Transfusion Medicine and Hemotherapy
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Physiology of Iron Metabolism A revolution occurred during the last decade in the comprehension of the physiology as well as in the physiopathology of iron metabolism. The purpose of this review is to summarize the recent knowledge that has accumulated, allowing a better comprehension of the mechanisms implicated in iron homeostasis. Iron metabolism is very fine tuned. The free molecule is very toxic; therefore, complex regulatory mechanisms have been developed in mammalian to insure adequate intestinal absorption, transportation, utilization, and elimination. ‘Ironomics' certainly will be the future of the understanding of genes as well as of the protein-protein interactions involved in iron metabolism.
Transfusion Medicine and Hemotherapy - Tập 41 Số 3 - Trang 213-221 - 2014
HCV RNA Testing of Plasma Samples from Cornea Donors: Suitability of Plasma Samples Stored at 4 °C for up to 8 Days <b>Background: </b>The HCV RNA testing of potential cornea donors frequently relies on blood samples stored pre mortem. The recommended storage time of maximum 72 h frequently excludes a significant fraction of donors. <b>Methods: </b>The influence of storage time of EDTA plasma samples at 4 °C on the viral load measured with the Roche HCV Quantitative Test vs. 2.0 was evaluated for 43 samples from HCV-positive individuals. <b>Results:</b> The mean reduction of the viral load after 4 °C storage for 6-8 days was 0.46 log<sub>10</sub> IU/ml (range +0.17 to -1.66 log<sub>10</sub> IU/ml). After 1-3 days a mean loss of 0.19 log<sub>10</sub> IU/ml (range +0.30 to -1.41 log<sub>10</sub> IU/ml) and after 3-5 days of 0.32 log<sub>10</sub> IU/ml (range +0.36 to -1.81 log<sub>10</sub> IU/ml) was observed. In 23.3% of samples, a viral load reduction ≥ 1 log<sub>10</sub> IU/ml (1.0-1.81 log<sub>10</sub> IU/ml) was found after prolonged storage (5-8 days). In none of the samples did the HCV load fall below the detection limit. <b>Conclusion:</b> Plasma storage for up to 8 days can quantitatively reduce the HCV RNA load, yet has no influence on the reliability of a qualitative HCV RNA detection by this ultrasensitive test to determine the HCV status of serologically negative cornea donors.
Transfusion Medicine and Hemotherapy - Tập 44 Số 1 - Trang 39-44 - 2017
Validation of the Serological Testing for Anti-HIV-1/2, Anti-HCV, HBsAg, and Anti-HBc from Post-mortem Blood on the Siemens-BEP-III Automatic System
Transfusion Medicine and Hemotherapy - Tập 38 Số 6 - Trang 365-372 - 2011
Virus NAT for HIV, HBV, and HCV in Post-Mortal Blood Specimens over 48 h after Death of Infected Patients First Results
Transfusion Medicine and Hemotherapy - Tập 39 Số 6 - Trang 376-380 - 2012
Validation of Serological Testing for Anti-<b><i>Treponema pallidum</i></b> from Postmortem Blood on the Siemens-BEP<sup>®</sup>-III Automatic System <b><i>Summary</i></b><b><i>Background: </i></b>Infectious disease marker testing is obligatory for the release of human tissue for transplantation. Most CE-marked tests are not validated for postmortem blood. In a previous study we have validated the testing for anti-HIV-1/2, anti-HCV, HBsAg, and anti-HBc. Here, we present the validation of testing for antibodies against <i>T. pallidum</i>, which is the last marker obligatory for tissue release for transplantation. <b><i>Methods: </i></b>17 samples of postmortem sera and 10 samples of both pre- und postmortem sera were obtained from cornea donors and tested for anti-<i>T. pallidum</i> on the Siemens-BEP-III-System. These sera were spiked with anti-<i>T. pallidum</i>-positive standard sera in concentrations which give low- and high-positive results at the respective dilution. <b><i>Results: </i></b>Two of the unspiked postmortem sera were false-positive most likely due to intense hemolysis (free hemoglobin > 50 mg/dl). Of the 25 negative postmortem sera, none of the spiked samples was false-negative after 0, 24 and 60 h. <b><i>Conclusion: </i></b>There is no indication that postmortem samples give false-negative or false-positive results with the test system and test kits used in cases of low hemolysis. The procedure described might serve as a model for validating other test kits on postmortem samples.
Transfusion Medicine and Hemotherapy - Tập 40 Số 6 - Trang 403-408 - 2013
Validation of Spiked Postmortem Blood Samples from Cornea Donors on the Abbott ARCHITECT and m2000 Systems for Viral Infections <b><i>Background:</i></b> Transplantation of human corneal tissue is associated with the potential risk of transmittance of viral infections. In accordance with European directives and federal laws, in Germany each tissue donor has to be tested for infectious diseases such as hepatitis B and C virus (HBV and HCV) and human immunodeficiency virus (HIV) infection. However, most of the currently available CE-marked serologic and nucleic acid screening systems are only validated for antemortem blood. <b><i>Methods:</i></b> Twenty related and paired ante- and postmortem blood samples from cornea donors were obtained and subsequently analyzed for hepatitis B surface antigen (HBsAg), hepatitis B antibody (anti-HBc), anti-HCV, HCV RNA, anti-HIV-1/2, and HIV p24 Ag using Abbott test systems. The sera were also spiked with reference materials in concentrations giving low and high positivity for HBV, HCV, and HIV markers. <b><i>Results:</i></b> The spiked ante- and postmortem sera from related donors showed similar results for HBsAg, anti-HBc, anti-HCV, HCV RNA, anti-HIV, and HIV p24 Ag, indicating a high stability of viral markers in cadaveric specimens. Three cornea donors had a medical history of HBV infection and revealed anti-HBc at similar levels in the ante- and postmortem sera. In addition, there was a single postmortem sample demonstrating a weak signal of anti-HIV-1 and HIV-1 p24 Ag. False-positive or false-negative results were not detected. The results obtained with the Abbott ARCHITECT analyzer and Abbott RealTime HCV PCR showed no significant differences. <b><i>Conclusion:</i></b> The analyzed screening assays are suitable for the detection of infectious markers of HBV, HCV, and HIV at similar levels in spiked ante- and postmortem sera from cornea donors.
Transfusion Medicine and Hemotherapy - Tập 47 Số 3 - Trang 236-243 - 2020
Cryopreservation of Human Stem Cells for Clinical Application: A Review
Transfusion Medicine and Hemotherapy - Tập 38 Số 2 - Trang 107-123 - 2011
The Rhesus Site The Rhesus Site is a resource for information of the ‘Rhesus' blood group. It is intended for specialists and non-specialists. The website details research in the field relevant for transfusion medicine, immunohematology, and molecular research. Link areas guide to important publications and to methodological resources for Rhesus. Many data originally presented at The Rhesus Site have been formally published later. The ‘RhesusBase' section represents the largest database for <i>RHD</i> alleles; the ‘RhesusSurveillance' section details the results of the largest prospective observational study on anti-D immunization events in D-positive patients. Visitors to the website are encouraged to explore the intricacies of the most complex blood group gene locus.
Transfusion Medicine and Hemotherapy - Tập 41 Số 5 - Trang 357-363 - 2014
Platelet Interaction with Innate Immune Cells Beyond their traditional role in haemostasis and thrombosis, platelets are increasingly recognised as immune modulatory cells. Activated platelets and platelet-derived microparticles can bind to leukocytes, which stimulates mutual activation and results in rapid, local release of platelet-derived cytokines. Thereby platelets modulate leukocyte effector functions and contribute to inflammatory and immune responses to injury or infection. Platelets enhance leukocyte extravasation, differentiation and cytokine release. Platelet-neutrophil interactions boost oxidative burst, neutrophil extracellular trap formation and phagocytosis and play an important role in host defence. Platelet interactions with monocytes propagate their differentiation into macrophages, modulate cytokine release and attenuate macrophage functions. Depending on the underlying pathology, platelets can enhance or diminish leukocyte cytokine production, indicating that platelet-leukocyte interactions represent a fine balanced system to restrict excessive inflammation during infection. In atherosclerosis, platelet interaction with neutrophils, monocytes and dendritic cells accelerates key steps of atherogenesis by promoting leukocyte extravasation and foam cell formation. Platelet-leukocyte interactions at sites of atherosclerotic lesions destabilise atherosclerotic plaques and promote plaque rupture. Leukocytes in turn also modulate platelet function and production, which either results in enhanced platelet destruction or increased platelet production. This review aims to summarise the key effects of platelet-leukocyte interactions in inflammation, infection and atherosclerosis.
Transfusion Medicine and Hemotherapy - Tập 43 Số 2 - Trang 78-88 - 2016
Transfusion-Related Acute Lung Injury: The Work of DAMPs* Current notions in immunology hold that not only pathogen-mediated tissue injury but any injury activates the innate immune system. In principle, this evolutionarily highly conserved, rapid first-line defense system responds to pathogen-induced injury with the creation of infectious inflammation, and non-pathogen-induced tissue injury with ‘sterile’ tissue inflammation. In this review, evidence has been collected in support of the notion that the transfusion-related acute lung injury induces a ‘sterile’ inflammation in the lung of transfused patients in terms of an acute innate inflammatory disease. The inflammatory response is mediated by the patient’s innate immune cells including lung-passing neutrophils and pulmonary endothelial cells, which are equipped with pattern recognition receptors. These receptors are able to sense injury-induced, damage-associated molecular patterns (DAMPs) generated during collection, processing, and storage of blood/blood components. The recognition process leads to activation of these innate cells. A critical role for a protein complex known as the NLRP3 inflammasome has been suggested to be at the center of such a scenario. This complex undergoes an initial ‘priming’ step mediated by 1 class of DAMPs and then an ‘activating’ step mediated by another class of DAMPs to activate interleukin-1beta and interleukin-18. These 2 cytokines then promote, via transactivation, the formation of lung inflammation.
Transfusion Medicine and Hemotherapy - Tập 40 Số 1 - Trang 3-13 - 2013
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