Evidence map›Paper›PMID 23808544›Full record

ArticleTransfusion2014

Leukoreduction and ultraviolet treatment reduce both the magnitude and the duration of the HLA antibody response.

Rachael P Jackman, Xutao Deng, Douglas Bolgiano, Garth H Utter, Cathy Schechterly, Mila Lebedeva, Eva Operskalski, Naomi L Luban, Harvey Alter, Michael P Busch and 2 more

Abstract read
In one paragraph

Article in Transfusion, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.8field-weighted citation impact, top 16% 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

18 citing papers in PubMed, 38 citations in OpenAlex.

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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

12 authors at 6 institutions in 1 country.

Rachael P JackmanBlood Systems Research Institute, San Francisco, California; Puget Sound Blood Center, Seattle, Washington; University of California, Davis, California; National Institutes of Health, Bethesda, Maryland; University of Southern California, Los Angeles, California; Children's National Medical Center, Washington, DC; Department of Laboratory Medicine, University of California, San Francisco, California; Department of Medicine, University of California, San Francisco, California; University of Washington School of Medicine, Seattle, Washington.
Xutao Deng
Douglas Bolgiano
Garth H Utter
Cathy Schechterly
Mila Lebedeva
Eva Operskalski
Naomi L Luban
Harvey Alter
Michael P Busch
Sherrill J Slichter
Philip J Norris
Blood Systems Research Institute · USUniversity of Washington · USNational Institutes of Health · USUniversity of California, Davis · USChildren's National · USUniversity of Southern California · US

Funding

Mechanisms and clinical effects of microchimerism in transfused trauma patientsR01HL083388 · NHLBI · VITALANT · PI BUSCH, MICHAEL PAUL · 2006 to 2010
$5.7M
Transfusion Infections Pedi Prospective Study (TRIPPS)R01HL067229 · NHLBI · CHILDREN'S RESEARCH INSTITUTE · PI LUBAN, NAOMI L · 2001 to 2011
$3.3M
Properties of stored RBCs: minimization of immune and vascular reactivityR01HL095470 · NHLBI · VITALANT · PI NORRIS, PHILIP J. · 2009 to 2012
$2.3M
Transfusion-related Infections Prospectively Studied (TRIPS)ZIACL002110 · CLC · CLINICAL CENTER · PI DE GIORGI, VALERIA · 2009 to 2025
$0k
TRANSFUSION TRIAL TO PREVENT PLATELET ALLOIMMUNIZATIONU01HL042799 · NHLBI · PUGET SOUND BLOOD CENTER · PI SLICHTER, SHERRILL J. · 1989 to 1995
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NHLBI NIH HHS N01 HB-42972NHLBI NIH HHS R01 HL-067229NHLBI NIH HHS R01 HL067229NHLBI NIH HHS R01 HL083388NHLBI NIH HHS R01HL-083388NHLBI NIH HHS R01 HL-095470NHLBI NIH HHS R01 HL095470NHLBI NIH HHS U01 HL042799NHLBI NIH HHS U01 HL-42799
6 · The paper itself

Abstract

backgroundBoth leukoreduction and ultraviolet (UV) light treatment of blood products have been shown to reduce the incidence of HLA antibody development in recipients, but the impact of these treatments on the magnitude and persistence of the antibody response is less clear. STUDY DESIGN AND

methodsLongitudinal samples from 319 subjects taken from four different study cohorts were evaluated for HLA antibodies to determine the effects of leukoreduction and UV treatment on HLA antibody generation and persistence.

resultsSubjects receiving leukoreduced or UV-treated blood products were less likely to generate Class I HLA antibodies, and those receiving leukoreduced blood were also less likely to generate Class II HLA antibodies. Among those receiving nonleukoreduced blood, 55% developed Class I HLA antibodies and 51% developed Class II HLA antibodies compared with 28% (Class I) and 15% (Class II) for those receiving leukoreduced blood and 36% (Class I) and 54% (Class II) for those receiving UV-treated blood. Among alloimmunized subjects, leukoreduction resulted in a significant twofold reduction in the magnitude of Class I HLA antibodies, and UV treatment resulted in a significant threefold reduction in the magnitude of Class II HLA antibodies. Both treatments resulted in shorter persistence of Class I HLA antibodies.

conclusionsThese data demonstrate that leukoreduction and UV treatment of blood products results not only in a reduction in the incidence of HLA antibody production, but also in lower and more transient HLA antibody levels among sensitized transfusion recipients.

Indexed as

Leukocyte Reduction ProceduresUltraviolet RaysAntibody FormationFemaleHistocompatibility Antigens Class IHumansMaleHistocompatibility Antigens Class I

Identifiers

PMID23808544
PMCPMC3825847
OpenAlexW1612045961

What OpenQuestion holds

Textmetadata
LicenceTDM
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.