Evidence map›Paper›PMID 23801629›Full record

ArticleBlood2013

Alloantibodies to a paternally derived RBC KEL antigen lead to hemolytic disease of the fetus/newborn in a murine model.

Sean R Stowell, Kate L Henry, Nicole H Smith, Krystalyn E Hudson, Greg R Halverson, Jaekeun C Park, Ashley M Bennett, Kathryn R Girard-Pierce, C Maridith Arthur, Silvia T Bunting and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
2.7field-weighted citation impact, top 10% 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.

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

42 citing papers in PubMed, 46 citations in OpenAlex.

  1. The Immunology of Transfusion Medicine: Past, Present, and Future.Methods in molecular biology (Clifton, N.J.) · 2026
    Review
  2. Mouse Model of Hemolytic Disease of the Fetus and Newborn.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  3. Analysis of Erythrocyte Membrane Alloantigens.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  4. Anemia and Transfusion in Preclinical Models of Neonatology.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  5. Article
  6. Use of Microbial Microarrays to Define Antibody Specificity.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  7. Expression and Characterization of Blood Group Binding Lectins.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  8. Article
  9. Article
  10. Murine Models of Transfusion-Induced Red Blood Cell Alloimmunization.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  11. B Cell Responses to the Placenta and Fetus.Annual review of pathology · 2025
    Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Review
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 1 country.

Sean R StowellDepartment of Pathology and Laboratory Medicine, Center for Transfusion and Cellular Therapies, Children’s Healthcare of Atlanta, Division of Pediatric Hematology/Oncology, Emory University School of Medicine, Atlanta, GA 30322, USA.
Kate L Henry
Nicole H Smith
Krystalyn E Hudson
Greg R Halverson
Jaekeun C Park
Ashley M Bennett
Kathryn R Girard-Pierce
C Maridith Arthur
Silvia T Bunting
James C Zimring
Jeanne E Hendrickson
Institute for Transfusion Medicine · USChildren's Healthcare of Atlanta · USBloodworks Northwest · USEmory University · USNew York Blood Center · US

Funding

Regulation of RBC Alloimmunization by Different Types of Recipient InflammationK08HL092959 · NHLBI · EMORY UNIVERSITY · PI HENDRICKSON, JEANNE E · 2009 to 2012
$514k
Immunoprophylaxis to Kell RBC Alloimmunization During PregnancyR21HL114696 · NHLBI · YALE UNIVERSITY · PI HENDRICKSON, JEANNE E · 2012 to 2013
$420k
NHLBI NIH HHS HL092959NHLBI NIH HHS K08 HL092959NHLBI NIH HHS R21 HL114696
6 · The paper itself

Abstract

Exposure to nonself red blood cell (RBC) antigens, either from transfusion or pregnancy, may result in alloimmunization and incompatible RBC clearance. First described as a pregnancy complication 80 years ago, hemolytic disease of the fetus and newborn (HDFN) is caused by alloimmunization to paternally derived RBC antigens. Despite the morbidity/mortality of HDFN, women at risk for RBC alloimmunization have few therapeutic options. Given that alloantibodies to antigens in the KEL family are among the most clinically significant, we developed a murine model with RBC-specific expression of the human KEL antigen to evaluate the impact of maternal/fetal KEL incompatibility. After exposure to fetal KEL RBCs during successive pregnancies with KEL-positive males, 21 of 21 wild-type female mice developed anti-KEL alloantibodies; intrauterine fetal anemia and/or demise occurred in a subset of KEL-positive pups born to wild type, but not agammaglobulinemic mothers. Similar to previous observations in humans, pregnancy-associated alloantibodies were detrimental in a transfusion setting, and transfusion-associated alloantibodies were detrimental in a pregnancy setting. This is the first pregnancy-associated HDFN model described to date, which will serve as a platform to develop targeted therapies to prevent and/or mitigate the dangers of RBC alloantibodies to fetuses and newborns.

Indexed as

Models, AnimalAnemia, HemolyticAnimalsBlood TransfusionCytokinesErythrocytesFemaleGreen Fluorescent ProteinsImmunoglobulin GIsoantibodiesKell Blood-Group SystemMaleMiceMice, Inbred C57BLMice, TransgenicPregnancyCytokinesGreen Fluorescent ProteinsImmunoglobulin GIsoantibodiesKell Blood-Group System

Identifiers

PMID23801629
PMCPMC3750342
OpenAlexW2028523196

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.