Evidence map›Paper›PMID 24846273›Full record

Trial reportTransfusion2014

Transfusion-related acute lung injury-associated HNA-3a antibodies recognize complex determinants on choline transporter-like protein 2.

Daniel W Bougie, Julie A Peterson, Adam J Kanack, Brian R Curtis, Richard H Aster

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Transfusion, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 26% 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

4 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
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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

5 authors at 2 institutions in 1 country.

Daniel W BougieBlood Research Institute, BloodCenter of Wisconsin, Milwaukee, Wisconsin.
Julie A Peterson
Adam J Kanack
Brian R Curtis
Richard H Aster
Versiti Blood Center of Wisconsin · USMedical College of Wisconsin · US

Funding

HEMORRHAGIC DISEASESR01HL013629 · NHLBI · VERSITI WISCONSIN, INC. · PI ASTER, RICHARD HERBERT · 1985 to 2019
$8.7M
Prevalence and immunogenicity of HNA-3a and -3b antibodies and antigensR21HL106286 · NHLBI · VERSITI WISCONSIN, INC. · PI ASTER, RICHARD HERBERT · 2011 to 2012
$458k
Hemorrhagic DiseasesR56HL013629 · NHLBI · VERSITI WISCONSIN, INC. · PI ASTER, RICHARD HERBERT · 2008 to 2008
$440k
HEMORRHAGIC DISEASESR37HL013629 · NHLBI · BLOODCENTER OF WISCONSIN, INC. · PI ASTER, RICHARD HERBERT · 1989 to 1998
–
NHLBI NIH HHS HL-106286NHLBI NIH HHS HL-13629NHLBI NIH HHS R01 HL013629NHLBI NIH HHS R21 HL106286NHLBI NIH HHS R37 HL013629NHLBI NIH HHS R56 HL013629
6 · The paper itself

Abstract

backgroundHNA-3a-specific antibodies can cause severe, sometimes fatal, transfusion-related acute lung injury when present in transfused blood. The HNA3-a/b antigens are determined by an R154Q polymorphism in the first of five extracellular (EC) loops of the 10-membrane-spanning choline transporter-like protein 2 (CTL2) expressed on neutrophils, lymphocytes, and other tissues. Approximately 50% of HNA-3a antibodies (Type 1) can be detected using CTL2 Loop 1 peptides containing R154; the remaining 50% (Type 2) fail to recognize this target. Understanding the basis for this difference could guide efforts to develop practical assays to screen blood donors for HNA-3 antibodies. STUDY DESIGN AND

methodsReactions of HNA-3a antibodies against recombinant versions of human, mouse, and human/mouse (chimeric) CTL2 were characterized using flow cytometry and various solid-phase assays.

resultsThe findings show that, for binding to CTL2, Type 2 HNA-3a antibodies require nonpolymorphic amino acid residues in the third, and possibly the second, EC loops of CTL2 to be in a configuration comparable to that found naturally in the cell membrane. In contrast, Type 1 antibodies require only peptides from the first EC loop that contain R154 for recognition.

conclusionAlthough Type 1 HNA-3a antibodies can readily be detected in solid-phase assays that use a CTL2 peptide containing R154 as a target, development of a practical test to screen blood donors for Type 2 antibodies will pose a serious technical challenge because of the complex nature of the epitope(s) recognized by this antibody subgroup.

Indexed as

Blood TransfusionAcute Lung InjuryAnimalsAutoantibodiesBlood DonorsDisease Models, AnimalDonor SelectionFemaleHEK293 CellsHumansIsoantigensMaleMembrane GlycoproteinsMembrane Transport ProteinsMiceProtein Structure, SecondaryAutoantibodiesHNA-3a antigen, humanIsoantigensMembrane GlycoproteinsMembrane Transport ProteinsRecombinant Fusion ProteinsSLC44A2 protein, humanSLC44A2 protein, mouse

Identifiers

PMID24846273
PMCPMC4240753
OpenAlexW1778266076

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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.