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  • Title: Use of leucocyte-poor blood components and HLA-matched-platelet donors to prevent HLA alloimmunization.
    Author: Murphy MF, Metcalfe P, Thomas H, Eve J, Ord J, Lister TA, Waters AH.
    Journal: Br J Haematol; 1986 Mar; 62(3):529-34. PubMed ID: 3954967.
    Abstract:
    Recent studies have shown that the incidence of alloimmunization due to repeated platelet transfusions from random donors may be reduced by the use of leucocyte-poor blood components. These results were confirmed by this study, where 16% of patients with acute leukaemia undergoing initial chemotherapy and receiving leucocyte-poor blood components developed lymphocytotoxic antibodies, compared with 48% of patients in a control group receiving standard (non-leucocyte-depleted) blood components. In a third group, who received leucocyte-poor blood components and HLA-matched platelets, none of the patients developed lymphocytotoxic antibodies. There was a low incidence of platelet-specific antibodies (8%) but no difference between the three groups. Improved methods of removing leucocytes from blood components appear to offer the best approach for minimizing HLA alloimmunization, as the provision of HLA-matched platelet donors for prophylactic platelet support of all patients is not feasible.
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