Evidence map›Paper›PMID 35470900›Full record

ArticleTransfusion2022

Clodronate inhibits alloimmunization against distinct red blood cell alloantigens in mice.

Connie M Arthur, Seema R Patel, Asish Sharma, Patricia E Zerra, Satheesh Chonat, Ryan P Jajosky, Ross M Fasano, Ravi Patel, Ashley Bennett, Xiaoxi Zhou and 7 more

Open access · greenAbstract read
In one paragraph

Article in Transfusion, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.4field-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

19 citing papers in PubMed, 15 citations in OpenAlex.

  1. The Immunology of Transfusion Medicine: Past, Present, and Future.Methods in molecular biology (Clifton, N.J.) · 2026
    Review
  2. Analysis of Erythrocyte Membrane Alloantigens.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  3. Use of Microbial Microarrays to Define Antibody Specificity.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  4. Expression and Characterization of Blood Group Binding Lectins.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
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  12. Tropical medicine and infectious disease · 2023
    Review
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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

17 authors at 6 institutions in 1 country.

Connie M ArthurCenter for Transfusion Medicine and Cellular Therapies, Emory University School of Medicine, Atlanta, Georgia, USA.
Seema R PatelDepartment of Pediatrics, Emory University School of Medicine, Atlanta, Georgia, USA.ORCID 0000-0002-3471-3696
Asish SharmaHarvard Glycomics Center, Harvard Medical School, Boston, Massachusetts, USA.
Patricia E ZerraCenter for Transfusion Medicine and Cellular Therapies, Emory University School of Medicine, Atlanta, Georgia, USA.
Satheesh ChonatDepartment of Pediatrics, Emory University School of Medicine, Atlanta, Georgia, USA.
Ryan P JajoskyJoint Program in Transfusion Medicine, Department of Pathology, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Ross M FasanoCenter for Transfusion Medicine and Cellular Therapies, Emory University School of Medicine, Atlanta, Georgia, USA.ORCID 0000-0001-8692-4041
Ravi PatelDepartment of Pediatrics, Emory University School of Medicine, Atlanta, Georgia, USA.
Ashley BennettDepartment of Pediatrics, Emory University School of Medicine, Atlanta, Georgia, USA.
Xiaoxi ZhouCenter for Transfusion Medicine and Cellular Therapies, Emory University School of Medicine, Atlanta, Georgia, USA.
C John LuckeyDepartment of Pathology, University of Virginia, Charlottesville, Virginia, USA.
Krystalyn E HudsonDepartment of Pathology and Cell Biology, Columbia University Irving Medical Center, New York City, New York, USA.ORCID 0000-0001-5663-9290
Stephanie C EisenbarthDepartment of Laboratory Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
Cassandra D JosephsonCenter for Transfusion Medicine and Cellular Therapies, Emory University School of Medicine, Atlanta, Georgia, USA.ORCID 0000-0003-2543-991X
John D RobackCenter for Transfusion Medicine and Cellular Therapies, Emory University School of Medicine, Atlanta, Georgia, USA.
Jeanne E HendricksonDepartment of Laboratory Medicine, Yale School of Medicine, New Haven, Connecticut, USA.ORCID 0000-0002-7928-3132
Sean R StowellCenter for Transfusion Medicine and Cellular Therapies, Emory University School of Medicine, Atlanta, Georgia, USA.ORCID 0000-0002-1130-9551
Emory University · USBrigham and Women's Hospital · USHarvard University · USYale University · USColumbia University Irving Medical Center · USUniversity of Virginia · US

Funding

The Mouse Blood Center CoreP01HL132819 · NHLBI · UNIVERSITY OF VIRGINIA · PI LUCKEY, CHANCE MARION JOHN · 2017 to 2021
$12.2M
Examination of Initiating Factors that Regulate Red Blood Cell AlloimmunizationR01HL135575 · NHLBI · EMORY UNIVERSITY · PI Sean R Stowell · 2017 to 2026
$2.8M
Examining the Mechanisms of RBC Alloimmunization HyperrespondersR01HL154034 · NHLBI · EMORY UNIVERSITY · PI ARTHUR, CONNIE M · 2020 to 2024
$2.1M
NHLBI NIH HHS P01 HL132819NHLBI NIH HHS R01 HL135575NHLBI NIH HHS R01 HL154034NIH HHS P01HL132819NIH HHS R01HL1335575NIH HHS R01HL154034
6 · The paper itself

Abstract

backgroundAlloimmunization can be a significant barrier to red blood cell (RBC) transfusion. While alloantigen matching protocols hold promise in reducing alloantibody formation, transfusion-dependent patients can still experience RBC alloimmunization and associated complications even when matching protocols are employed. As a result, complementary strategies capable of actively preventing alloantibody formation following alloantigen exposure are warranted. STUDY DESIGN AND

methodsWe examined whether pharmacological removal of macrophages using clodronate may provide an additional strategy to actively inhibit RBC alloimmunization using two preclinical models of RBC alloimmunization. To accomplish this, mice were treated with clodronate, followed by transfusion of RBCs expressing the HOD (HEL, OVA, and Duffy) or KEL antigens. On days 5 and 14 post transfusion, anti-HOD or anti-KEL IgM and IgG antibodies were evaluated.

resultsLow dose clodronate effectively eliminated key marginal zone macrophage populations from the marginal sinus. Prior treatment with clodronate, but not empty liposomes, also significantly inhibited IgM and IgG anti-HOD alloantibody formation following transfusion of HOD RBCs. Similar exposure to clodronate inhibited IgM and IgG antibody formation following KEL RBC transfusion.

conclusionsClodronate can inhibit anti-HOD and anti-KEL antibody formation following RBC transfusion in preclinical models. These results suggest that clodronate may provide an alternative approach to actively inhibit or prevent the development of alloantibodies following RBC transfusion, although future studies will certainly be needed to fully explore this possibility.

Indexed as

Clodronic AcidIsoantigensAnimalsErythrocytesHumansImmunoglobulin GImmunoglobulin MIsoantibodiesMiceClodronic AcidImmunoglobulin GImmunoglobulin MIsoantibodiesIsoantigensalloimmunizationmarginal zone macrophagespreventionRBC

Identifiers

PMID35470900
PMCPMC9491148
OpenAlexW4224566673

What OpenQuestion holds

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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.