Skip to main content

Immune Modulation Aspects of Blood Transfusion in Transplantation Practice

  • Chapter
Transplantation and Blood Transfusion

Part of the book series: Developments in Hematology and Immunology ((DIHI,volume 10))

Abstract

There are many ways to alter the immune response of a recipient to an organ graft. Sofar, the most successful approaches in renal transplantation are matching of donors and recipients for the HLA-A, -B and -DR antigens, the use of immunosuppressive drugs and pretransplant blood transfusions. The latter factor has received considerable attention since Opelz and Terasaki in 1973 (1) reported that kidney graft recipients who never had received blood transfusions prior to transplantation had a very poor kidney graft survival. Since then, many different protocols have been designed for experimental and clinical studies to investigate the role of pretransplant blood transfusions in renal transplantation.

This work was in part supported by the Dutch Foundation for Medical Research (FUNGO) which is subsidized by the Dutch Organization for the Advancement of Pure Research (ZWO), the J. A. Cohen Institute for Radiopathology and Radiation Protection (IRS) and the Kuratorium für Heimdialyse Neu-Isenburg, Germany.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Similar content being viewed by others

References

  1. Opelz G, Mickey MR, Terasaki PI. Blood transfusions and unresponsiveness to HL-A. Transplantation 1973; 16: 649–54.

    Article  CAS  PubMed  Google Scholar 

  2. Hooff JP van, Kalff MW, Poelgeest AE van, Persijn GG, Rood JJ van. Blood transfusions and kidney transplantation. Transplantation 1976; 22: 306–7.

    Article  Google Scholar 

  3. Hooff JP van, Schippers HMA, Steen GJ van der, Rood JJ van. Efficacy of HL-A matching in Eurotransplant. Lancet 1972;ii:1385–8.

    Article  Google Scholar 

  4. Michielsen, P. Hémodialyse et transplantation rénale. EDTA Proc 1979; 3: 162–4.

    Google Scholar 

  5. Dossetor JB, MacKinnon KJ, Gault MH, Maclean LD. Cadaver kidney transplants. Transplantation 1967; 5: 844–53.

    Article  PubMed  Google Scholar 

  6. Es AA van, Marquet RL, Rood JJ van, Kalff MW, Balner H. Blood transfusions induce prolonged kidney allograft survival in Rhesus monkeys. Lancet 1977;i:506–9.

    Google Scholar 

  7. Obertop H, Bijnen AB, Niessen G.J.C.M., Joling P. The influence of number and timing of pretransplant blood transfusion on the beneficial effect of renal allograft survival in immunosuppressed dogs. Eur Surg Res 1981; 13: 21–4.

    Google Scholar 

  8. Morris PJ, Oliver D, Bishop M, et al. Results from a new renal transplantation unit. Lancet 1978;ii:1353–6.

    Article  Google Scholar 

  9. Williams GM, Ting A, Cullen PR, Morris PH. Transfusions: Their influence on human renal graft survival. Transplant Proc 1979; 11: 175–8.

    CAS  PubMed  Google Scholar 

  10. Borleffs JCC, Marquet RL, Balner H. Pretransplant blood transfusions have an additive positive effect on kidney graft prognosis in D/DR-matched Rhesus monkeys. Transplantation 1981; 32: 48–50.

    Article  CAS  PubMed  Google Scholar 

  11. Opelz G, Terasaki PI. Enhancement of kidney graft survival by blood transfusions. Transplant Proc 1977; 9: 121–2.

    CAS  PubMed  Google Scholar 

  12. Opelz G, Terasaki PI, Graver B, et al. Correlation between number of pretransplant blood transfusions and kidney graft survival. Transplant Proc 1979; 9: 145–7.

    Google Scholar 

  13. Opelz G, Terasaki PI. Blood transfusions and kidney transplants: Remaining controversies. Transplant Proc 1981; 13: 136–41.

    CAS  PubMed  Google Scholar 

  14. Buy-Quang D, Soulillou J.-P, Fontenaille Ch, Guimbretière J, Guenel J. Rôle bénéfique des transfusions sanguines et des grossesses dans la survie des allogreffes rénales. La Nouv Presse méd 1977; 6, 3503–7.

    CAS  Google Scholar 

  15. Persijn GG, Hooff JP van, Kalff MW, Lansbergen Q, Rood JJ van. Effect of blood transfusions and HLA matching on renal transplantation in the Netherlands. Transplant Proc 1977; 9: 503–5.

    CAS  PubMed  Google Scholar 

  16. Bühlmann H, Largiadèr F, Uhlschmid G, Binswanger U, Binz H. Verlängertes Nierentransplantat - Uberleben dank Bluttransfusionen. Dtsch med Wschr 1978; 103: 293–7.

    Article  PubMed  Google Scholar 

  17. Hourmant M, Soulillou JP, Buy-Quang D. Beneficial effect of blood transfusion. Transplantation 1979; 28: 40–3.

    Article  CAS  PubMed  Google Scholar 

  18. Oei LS, Thompson JS, Corry RJ. Effect of blood transfusions on survival of cadaver and living related renal transplants. Transplantation 1979; 28: 482–4.

    CAS  PubMed  Google Scholar 

  19. Betuel H, Touraine JL, Malik MC, Traeger J. Pretransplant protocols: Thoracic duct drainage, transfusions programmed and random, their effects on kidney graft survival. Transplant Proc 1981; 13: 167–71.

    CAS  PubMed  Google Scholar 

  20. Opelz G, Terasaki PI. Prolongation effect of blood transfusion on kidney graft survival. Transplantation 1976; 22: 380–3.

    Article  CAS  PubMed  Google Scholar 

  21. Vincenti F, Duca RM, Amend W, et al. Immunologic factors determining survival of cadaver-kidney transplants. N Engl J Med 1978; 299: 793–8.

    Article  CAS  PubMed  Google Scholar 

  22. Alexandre GPJ, Cangh PJ van. Influence of blood transfusion on kidney transplantation. Dial Tranpl 1978; 7: 392–6.

    Google Scholar 

  23. Opelz G, Terasaki PI. International study of histocompatibility in renal transplantation. Transplantation 1982; 33: 87–95.

    Article  CAS  PubMed  Google Scholar 

  24. Opelz G, Graver B, Terasaki PI. Induction of high kidney graft survival rate by multiple transfusion. Lancet 1981;i:1223–5.

    Article  Google Scholar 

  25. Opelz G, Terasaki PI. Importance of preoperative (not peroperative) transfusions for cadaver kidney transplants. Transplantation 1981; 31: 106–8.

    Article  CAS  PubMed  Google Scholar 

  26. Caseley J, Moses VK, Lichter EA, Jonasson O. Isoimmunization of hemodialysis patients: Leukocyte-poor versus whole blood transfusions. Transplant Proc 1971; 3: 365–7.

    CAS  PubMed  Google Scholar 

  27. Diepenhorst P, Sprokholt R, Prins HK. Removal of leukocytes from whole blood and erythrocyte suspensions by filtration through cotton wool. I. Filtration technique. Vox Sang 1972; 23: 308–20.

    Article  CAS  PubMed  Google Scholar 

  28. Persijn GG, Cohen B, Lansbergen Q, Rood JJ van. Retrospective and prospective studies on the effect of blood transfusions in renal transplantation in The Netherlands. Transplantation 1979; 28: 396–401.

    Article  CAS  PubMed  Google Scholar 

  29. Briggs JD, Canavan JSF, Dick HM, et al. Influence of HLA matching and blood transfusion on renal allograft survival. Transplantation 1978; 25: 80–5.

    Article  CAS  PubMed  Google Scholar 

  30. Sirchia G. Blood transfusion and kidney transplantation. Dial Transpl 1978; 7: 390–1

    Google Scholar 

  31. Russell PS. Steps toward immediate progress in clinical transplantation. Transplant Proc 1977; 9: 1327–33.

    CAS  PubMed  Google Scholar 

  32. Opelz G, Terasaki PI. Poor kidney-transplant survival in recipients with frozen-blood transfusions or no transfusions. Lancet 1974;ii:696–8.

    Google Scholar 

  33. Säfwenberg J, Backman-Båve U, Högmann CF. The effect of blood transfusions on cadaver kidney transplants - an analysis of patients transplanted in Uppsala. Scand J Urol Nephrol (Suppl) 1977; 42: 59–61.

    Google Scholar 

  34. Polesky HF, McCullough JJ, Yunis E, et al. The effects of transfusion of frozen-thawed deglycerolized red cells on renal graft survival. Transplantation 1977; 24: 449–52.

    Article  CAS  PubMed  Google Scholar 

  35. Hunsicker LG, Oei LS, Freeman RM, Thomspon JS, Corry RJ. Effect of blood transfusions on cadaver renal allograft survival. Transplant Proc 1979; 11: 156–9.

    CAS  PubMed  Google Scholar 

  36. Hamilton DNH, Watson MA, Briggs JD. Interrelation of pretransplant cell-mediated immunity, blood transfusion, and kidney transplant survival. Transplant Proc 1981; 13: 194–5.

    CAS  PubMed  Google Scholar 

  37. Spees EK, Vaughn WK, Niblack G, et al. The effects of blood transfusion on cadaver renal transplantation: A prospective study of the Southeastern Organ Procurement Foundation 1977–1980. Transplant Proc 1981; 13: 155–160.

    CAS  PubMed  Google Scholar 

  38. Fuller TC, Delmonico FL, Cosimi AB, Huggins CE, King M, Russell PS. Effects of various types of RBC transfusions on HLA alloimmunization and renal allograft survival. Transplant Proc 1977; 9: 117–9.

    CAS  PubMed  Google Scholar 

  39. Blarney RW, Knapp MS, Burden RP, Salisbury M. Blood transfusion and renal allograft survival. Br Med J 1978; 1: 138–40.

    Article  Google Scholar 

  40. Fehrman I, Ringdén O, Moller E, Lundgren G, Groth C.-G. Is cell-mediated immunity in the uremic patient affected by blood transfusion? Transplant Proc 1981; 13: 164–6.

    CAS  PubMed  Google Scholar 

  41. Nube MJ, Persijn GG, Kalff MW, Rood JJ van. Kidney transplantation - transplant survival after planned HLA-A and -B matched blood transfusions. Tissue Antigens 1981; 17: 449–54.

    Article  CAS  PubMed  Google Scholar 

  42. Albert ED, Scholz S, Meixner U, Land W. HLA-A, -B matching of pretransplant blood transfusion is associated with poor graft survival. Transplant Proc 1981; 13: 175–7.

    CAS  PubMed  Google Scholar 

  43. Renterghem Y. van, Vandeputte I, Lerut T, Gruwez J, Vandeputte M, Michielsen P. HLA-A matched and HLA-B matched blood transfusions do not improve kidney allograft survival. New Engl J Med 1983; 308: 1102.

    Google Scholar 

  44. Borleffs JCC, Neuhaus P, Rood JJ van, Balner H. Platelet transfusions have a positive effect on kidney allograft survival in Rhesus monkeys without inducing cytotoxic antibodies. Lancet 1982;i:1117–8.

    Google Scholar 

  45. Werner-Favre C, Jeannet M, Harder F, Montadon A. Blood transfusions, cytotoxic antibodies, and kidney graft survival. Transplantation 1979; 28: 343–6.

    Article  CAS  PubMed  Google Scholar 

  46. Fauchet R, Wattelet J, Genetet B, Campion JP, Launois B, Cartier F. Role of blood transfusions and pregnancies in kidney transplantation. Vox Sang 1979; 37: 222–8.

    Article  CAS  PubMed  Google Scholar 

  47. Uldall PR, Wilkinson R, Dewar PJ, et al. Factors affecting the outcome of cadaver renal transplantation in Newcastle upon Tyne. Lancet 1977; ii:316–9.

    Article  Google Scholar 

  48. Advisory Committee to the Renal Transplant Registry. The 13th report of the Human Renal Transplant Registry. Transplant Proc 1977; 9: 9–26.

    Google Scholar 

  49. Stiller CR, Lockwood BL, Sinclair NR, et al. Beneficial effect of operation-day blood-transfusions on human renal-allograft survival. Lancet 1978;i:169–70.

    Article  Google Scholar 

  50. Brynger H, Frisk B, Sandberg L, Gelin L.-E. Renal graft rejection and blood transfusion before and during the transplant operation. Scand J Urol Nephrol 1978; 12: 271–3.

    Article  CAS  PubMed  Google Scholar 

  51. Persijn GG, Rood JJ van. Operation-day blood-transfusion and renal transplantation. Lancet 1978;i:495.

    Google Scholar 

  52. Solheim BG. The role of pretransplant blood transfusions. Transplant Proc 1979; 11: 138–44.

    CAS  PubMed  Google Scholar 

  53. Fassbinder W, Frei U, Persijn G, et al. Graft survival in renal allograft recipients transfused perioperatively only. Transplant Proc 1982; 14: 164–7.

    Google Scholar 

  54. Glass NR, Felsheim G, Miller DT, Sollinger HW, Belzer FO. Influence of pre-and peri-operative blood transfusions on renal allograft survival. Transplantation 33, 1981; 4: 430–1.

    Google Scholar 

  55. Joysey VC, Roger JH, Evans DB, Herbertson BM. Differential kidney graft survival associated with interaction between recipient ABO group and pretransplant blood transfusion. Transplantation 1977; 24: 371–6.

    Article  CAS  PubMed  Google Scholar 

  56. Bore PJ, Sells RA, Jamieson V, Burrows K. Transfusion-induced renal allograft protection. Transplant Proc 1979; 11: 148–51.

    CAS  PubMed  Google Scholar 

  57. Opelz G, Terasaki PI. Effect of blood-group on relation between HLA match and outcome of cadaver kidney transplants. Lancet 1977;i:220–2.

    Google Scholar 

  58. Festenstein H, Bachoula-Papasteriadis C, Sachs JA, Jaraquemada D, Burke JM. Collaborative scheme for tissue typing and matching in renal transplantation. X. Effect of HLA-A, and B, D, and DR matching and pretransplant blood transfusion on 769 cadaver renal grafts. Transplant Proc 1979; 11: 752–5.

    CAS  PubMed  Google Scholar 

  59. Fehrman I, Groth C-G, Lundgren G, Magnusson G, Möller E. Pretransplant dialysis and blood transfusion-correlation with cadaveric kidney graft survival. Transplant Proc 1979; 11: 152–5.

    CAS  PubMed  Google Scholar 

  60. Guttmann RD. Interrelationship of time of dialysis-dependent uremia and pretransplant blood transfusions. Nephron 1978; 22: 196–200.

    Article  CAS  PubMed  Google Scholar 

  61. Andrus CH, Betts RF, May AG, Freeman RB. Cytomegalovirus infection blocks the beneficial effect of pretransplant blood transfusion on renal allograft survival. Transplantation 1979; 28: 451–6.

    CAS  PubMed  Google Scholar 

  62. Tilikainen A, Kock B, Kuhlbäck B, Wallenius M. Transfusion and kidney graft survival in Finland. Scand J Urol Nephrol (Suppl) 1977; 42: 70–2.

    Google Scholar 

  63. Opelz G, Terasaki PI. Improvement of kidney-graft survival with increased numbers of blood transfusions. N Engl J Med 1978; 299: 799–603.

    Article  CAS  PubMed  Google Scholar 

  64. Ferrara GB, Tosi RM, Azzolina G, Carminati G, Longo A. HL-A unresponsiveness induced by weekly transfusions of small aliquots of whole blood. Transplantation 1974; 17: 194–200.

    Article  CAS  PubMed  Google Scholar 

  65. Zimmerman EC. Enhancing potential of whole blood. Transplant Proc 1977; 9: 1081–5.

    CAS  PubMed  Google Scholar 

  66. Ettinger RB, Terasaki I, Opelz G, et al. Successful renal allografts across a positive crossmatch for donor B-lymphocyte alloantigens. Lancet 1976;ii:56–8.

    Article  Google Scholar 

  67. Iwaki Y, Terasaki PI, Park MS, Billing R. Enhancement of human kidney allografts by cold B-lymphocyte cytotoxins. Lancet 1978;i:1228–9.

    Article  Google Scholar 

  68. Jeannet M, Vassali P, Hufschmid MF. Enhancement of human kidney allografts by cold B lymphocyte cytotoxins. Transplantation 1980; 29: 174–7.

    Article  CAS  PubMed  Google Scholar 

  69. Suciu-Foca N, Rohowsky C, Kung P, et al. MHC specific idiotypes on alloactivated human T cells. In vivo and in vitro studies. Transplant Proc 1983; 15: 784–9.

    Google Scholar 

  70. Singal DP, Joseph S, Szewcuk MR. Possible mechanism of the beneficial effect of pretransplant blood transfusions on renal allograft survival in man. Transplant Proc 1983; 14: 316–8.

    Google Scholar 

  71. Rood JJ van, Balner H. Blood transfusion and transplantation. Transplantation 1978; 26: 275.

    Article  PubMed  Google Scholar 

  72. Smith MD, Williams JD, Coles GA, Salaman JR. The effect of blood transfusion on T-suppressor cells in renal dialysis patients. Transplant Proc 1981; 13: 181–3.

    CAS  PubMed  Google Scholar 

  73. Fisher E, Lenhard V, Seifert P, Kluge A, Johannsen R. Blood transfusion induced suppression of cellular immunity in man. Hum Immunol 1980; 3: 187–94.

    Article  Google Scholar 

  74. Keown PA, Descamps B. Improved renal allograft survival after blood transfusion: a non-specific, erythrocyte mediated immunoregulatory process? Lancet 1979;i:20–2.

    Article  Google Scholar 

  75. Goulmy E, Persijn GG, Blokland EC, D’Amaro J, Rood JJ van. Cell-mediated lympholysis studies in renal allograft recipients. Transplantation 1981; 31: 210–7.

    Article  CAS  PubMed  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1984 Springer Science+Business Media Dordrecht

About this chapter

Cite this chapter

Persijn, G.G. (1984). Immune Modulation Aspects of Blood Transfusion in Transplantation Practice. In: Smit Sibinga, C.T., Das, P.C., Opelz, G. (eds) Transplantation and Blood Transfusion. Developments in Hematology and Immunology, vol 10. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-3840-6_6

Download citation

  • DOI: https://doi.org/10.1007/978-1-4613-3840-6_6

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-3842-0

  • Online ISBN: 978-1-4613-3840-6

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics