PMID- 20627626 OWN - NLM STAT- MEDLINE DCOM- 20101230 LR - 20171116 IS - 1557-3117 (Electronic) IS - 1053-2498 (Linking) VI - 29 IP - 9 DP - 2010 Sep TI - Transfusion-related acute lung injury (TRALI) in graft by blood donor antibodies against host leukocytes. PG - 1067-70 LID - 10.1016/j.healun.2010.04.019 [doi] AB - It is unknown the extent to which transfusion-related acute lung injury (TRALI) contributes to primary graft dysfunction (PGD), the leading cause of death after lung transplantation. In this case of suspected transfusion-associated acute bilateral graft injury in a 61-year-old idiopathic pulmonary fibrosis patient, recipient sera from before and after transplantation/transfusion, as well as the sera of 22 of the 24 implicated blood donors, were individually screened by Luminex bead assay for the presence of human leukocyte antigen (HLA) antibodies, with recipient and lung donor HLA typing to explore for cognate relationships. A red-cell-unit donor-source anti-Cw6 antibody, cognate with the HLA type of the recipient, was identified. This is the second reported case of TRALI in the setting of lung transplantation, and the first to show an associated interaction between donor antibodies (in a low-plasma volume product) with recipient leukocytes (rather than graft antigens); therefore, it should be considered in the differential diagnosis of PGD. CI - Copyright 2010 International Society for Heart and Lung Transplantation. Published by Elsevier Inc. All rights reserved. FAU - Goodwin, Jodi AU - Goodwin J AD - Department of Respirology, McMaster University, Hamilton, Ontario, Canada. FAU - Tinckam, Kathryn AU - Tinckam K FAU - denHollander, Neal AU - denHollander N FAU - Haroon, Ayesha AU - Haroon A FAU - Keshavjee, Shaf AU - Keshavjee S FAU - Cserti-Gazdewich, Christine M AU - Cserti-Gazdewich CM LA - eng PT - Case Reports PT - Journal Article DEP - 20100608 PL - United States TA - J Heart Lung Transplant JT - The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation JID - 9102703 RN - 0 (HLA-D Antigens) RN - 0 (Histocompatibility Antigens Class I) RN - 0 (Isoantibodies) SB - IM MH - Aspergillosis/complications MH - *Blood Donors MH - Blood Grouping and Crossmatching MH - Fatal Outcome MH - HLA-D Antigens/immunology MH - Histocompatibility Antigens Class I/immunology MH - Humans MH - Hypertension, Pulmonary/surgery MH - Isoantibodies/*adverse effects/immunology MH - Leukocytes/immunology MH - Lung Transplantation/*immunology/mortality/*pathology MH - Male MH - Middle Aged MH - Multiple Organ Failure MH - Pulmonary Fibrosis/surgery MH - Radiography, Thoracic MH - *Transfusion Reaction EDAT- 2010/07/16 06:00 MHDA- 2010/12/31 06:00 CRDT- 2010/07/15 06:00 PHST- 2010/03/15 00:00 [received] PHST- 2010/04/13 00:00 [revised] PHST- 2010/04/16 00:00 [accepted] PHST- 2010/07/15 06:00 [entrez] PHST- 2010/07/16 06:00 [pubmed] PHST- 2010/12/31 06:00 [medline] AID - S1053-2498(10)00276-7 [pii] AID - 10.1016/j.healun.2010.04.019 [doi] PST - ppublish SO - J Heart Lung Transplant. 2010 Sep;29(9):1067-70. doi: 10.1016/j.healun.2010.04.019. Epub 2010 Jun 8.