PMID- 18483395 OWN - NLM STAT- MEDLINE DCOM- 20080905 LR - 20211020 IS - 1528-0020 (Electronic) IS - 0006-4971 (Print) IS - 0006-4971 (Linking) VI - 112 IP - 3 DP - 2008 Aug 1 TI - Cytokine storm in a mouse model of IgG-mediated hemolytic transfusion reactions. PG - 891-4 LID - 10.1182/blood-2008-01-132092 [doi] AB - Cytokines are hypothesized to play a central role in the pathophysiology of IgG-mediated hemolytic transfusion reactions (HTRs), and deeper understanding is required for improving therapy for these events. After establishing well-defined mouse models of HTRs, we tested whether cytokines were involved. Red blood cells (RBCs) from human glycophorin A transgenic (hGPA-Tg) or wild-type (WT) mice were transfused into non-Tg recipients passively immunized with monoclonal antibodies (Mabs). Only transfusions of incompatible RBCs induced IgG-mediated HTRs, exemplified by rapid clearance and hemoglobinuria. Very high plasma levels of monocyte chemoattractant protein-1 (MCP-1) and interleukin-6 (IL-6), and lower levels of tumor necrosis factor-alpha (TNF-alpha), were induced after incompatible transfusion. No significant changes in IL-10, IL-12, or interferon-gamma (IFN-gamma) levels were observed. The proinflammatory cytokines elaborated in this in vivo mouse model are also implicated in the systemic inflammatory response syndrome (SIRS) and confirm the hypothesis that cytokine storm occurs as a result of HTRs. FAU - Hod, Eldad A AU - Hod EA AD - Department of Pathology and Cell Biology, Columbia University Medical Center, New York, NY 10023, USA. FAU - Cadwell, Chantel M AU - Cadwell CM FAU - Liepkalns, Justine S AU - Liepkalns JS FAU - Zimring, James C AU - Zimring JC FAU - Sokol, Set A AU - Sokol SA FAU - Schirmer, David A AU - Schirmer DA FAU - Jhang, Jeffrey AU - Jhang J FAU - Spitalnik, Steven L AU - Spitalnik SL LA - eng GR - R21 HL987906/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20080515 PL - United States TA - Blood JT - Blood JID - 7603509 RN - 0 (Cytokines) RN - 0 (Glycophorins) RN - 0 (Immunoglobulin G) SB - IM MH - Animals MH - Blood Group Incompatibility MH - Cytokines/*biosynthesis MH - Glycophorins MH - Hemolysis/*immunology MH - Humans MH - Immunoglobulin G MH - Inflammation MH - Mice MH - Mice, Transgenic MH - Models, Animal MH - *Transfusion Reaction PMC - PMC2481546 EDAT- 2008/05/17 09:00 MHDA- 2008/09/06 09:00 PMCR- 2009/08/01 CRDT- 2008/05/17 09:00 PHST- 2008/05/17 09:00 [pubmed] PHST- 2008/09/06 09:00 [medline] PHST- 2008/05/17 09:00 [entrez] PHST- 2009/08/01 00:00 [pmc-release] AID - S0006-4971(20)60438-4 [pii] AID - 2008/132092 [pii] AID - 10.1182/blood-2008-01-132092 [doi] PST - ppublish SO - Blood. 2008 Aug 1;112(3):891-4. doi: 10.1182/blood-2008-01-132092. Epub 2008 May 15.