首页> 外文期刊>Clinical immunology: The official journal of the Clinical Immunology Society >Red blood cell transfusions are associated with alterations in self-reactive antibody repertoires of plasma IgM and IgG, independent of the presence of a specific immune response toward RBC antigens.
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Red blood cell transfusions are associated with alterations in self-reactive antibody repertoires of plasma IgM and IgG, independent of the presence of a specific immune response toward RBC antigens.

机译:红细胞输注与血浆IgM和IgG自身反应性抗体库的改变有关,而与针对RBC抗原的特异性免疫反应无关。

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Immunization to allogeneic RBC antigens occurs in transfused patients, and may be associated with the development of RBC-destructive antibodies directed against autologous RBC. The present study investigates the effect of transfusion of allogeneic RBC on self-reactive antibody repertoires, independent of the presence of a specific immune response directed toward RBC antigens. Antibody repertoires of IgM and IgG in plasma of hematological patients prior to starting a transfusion regime and of hematological patients receiving regular transfusions of leukocyte-depleted RBC were analyzed using quantitative immunoblotting on a panel of antigens derived from tissue and cell extracts, followed by multiparametric statistical treatment of the data. Multiparametric statistical analysis discriminated between self-reactive antibody repertoires of patients prior to starting a transfusion regime and those receiving regular RBC transfusions (IgM, 0.0001 < P < 0.0244/IgG, 0.0002 < P < 0.0088, depending on the tissue extract), whereas antibody repertoires of plasma IgM and IgG toward bacterial antigens were similar between groups of patients (P > 0.05). We conclude that the challenge of the immune system with allogeneic RBC antigens influences self-reactive antibody repertoires of plasma IgM and IgG, independent of the presence of a specific immune response toward RBC antigens.
机译:异基因RBC抗原的免疫发生在输血患者中,并且可能与针对自体RBC的RBC破坏性抗体的发展有关。本研究调查了异基因RBC输血对自身反应性抗体库的影响,而与针对RBC抗原的特异性免疫反应的存在无关。在开始输血方案之前,对血液病患者血浆中的IgM和IgG抗体库以及接受定期输血的白细胞贫血RBC的血液病患者,使用定量免疫印迹法对一组来源于组织和细胞提取物的抗原进行分析,然后进行多参数统计数据处理。多参数统计分析区分了开始输血方案之前的患者和接受常规RBC输注的患者的自身反应性抗体谱(IgM,0.0001

0.05)。我们得出结论,同种异体RBC抗原对免疫系统的挑战影响血浆IgM和IgG的自反应抗体库,而与针对RBC抗原的特异性免疫反应无关。

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