relates to transfusion of red blood cells after prolonged refrigerated storage. It also includes a summary of the data from recent murine and human studies, and concludes with a discussion of several unresolved questions arising from these published studies.

Indexed as

ImmunityBlood PreservationErythrocyte TransfusionHumansInfectionsInflammationIronIron

Identifiers

PMID22682673
PMCPMC6551602
OpenAlexW2094517828

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.