Sharma S, Sharma P, Tyler LN. Transfusion of blood and blood products: indications and complications. Am Fam Physician 2011; 83(6): 719-24.
Heal JM, Blumberg N, Masel D. An evaluation of crossmatching, HLA, and ABO matching for platelet transfusions to refractory patients. Blood 1987; 70(1): 23-30.
Freedman J, Gafni A, Garvey M, Blanchette V. A cost-effectiveness evaluation of platelet crossmatching and HLA matching in the management of alloimmunized thrombocytopenic patients. Transfusion. 1989; 29(3): 201-7.
Petz LD, Garratty G, Calhoun L, Clark BD, Terasaki PI, Gresens C, et al. Selecting donors of platelets for refractory patientson the basis of HLA antibody specificity. Transfusion 2000; 40(12): 1446-56.
Hod E, Schwartz J. Platelet transfusion refractoriness. Br J Haematol 2008; 142(3): 348-60
Lee HJ, Yeom JS, Park JS, Park ES, Seo JH, Lim JY, et al. Clinical Significance of Antibodies Against Platelet HLA Class I in Children with Idiopathic Thrombocytopenic Purpura. Korean Journal of Blood Transfusion 2013; 24(3): 233-40
Kurz M, Knöbl P, Kalhs P, Greinix HT, Höcker P, Panzer S. Platelet-reactive HLA antibodies associated with low post transfusion platelet increments: a comparison between the monoclonal antibody-specific immobilization of platelet antigens assay and the lymphocytotoxicity test. Transfusion 2001; 41(6): 771-4.
Curtis B, McFarland J. Human platelet antigens–2013. Vox Sang 2014; 106(2): 93-102.
Ertel K, Al-Tawil M, Santoso S, Kroll H. Relevance of the HPA-15 (Gov) polymorphism on CD109 in alloimmune thrombocytopenic syndromes. Transfusion 2005; 45(3): 366-73.
Arnold DM, Clare R, Salib M, Clayden R, Wang G, Nazi I, et al. The Mcmaster ITP Registry: Assessing the Prevalence, Clinical and Laboratory Features of Immune Thrombocytopenia. Blood 2014; 124(21): 5008-13.
1Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran 2Hematology-Oncology and Stem Cell Transplantation Research Center, Shariati Hospital, Tehran, Iran
Abstract Background and Objectives
One of the complications of repeated platelet transfusion is immune platelet refractoriness. In this study, a flow cytometic platelet cross-matching was performed to evaluate platelet transfusion outcome.
Materials and Methods
In this descriptive study, fifteen patients with a history of multiple platelet transfusions and fifteen healthy participants as the control group were enrolled in this study. Platelet cross-match was done and analyzed by the gate method. EDTA-anticoagulated blood samples from healthy donors were collected and PRP sampls were obtained. The serum of each patient was added to platelet suspension and incubated with FITC-anti human IgG and was analyzed using a flow cytometer. Platelet cross-match results of the patients were compared with those of CCI.
Results
Platelet cross match results were negatively correlated with 1-hour (r = -0.731, p = 0.002) and 24-hour (r = -0.794, p = 0.001) CCIs. There was a significant difference in the mean percentage of platelet crossmatch between the patients with immune platelet refractoriness (showing 1-hour CCIs less than 7500) and that of the control group and the patients without platelet refractoriness.
Conclusions
The results showed that there was a significant correlation between platelet cross match by flowcytometry and 1-hour CCI results and this method could be applicable in the evaluation of platelet transfusion outcome.
Correspondence: Shaiegan M., PhD of Immunology. Associate Professor of Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine.
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Sayyadi M, Shaiegan M, Nikouguftar M, Vaezi M, Malek-Mohammadi A, Ahmadi M, et al . Platelet compatibility assessment between AML patients and platelet donors by flow cytometry. Sci J Iran Blood Transfus Organ 2016; 13 (1) :29-37 URL: http://bloodjournal.ir/article-1-983-en.html