title: Effects of transfusion on recipient immune status: relationship to transplantation.
abstract: Blood transfusion therapy confers an immunosuppressive effect on organ transplant recipients. The nonspecific immunosuppressive effect of third-party transfusions is useful for CAD transplantation, while donor transfusions improve the outcome of LRD grafts. Although there is evidence that erythrocytes, modified lymphocytes and/or platelets mediate some effects, the optimal blood product is unknown. Similarly, the mechanism of the effect, be it related to induction of a suppressive immune response, prophylaxis against CMV, active viral infection or a side effect of blood such as iron overload, remains an important issue for investigation. Dissection of the immunosuppressive effect of transfusions may afford insights into host resistance to allografts and new methods to achieve transplantation tolerance.
authors.forename: B D
authors.initials: BD
authors.lastname: Kahan
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000209:etiology; D000818:Animals; D000888:Antibodies, Anti-Idiotypic / Q000096:biosynthesis; D000936:Antigen-Antibody Complex / Q000502:physiology; D000961:Antilymphocyte Serum / Q000096:biosynthesis; D001402:B-Lymphocytes / Q000276:immunology; D001782:Blood Donors; D001789:Blood Group Antigens / Q000276:immunology; D001803:Blood Transfusion / Q000379:methods; D002102:Cadaver; D003586:Cytomegalovirus Infections / Q000276:immunology; D017707:Erythrocyte Transfusion; D006023:Glycoproteins / Q000096:biosynthesis; D006085:Graft Survival; D006650:Histocompatibility Testing; D006801:Humans; D007108:Immune Tolerance; D007140:Immunoglobulin Fab Fragments / Q000276:immunology; D007141:Immunoglobulin Fc Fragments / Q000276:immunology; D007165:Immunosuppression Therapy / Q000379:methods; D007501:Iron / Q000097:blood; D007518:Isoantibodies / Q000096:biosynthesis; D016030:Kidney Transplantation; D017710:Lymphocyte Transfusion; D009363:Neoplasm Proteins; D017713:Platelet Transfusion; D013997:Time Factors; D014019:Tissue Donors; D065227:Transfusion Reaction; D014181:Transplantation Immunology; D014511:Uremia / Q000276:immunology
chemical_list: D000888:Antibodies, Anti-Idiotypic; D000936:Antigen-Antibody Complex; D000961:Antilymphocyte Serum; D001789:Blood Group Antigens; D006023:Glycoproteins; D007140:Immunoglobulin Fab Fragments; D007141:Immunoglobulin Fc Fragments; D007518:Isoantibodies; D009363:Neoplasm Proteins; C038588:serum immunosuppressive factor, human; D007501:Iron