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与两种罕见的血小板特异性同种抗体(抗Baka和抗PlA2)及多种HLA抗体相关的血小板输注无效。

Platelet transfusion refractoriness associated with two rare platelet-specific alloantibodies (anti-Baka and anti-PlA2) and multiple HLA antibodies.

作者信息

Langenscheidt F, Kiefel V, Santoso S, Mueller-Eckhardt C

机构信息

Institute for Clinical Immunology and Transfusion Medicine, Justus-Liebig-University, Giessen, FRG.

出版信息

Transfusion. 1988 Nov-Dec;28(6):597-600. doi: 10.1046/j.1537-2995.1988.28689059040.x.

DOI:10.1046/j.1537-2995.1988.28689059040.x
PMID:3194935
Abstract

A 65-year-old patient with pancytopenia resulting from osteomyelosclerosis became refractory to platelet transfusions during long-time transfusion support. He developed two rare, platelet-specific antibodies (anti-PlA2 and -Baka) disguised by strong, multispecific HLA antibodies. The specificity of the platelet-specific antibodies was detected by a newly designed enzyme-linked immunosorbent assay using glycoprotein-specific monoclonal antibodies for immobilization of platelet antigens.

摘要

一名65岁因骨髓纤维化导致全血细胞减少的患者,在长期输血支持过程中对血小板输注产生了抵抗。他产生了两种罕见的血小板特异性抗体(抗-PlA2和-Baka),被强烈的多特异性HLA抗体所掩盖。通过一种新设计的酶联免疫吸附测定法检测血小板特异性抗体的特异性,该方法使用糖蛋白特异性单克隆抗体固定血小板抗原。

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1
Platelet transfusion refractoriness associated with two rare platelet-specific alloantibodies (anti-Baka and anti-PlA2) and multiple HLA antibodies.与两种罕见的血小板特异性同种抗体(抗Baka和抗PlA2)及多种HLA抗体相关的血小板输注无效。
Transfusion. 1988 Nov-Dec;28(6):597-600. doi: 10.1046/j.1537-2995.1988.28689059040.x.
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Post-transfusion purpura associated with alloimmunization against the platelet-specific antigen, Baka.与针对血小板特异性抗原Baka的同种免疫相关的输血后紫癜
Am J Hematol. 1986 Jan;21(1):79-88. doi: 10.1002/ajh.2830210110.
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Analysis of platelet-reactive alloantibodies and evaluation of cross-match-compatible platelets for the management of patients with transfusion refractoriness.分析血小板反应性同种抗体并评估交叉配型相容的血小板,用于治疗输血难治性患者。
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A new platelet-specific antigen, Naka, involved in the refractoriness of HLA-matched platelet transfusion.一种新的血小板特异性抗原——中(Naka),与人类白细胞抗原(HLA)匹配的血小板输注无效有关。
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[Effect of anti-HLA-A1 and anti-PLA1 antibodies on the efficacy of platelet transfusion].[抗HLA - A1和抗PLA1抗体对血小板输注疗效的影响]
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Allogeneic major histocompatibility complex antigens are necessary and sufficient for partial tolerance induced by transfusion of pathogen reduced platelets in mice.同种异体主要组织相容性复合体抗原对于小鼠输注去病原体血小板诱导的部分耐受性而言是必要且充分的。
Vox Sang. 2019 Apr;114(3):207-215. doi: 10.1111/vox.12756. Epub 2019 Feb 7.
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Low-level HLA antibodies do not predict platelet transfusion failure in TRAP study participants.
低水平 HLA 抗体不能预测 TRAP 研究参与者的血小板输注失败。
Blood. 2013 Apr 18;121(16):3261-6; quiz 3299. doi: 10.1182/blood-2012-12-472779. Epub 2013 Feb 7.
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2 Platelet Concentrates.2 血小板浓缩物。
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