Evidence map›Paper›PMID 31403208›Full record

ArticleTransfusion2019

Type 1 IFN signaling critically regulates influenza-induced alloimmunization to transfused KEL RBCs in a murine model.

Dong Liu, David R Gibb, Vicente Escamilla-Rivera, Jingchun Liu, Manjula Santhanakrishnan, Zhimin Shi, Lan Xu, Stephanie C Eisenbarth, Jeanne E Hendrickson

Open access · greenAbstract read
In one paragraph

Article in Transfusion, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

20 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. The Immunology of Transfusion Medicine: Past, Present, and Future.Methods in molecular biology (Clifton, N.J.) · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Research progress in RBC alloimmunization.Frontiers in immunology · 2025
    Review
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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

9 authors at 2 institutions in 2 countries.

Dong LiuDepartment of Laboratory Medicine, Yale University School of Medicine, New Haven, Connecticut.
David R GibbDepartment of Laboratory Medicine, Yale University School of Medicine, New Haven, Connecticut.
Vicente Escamilla-RiveraDepartment of Laboratory Medicine, Yale University School of Medicine, New Haven, Connecticut.
Jingchun LiuDepartment of Laboratory Medicine, Yale University School of Medicine, New Haven, Connecticut.
Manjula SanthanakrishnanDepartment of Laboratory Medicine, Yale University School of Medicine, New Haven, Connecticut.
Zhimin ShiDepartment of Laboratory Medicine, Yale University School of Medicine, New Haven, Connecticut.
Lan XuDepartment of Laboratory Medicine, Yale University School of Medicine, New Haven, Connecticut.
Stephanie C EisenbarthDepartment of Laboratory Medicine, Yale University School of Medicine, New Haven, Connecticut.
Jeanne E HendricksonDepartment of Laboratory Medicine, Yale University School of Medicine, New Haven, Connecticut.ORCID 0000-0002-7928-3132
Yale University · USCedars-Sinai Medical Center · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Yale Cooperative Hematology Specialized Core CenterU54DK106857 · NIDDK · YALE UNIVERSITY · PI JOHN HWA, Diane S Krause · 2015 to 2026
$9.7M
IMMUNOHEMATOLOGY/TRANSFUSION MEDICINE RESEARCH TRAININGT32HL007974 · NHLBI · YALE UNIVERSITY · PI JEANNE E HENDRICKSON, Diane S Krause · 2001 to 2026
$8.1M
Protecting Fetuses and Newborns from Maternal RBC AlloantibodiesR01HL126076 · NHLBI · YALE UNIVERSITY · PI HENDRICKSON, JEANNE E · 2014 to 2018
$2.1M
Responsiveness and non-responsiveness to transfused RBCs in mice and humans.R01HL132951 · NHLBI · YALE UNIVERSITY · PI GALLAGHER, PATRICK G · 2017 to 2020
$1.7M
The role of type 1 interferon in regulating alloimmune responses to transfused red blood cellsK08HL141446 · NHLBI · CEDARS-SINAI MEDICAL CENTER · PI GIBB, DAVID R · 2018 to 2022
$820k
NCATS NIH HHS UL1 TR001863NHLBI NIH HHS HL126076NHLBI NIH HHS HL132951NHLBI NIH HHS K08 HL141446NHLBI NIH HHS K08HL141446NHLBI NIH HHS R01 HL126076NHLBI NIH HHS R01 HL132951NHLBI NIH HHS T32 HL007974NIDDK NIH HHS U54 DK106857
6 · The paper itself

Abstract

backgroundOnly a fraction of red blood cell (RBC) transfusion recipients form alloantibodies, and variables determining responsiveness or nonresponsiveness are poorly understood. We and others have previously shown in animal models that pretreatment with toll-like receptor agonists that mimic different types of infections impacts the magnitude or frequency of RBC alloantibody responses. We hypothesized that influenza infection, coexistent with transfusion, would impact responses to transfused RBCs in a manner dependent on Type 1(α/β) interferon (IFN) signaling and tested this in a murine model. STUDY DESIGN AND

methodsWild-type mice or mice lacking the ability to respond to Type 1 IFN were infected with influenza prior to the transfusion of transgenic murine RBCs (K1) expressing the human KEL glycoprotein or the triple fusion HOD protein. Alloantibody responses were measured longitudinally after transfusion by flow cytometric crossmatch, and posttransfusion RBC recovery and survival was evaluated.

resultsInfluenza-infected mice transfused with K1 RBCs developed robust anti-KEL alloantibodies, whereas animals transfused in the absence of infection remained nonresponders; influenza-associated RBC alloimmunization was also observed after transfusion of HOD RBCs. Recipient Type 1 IFN production was critical to the mechanism of action of influenza-induced RBC alloimmunization, with alloimmunization being significantly decreased in mice unable to sense Type 1 IFN (through antibody blockade or genetic approaches).

conclusionThese and other data suggest that Type 1 IFN responses to toll-like receptor agonists or infections regulate RBC alloantibody responses. Studies investigating whether such a correlation exists in humans may be informative.

Indexed as

Erythrocyte TransfusionAnimalsErythrocytesInfluenza A virusInterferon Type IKell Blood-Group SystemMiceMice, TransgenicOrthomyxoviridae InfectionsSignal TransductionTransfusion ReactionInterferon Type IKell Blood-Group System

Identifiers

PMID31403208
PMCPMC6785373
OpenAlexW2967737598

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.