Evidence map›Paper›PMID 36708051›Full record

ArticleTransfusion2023

Storage differentially impacts alloimmunization to distinct red cell antigens following transfusion in mice.

Cheryl L Maier, Ryan P Jajosky, Seema R Patel, Hans P Verkerke, Megan D Fuller, Jerry William Allen, Patricia E Zerra, Ross M Fasano, Satheesh Chonat, Cassandra D Josephson and 7 more

Open access · greenAbstract read
In one paragraph

Article in Transfusion, 2023. 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
3.8field-weighted citation impact, top 7% 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, 14 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 Biotinylated Red Blood Cells Following Transfusion.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  3. Analysis of Erythrocyte Membrane Alloantigens.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  4. Characterization of Antigen-Specific CD4Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  5. Article
  6. Article
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  10. Article
  11. Article
  12. Review
  13. DoTropical medicine and infectious disease · 2024
    Article
  14. Article
  15. Tropical medicine and infectious disease · 2023
    Review
  16. Review
  17. Review
  18. Review
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 7 institutions in 1 country.

Cheryl L MaierCenter for Transfusion Medicine and Cellular Therapies, 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.
Seema R PatelDepartment of Pediatrics, Emory University School of Medicine, Atlanta, Georgia, USA.
Hans P VerkerkeCenter for Transfusion Medicine and Cellular Therapies, Emory University School of Medicine, Atlanta, Georgia, USA.
Megan D FullerCenter for Transfusion Medicine and Cellular Therapies, Emory University School of Medicine, Atlanta, Georgia, USA.
Jerry William AllenCenter for Transfusion Medicine and Cellular Therapies, Emory University School of Medicine, Atlanta, Georgia, USA.
Patricia E ZerraCenter for Transfusion Medicine and Cellular Therapies, Emory University School of Medicine, Atlanta, Georgia, USA.
Ross M FasanoCenter for Transfusion Medicine and Cellular Therapies, Emory University School of Medicine, Atlanta, Georgia, USA.
Satheesh ChonatCenter for Transfusion Medicine and Cellular Therapies, Emory University School of Medicine, Atlanta, Georgia, USA.
Cassandra D JosephsonCenter for Transfusion Medicine and Cellular Therapies, Emory University School of Medicine, Atlanta, Georgia, USA.
David R GibbCedars-Sinai Medical Center, Department of Pathology and Laboratory Medicine, Los Angeles, California, USA.
Stephanie C EisenbarthNorthwestern University School of Medicine, Chicago, Illinois, 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.
Jeanne E HendricksonDepartment of Laboratory Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
Connie M ArthurJoint Program in Transfusion Medicine, Department of Pathology, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Sean R StowellJoint Program in Transfusion Medicine, Department of Pathology, Brigham and Women's Hospital, Boston, Massachusetts, USA.ORCID 0000-0002-1130-9551
Emory University · USBrigham and Women's Hospital · USCedars-Sinai Medical Center · USColumbia University Irving Medical Center · USNorthwestern University · USUniversity of Virginia · USYale University · US

Funding

The Mouse Blood Center CoreP01HL132819 · NHLBI · UNIVERSITY OF VIRGINIA · PI ZIMRING, JAMES C. · 2017 to 2021
$12.2M
Medical Scientist Training ProgramT32GM142617 · NIGMS · EMORY UNIVERSITY · PI Jason Yustein · 2022 to 2026
$7.0M
Engineering iPSC-RBCs for TransfusionR01HL138656 · NHLBI · EMORY UNIVERSITY · PI ROBACK, JOHN D, STOWELL, SEAN R · 2017 to 2020
$2.9M
Examination of Initiating Factors that Regulate Red Blood Cell AlloimmunizationR01HL135575 · NHLBI · EMORY UNIVERSITY · PI Sean R Stowell · 2017 to 2026
$2.8M
Training Grant in Transfusion Medicine (T32)T32HL069769 · NHLBI · EMORY UNIVERSITY · PI Una T O'Doherty, John D Roback · 2004 to 2026
$2.6M
Examining Immune Circuits Responsible for Anamnestic RBC AlloimmunizationR01HL165975 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI STOWELL, SEAN R · 2022 to 2025
$2.4M
Examining the Mechanisms of RBC Alloimmunization HyperrespondersR01HL154034 · NHLBI · EMORY UNIVERSITY · PI ARTHUR, CONNIE M · 2020 to 2024
$2.1M
Autoantibody-induced type 1 interferons and RBC alloimmunization in sickle cell diseaseR01HL165169 · NHLBI · CEDARS-SINAI MEDICAL CENTER · PI David R Gibb · 2022 to 2026
$2.1M
CD8 T cell-mediated allogeneic platelet clearanceK99HL150626 · NHLBI · EMORY UNIVERSITY · PI MAIER, CHERYL · 2020 to 2024
$1.1M
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
NHLBI NIH HHS K08 HL141446NHLBI NIH HHS K99 HL150626NHLBI NIH HHS P01 HL132819NHLBI NIH HHS R01 HL135575NHLBI NIH HHS R01 HL138656NHLBI NIH HHS R01 HL154034NHLBI NIH HHS R01 HL165169NHLBI NIH HHS R01 HL165975NHLBI NIH HHS T32 HL069769NIGMS NIH HHS T32 GM142617
6 · The paper itself

Abstract

introductionThe impact of blood storage on red blood cell (RBC) alloimmunization remains controversial, with some studies suggesting enhancement of RBC-induced alloantibody production and others failing to observe any impact of storage on alloantibody formation. Since evaluation of storage on RBC alloimmunization in patients has examined antibody formation against a broad range of alloantigens, it remains possible that different clinical outcomes reflect a variable impact of storage on alloimmunization to specific antigens.

methodsRBCs expressing two distinct model antigens, HEL-OVA-Duffy (HOD) and KEL, separately or together (HOD × KEL), were stored for 0, 8, or 14 days, followed by detection of antigen levels prior to transfusion. Transfused donor RBC survival was assessed within 24 h of transfusion, while IgM and IgG antibody production were assessed 5 and 14 days after transfusion.

resultsStored HOD or KEL RBCs retained similar HEL or KEL antigen levels, respectively, as fresh RBCs, but did exhibit enhanced RBC clearance with increased storage age. Storage enhanced IgG antibody formation against HOD, while the oppositive outcome occurred following transfusion of stored KEL RBCs. The distinct impact of storage on HOD or KEL alloimmunization did not appear to reflect intrinsic differences between HOD or KEL RBCs, as transfusion of stored HOD × KEL RBCs resulted in increased IgG anti-HOD antibody development and reduced IgG anti-KEL antibody formation.

conclusionsThese data demonstrate a dichotomous impact of storage on immunization to distinct RBC antigens, offering a possible explanation for inconsistent clinical experience and the need for additional studies on the relationship between RBC storage and alloimmunization.

Indexed as

AntigensErythrocyte TransfusionAnimalsErythrocytesImmunoglobulin GIsoantibodiesIsoantigensMiceAntigensImmunoglobulin GIsoantibodiesIsoantigensalloimmunizationblood storagetransfusion

Identifiers

PMID36708051
PMCPMC10414794
OpenAlexW4318323494

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.