PMID- 29707799 OWN - NLM STAT- MEDLINE DCOM- 20190213 LR - 20190215 IS - 1537-2995 (Electronic) IS - 0041-1132 (Linking) VI - 58 IP - 8 DP - 2018 Aug TI - Granulocyte antibodies in male blood donors: can they trigger transfusion-related acute lung injury? PG - 1894-1901 LID - 10.1111/trf.14630 [doi] AB - BACKGROUND: White blood cell-associated antibodies can lead to transfusion-related acute lung injury (TRALI). Female donors with a history of pregnancies have been identified as a main cause for these antibodies. Male or female donors without a history of pregnancy are considered as safe donors. STUDY DESIGN AND METHODS: Following the identification of two TRALI cases associated with blood products from male donors, we investigated the frequency of granulocyte-specific and human leukocyte antigen (HLA) antibodies in the entire blood donor population using a high throughput automated flow-cytometry-based granulocyte immunofluorescence test (Flow-GIFT). We investigated sera from 14,343 whole blood donors (female, n = 6974, 48.7%; male, n = 7369, 51.3%) using automated Flow-GIFT. Of the female blood donors, 60.4% had a history of pregnancy. Positive sera were retested by the standard granulocyte immunofluorescence test and granulocyte agglutination test. For the detection of HLA Class I and II immunoglobulin G antibodies, we used a commercial screening enzyme-linked immunosorbent assay. RESULTS: We detected in 924 (21.9%) of the 4212 females with a history of pregnancy antibodies against granulocyte antigens (n = 62, 1.5%), HLA Class I and/or II antigens (n = 864, 20.5%). Notably, in 3.5% (n = 96) of 2762 females without a history of pregnancy and in 2.1% (n = 154) of 7369 males antibodies against granulocyte antigens (n = 13, 0.47% and n = 45, 0.6%), HLA Class I and/or II (n = 83, 3% and n = 109, 1.4%, respectively), were also detected. CONCLUSION: Human neutrophil antigen antibodies are rare in male and females without a history of pregnancy compared to females with a history of pregnancy, but their relevance is not negligible. CI - (c) 2018 AABB. FAU - Nguyen, Xuan-Duc AU - Nguyen XD AD - Institute of Transfusion Medicine and Immunology, Medical Faculty Mannheim, Heidelberg University, German Red Cross Blood Service Baden-Wurttemberg-Hessen, Mannheim, Germany. FAU - Schulze, Torsten J AU - Schulze TJ AD - Institute of Transfusion Medicine and Immunology, Medical Faculty Mannheim, Heidelberg University, German Red Cross Blood Service Baden-Wurttemberg-Hessen, Mannheim, Germany. AD - German Red Cross Blood Service NSTOB, Institute Springe, Springe, Germany. FAU - Bugert, Peter AU - Bugert P AD - Institute of Transfusion Medicine and Immunology, Medical Faculty Mannheim, Heidelberg University, German Red Cross Blood Service Baden-Wurttemberg-Hessen, Mannheim, Germany. FAU - Lauber-Hartl, Stephanie AU - Lauber-Hartl S AD - Institute of Transfusion Medicine and Immunology, Medical Faculty Mannheim, Heidelberg University, German Red Cross Blood Service Baden-Wurttemberg-Hessen, Mannheim, Germany. FAU - Schulz-Linkholt, Monika AU - Schulz-Linkholt M AD - Institute of Transfusion Medicine and Immunology, Medical Faculty Mannheim, Heidelberg University, German Red Cross Blood Service Baden-Wurttemberg-Hessen, Mannheim, Germany. FAU - Gonzalez-Schulze, Karen AU - Gonzalez-Schulze K AD - Institute of Transfusion Medicine and Immunology, Medical Faculty Mannheim, Heidelberg University, German Red Cross Blood Service Baden-Wurttemberg-Hessen, Mannheim, Germany. FAU - Reil, Angelika AU - Reil A AD - German Red Cross Blood Service West, Hagen, Germany. FAU - Dengler, Thomas AU - Dengler T AD - Institute of Transfusion Medicine and Immunohematology, Baden-Baden, German Red Cross Blood Service Baden-Wurttemberg-Hessen, Baden-Baden, Germany. FAU - Panzer, Simon AU - Panzer S AD - Department of Blood Group Serology and Transfusion Medicine, Medical University Vienna, Vienna, Austria. FAU - Seifried, Erhard AU - Seifried E AD - Institute of Transfusion Medicine and Immunohematology, German Red Cross Blood Service Baden-Wurttemberg-Hessen, Goethe University Hospital, Frankfurt am Main, Germany. LA - eng PT - Journal Article DEP - 20180429 PL - United States TA - Transfusion JT - Transfusion JID - 0417360 RN - 0 (Autoantibodies) RN - 0 (HLA Antigens) SB - IM MH - Autoantibodies/*blood MH - *Blood Donors MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Flow Cytometry/methods MH - Granulocytes/*immunology MH - HLA Antigens/blood MH - Humans MH - Incidence MH - Male MH - Mass Screening MH - Neutrophils MH - Pregnancy MH - Transfusion-Related Acute Lung Injury/*etiology EDAT- 2018/05/01 06:00 MHDA- 2019/02/14 06:00 CRDT- 2018/05/01 06:00 PHST- 2017/08/17 00:00 [received] PHST- 2018/02/23 00:00 [revised] PHST- 2018/03/04 00:00 [accepted] PHST- 2018/05/01 06:00 [pubmed] PHST- 2019/02/14 06:00 [medline] PHST- 2018/05/01 06:00 [entrez] AID - 10.1111/trf.14630 [doi] PST - ppublish SO - Transfusion. 2018 Aug;58(8):1894-1901. doi: 10.1111/trf.14630. Epub 2018 Apr 29.