Pre-transplant reduction of isohaemagglutinin titres by donor group plasma infusion does not reduce the incidence of pure red cell aplasia in major ABO-mismatched transplants

Bone Marrow Transplant. 2005 Aug;36(3):233-5. doi: 10.1038/sj.bmt.1705031.

Abstract

Major ABO incompatibility in stem cell transplant recipients has been associated with pure red cell aplasia (PRCA). Reduction of incompatible isohaemagglutinin titres pre-transplant by various methods has been thought to reduce the incidence of PRCA. Our data suggest that pre-transplant reduction of incompatible isohaemagglutinin titres by donor group plasma infusion does not reduce the incidence of PRCA. We also failed to find any relationship between pre-transplant ABO isohaemagglutinin titre and the risk of developing PRCA.

MeSH terms

  • ABO Blood-Group System
  • Adolescent
  • Blood Group Incompatibility
  • Bone Marrow Transplantation / methods
  • Child
  • Child, Preschool
  • Erythrocytes, Abnormal / cytology*
  • Female
  • Hemagglutinins / analysis*
  • Hemagglutinins / chemistry
  • Hemagglutinins / metabolism
  • Hematopoietic Stem Cell Transplantation / methods
  • Histocompatibility Testing / methods*
  • Humans
  • Male
  • Red-Cell Aplasia, Pure / prevention & control*
  • Retrospective Studies
  • Stem Cells / cytology*
  • Time Factors
  • Transplantation Conditioning / methods

Substances

  • ABO Blood-Group System
  • Hemagglutinins