PMID- 20412529 OWN - NLM STAT- MEDLINE DCOM- 20101022 LR - 20101004 IS - 1537-2995 (Electronic) IS - 0041-1132 (Linking) VI - 50 IP - 8 DP - 2010 Aug TI - Generation of HLA-deficient platelets from hematopoietic progenitor cells. PG - 1690-701 LID - 10.1111/j.1537-2995.2010.02644.x [doi] AB - BACKGROUND: Exposure to allogeneic blood products often leads to the development of human leukocyte antigen (HLA) antibodies. Refractoriness to platelet (PLT) transfusion caused by alloimmunization against HLA Class I antigens constitutes a significant clinical problem. STUDY DESIGN AND METHODS: We developed an RNA interference (RNAi)-based approach to silence the expression of HLA Class I molecules on PLTs derived from CD34+ progenitor cells. A lentiviral-based system was used to express short-hairpin RNA (shRNA) targeting beta2-microglobulin (beta2m) transcripts in CD34+ progenitor cells. Differentiation to PLTs was performed by incubating progenitor cells in the presence of thrombopoietin and interleukin-3. RESULTS: The transduction of RNAi cassettes containing the sequences for shRNAs targeting beta2m caused up to 85% reduction of progenitor cells HLA Class I antigen expression, which was maintained in the culture-derived PLTs. The HLA-deficient PLTs derived from HLA-silenced CD34+ cells proved to be fully functional in in vitro tests when compared to peripheral blood-derived PLTs. CONCLUSIONS: Our data show that in vitro generating HLA Class I-deficient PLTs from hematopoietic progenitor cells prove to be feasible. As malignancy risks associated with insertional mutagenesis are not to be expected in anucleated PLTs, provision of HLA-deficient PLTs from large-scale production units may become reality in the management of patients suffering from PLT transfusion refractoriness. CI - (c) 2010 American Association of Blood Banks. FAU - Figueiredo, Constanca AU - Figueiredo C AD - Institute for Transfusion Medicine, Hannover Medical School, Hannover, Germany. FAU - Goudeva, Lilia AU - Goudeva L FAU - Horn, Peter A AU - Horn PA FAU - Eiz-Vesper, Britta AU - Eiz-Vesper B FAU - Blasczyk, Rainer AU - Blasczyk R FAU - Seltsam, Axel AU - Seltsam A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20100415 PL - United States TA - Transfusion JT - Transfusion JID - 0417360 RN - 0 (Histocompatibility Antigens Class I) RN - 0 (beta 2-Microglobulin) SB - IM MH - Gene Silencing MH - Hematopoietic Stem Cells/*cytology MH - Histocompatibility Antigens Class I/*physiology MH - Humans MH - Megakaryocytes/*immunology MH - *Platelet Transfusion MH - RNA Interference MH - beta 2-Microglobulin/antagonists & inhibitors EDAT- 2010/04/24 06:00 MHDA- 2010/10/23 06:00 CRDT- 2010/04/24 06:00 PHST- 2010/04/24 06:00 [entrez] PHST- 2010/04/24 06:00 [pubmed] PHST- 2010/10/23 06:00 [medline] AID - TRF2644 [pii] AID - 10.1111/j.1537-2995.2010.02644.x [doi] PST - ppublish SO - Transfusion. 2010 Aug;50(8):1690-701. doi: 10.1111/j.1537-2995.2010.02644.x. Epub 2010 Apr 15.