ABSTRACT
Chemokine is a class of soluble active peptides that attract white blood cells to the inflammatory site. CD40 ligand (CD40L) involves in synthesis of proinflammatory mediators. Accumulation of chemokine and CD40L can induce non-hemolytic reaction after transfusion, transfusion-related acute lung injury (TRALI) and autoimmune disease during blood component storage. Pre-storage leucocyte deletion can prevent the release of leucocyte-derived chemokines, but not prevent the accumulation of platelet-derived chemokines. γ-irradiation or ultraviolet β irradiation is effective in preventing the increase of chemokines in the storage of platelet, thus prevents non-hemolytic febrile reaction after platelet transfusion. In this review, the recent advance in research of accumulation of chemokines and CD40L during blood component storage, and its effect on blood transfusion, as well as preventive measures are summarized.
Subject(s)
Humans , Blood Platelets , Metabolism , Blood Preservation , Blood Transfusion , CD40 Ligand , Blood , Chemokines , BloodABSTRACT
Blood transfusion is a newly recognized cause of microchimerism, it seems to be common in severe traumatic injuries. In this review, the frequency, cause and prevention of transfusion-associated microchimerism (TA-MC), its current progress of knowledge and unanswered questions were summarized. In addition, the pregnancy-associated microchimerism and transplantation-associated microchimerism were discussed in this review.