Evidence map›Paper›PMID 29383722›Full record

ReviewTransfusion2018

Mechanisms of red blood cell transfusion-related immunomodulation.

Kenneth E Remy, Mark W Hall, Jill Cholette, Nicole P Juffermans, Kathleen Nicol, Allan Doctor, Neil Blumberg, Philip C Spinella, Philip J Norris, Mary K Dahmer and 2 more

Open access · bronzeAbstract readReview
In one paragraph

Review in Transfusion, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 97 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
97citing papers in PubMed, 1 pooled it
9.7field-weighted citation impact, top 1% 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

97 citing papers in PubMed, 1 synthesis or guideline pooled it, 231 citations in OpenAlex.

  1. Preoperative hemoglobin and perioperative blood transfusion in major head and neck surgery: a systematic review and meta-analysis.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale · 2023
    Pooled it
  2. Trial
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  7. Observational
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  9. Hemolysis Detected Following the Preparation and Collection of Blood in a Porcine Model Using a Syringe-Based Aspiration Thrombectomy System for Autotransfusion.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2026
    Article
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  14. Review
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37 more citing papers are in PubMed but not listed here.

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 2 countries.

Kenneth E RemyDepartment of Pediatrics, Division of Pediatric Critical Care, Washington University School of Medicine, St Louis, Missouri.
Mark W HallDivision of Critical Care Medicine, Nationwide Children's Hospital, Columbus, Ohio.
Jill CholettePediatric Critical Care and Cardiology, University of Rochester, Rochester, New York.
Nicole P JuffermansDepartment of Intensive Care Medicine, Academic Medical Center, Amsterdam, the Netherlands.
Kathleen NicolDepartment of Pathology, Nationwide Children's Hospital, Columbus, Ohio.
Allan DoctorDepartment of Pediatrics, Division of Pediatric Critical Care, Washington University School of Medicine, St Louis, Missouri.
Neil BlumbergTransfusion Medicine/Blood Bank and Clinical Laboratories, Departments of Pathology and Laboratory Medicine, University of Rochester, Rochester, New York.
Philip C SpinellaDepartment of Pediatrics, Division of Pediatric Critical Care, Washington University School of Medicine, St Louis, Missouri.
Philip J NorrisBlood Systems Research Institute, San Francisco, California.ORCID 0000-0003-0526-2088
Mary K DahmerDepartment of Pediatrics, Division of Pediatric Critical Care, University of Michigan, Ann Arbor, Michigan.
Jennifer A MuszynskiDivision of Critical Care Medicine, Nationwide Children's Hospital, Columbus, Ohio.
Pediatric Critical Care Blood Research Network (Blood Net)
Nationwide Children's Hospital · USWashington University in St. Louis · USUniversity of Rochester · USAmsterdam UMC Location University of Amsterdam · NLUniversity of California, San Francisco · USUniversity of Michigan · US

Funding

SEPSIS-INDUCED RED CELL DYSFUNCTION (SIRD)R01GM113838 · NIGMS · WASHINGTON UNIVERSITY · PI DOCTOR, ALLAN, MARSHALL, GARLAND ROSS · 2015 to 2019
$4.0M
Impact of Red Blood Cell (RBC)-Derived DAMPs on Host Immune Response in Pediatric SepsisK08GM129763 · NIGMS · WASHINGTON UNIVERSITY · PI REMY, KENNETH EUGENE · 2018 to 2021
$714k
NIGMS NIH HHS K08 GM129763NIGMS NIH HHS R01 GM113838
6 · The paper itself

Abstract

Red blood cell (RBC) transfusion is common in critically ill, postsurgical, and posttrauma patients in whom both systemic inflammation and immune suppression are associated with adverse outcomes. RBC products contain a multitude of immunomodulatory mediators that interact with and alter immune cell function. These interactions can lead to both proinflammatory and immunosuppressive effects. Defining clinical outcomes related to immunomodulatory effects of RBCs in transfused patients remains a challenge, likely due to complex interactions between individual blood product characteristics and patient-specific risk factors. Unpacking these complexities requires an in-depth understanding of the mechanisms of immunomodulatory effects of RBC products. In this review, we outline and classify potential mediators of RBC transfusion-related immunomodulation and provide suggestions for future research directions.

Indexed as

Erythrocyte TransfusionImmune ToleranceAnimalsHumansImmunologic FactorsInflammationImmunologic Factors

Identifiers

PMID29383722
PMCPMC6592041
OpenAlexW2792721781

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.