Until a smaller study on sex mismatches by the same Dutch team six years ago, no one had thought to look at the pregnancy history of red
blood cell donors, says Rutger Middelburg, an epidemiologist with Sanquin Research in the Netherlands, who helped lead that pilot work and the study published Tuesday.
The American Red Cross and the researchers themselves were quick to say the study is not definitive enough to change the current practice of matching red
blood cell donors to recipients.
Not exact matches
At present artificial red
blood cells are produced from
donor blood and the method isn't efficient because limited quantities of RBC can be produced.
Potential
donors must also have
blood drawn to test for HIV, HTLV (human T -
cell lymphotropic virus), Syphilis, Hepatitis B, and Hepatitis C.
If your twins are fraternal, it is also good to know that most current cord
blood treatments require the use of a well matched
donor's stem
cells, like a sibling's.
Healthy, non-cancerous stem
cells from a
donor can then repopulate the
blood.
Two labs have found a way to create
cells that can form new
blood — paving the way for
donor - free
blood transfusions and bone marrow transplants
An engineered bone that has its own marrow can encourage
donor stem
cells to produce
blood, a feat that could help people with anaemia and rare immune diseases
A potentially fatal battle between the immune
cells of a
blood marrow
donor and a recipient seems to kill off any HIV as a side effect
They both had standard chemotherapy to kill their native
blood cells before undergoing a bone - marrow transplant from a
donor to repopulate their
blood.
Blood cells made by the donor stem cells inside the implant were able to get into circulation where they mixed with the host's own blood c
Blood cells made by the
donor stem
cells inside the implant were able to get into circulation where they mixed with the host's own
blood c
blood cells.
Nearly half of 13
blood donors also had T
cells that seek and destroy
cells that make S. aureus Cas9 protein.
Six months later,
blood cells from both the
donor and host were still circulating around the body.
They received either a saline placebo or plasma —
blood from which the red
cells have been removed — from
blood donors aged 18 — 30.
In human
donor cells and mouse experimental models, the researchers demonstrated that TSLP specifically targeted neutrophils — white
blood cells that constitute the first line of defense against bacterial infections.
To prepare the virus - specific
cells, «we take
blood from healthy
donors who have already been exposed to these viruses and who we have confirmed have immune
cells that can fight the infections,» Tzannou said.
And even
cells that were young, such as white
blood cells that may be just a few days or weeks old, still carried the distinct genetic imprint of their 50 - year - old
donor.
He did, however, publish a paper last year documenting a study in which he infused three cancer patients with white
blood cells from young
donors who had been injected with G - CSF.
The implications were hardly lost on the Bethesda crowd: If the virus was transmitted in
cell cultures in Ruscetti's lab, it could also be contaminating the nation's
blood supply as a result of
blood donations from unknowingly infected
donors.
Then they would transfuse
donor bone marrow rich in the highly prized stem
cells that are capable of generating new, normal
blood.
New findings presented today indicate that with proper considerations, haploidentical (half - matched) transplants or transplants using cord
blood cells can be viable, effective alternatives when a fully matched
donor is not available.
«We studied human T
cells, isolated from
blood donors of all ages, to compare mature cytotoxic T
cells with naive ones,» said Philip Ansumana Hull, graduate student in Ott's lab and one of the first authors of the study.
The stem
cells used to treat Paizley, specific to the
blood, came from the bone marrow of a healthy adult
donor.
To assess risk, Thomas Adamkiewicz, codirector of the Hemoglobinopathy / Genomics Training Program at Morehouse School of Medicine in Atlanta, surveyed four medical centers and found that seven children with sickle -
cell disease had been treated with umbilical cord
blood from unrelated
donors.
HSCT is effectively used today as a form of «replacement» therapy for patients with hard - to - treat
blood cancers, providing healthy
cells from either the patient (autologous transplantation) or from a
donor (allogeneic transplantation) to better equip patients to fight the disease on their own.
When antibodies against the
donor's white
blood cells decrease to very low levels and the crossmatch becomes negative, the patient is ready for transplant.
Abatacept, when added to the standard drug regimen used to prevent GvHD, reduced the occurrence of acute, grade III - IV GvHD from 32 to 3 percent in pediatric and adult patients who underwent mismatched unrelated
donor stem
cell transplants to treat advanced cancer and other
blood disorders.
In the first large study to look at how
blood transfusions from previously pregnant women affect recipients» health, researchers discovered men under 50 were 1.5 times more likely to die in the three years following a transfusion if they received a red
blood cell transfusion from a woman
donor who had ever been pregnant.
Bone marrow
cells and newborn babies» umbilical cords are being considered as sources for laboratory
blood, but those are limited in quantity and useful only to the
donor, while hESCs could prove to be an unlimited source of universally transfusable
blood.
In addition, recipients of red
blood cells from
donors aged 20 - 30 were associated with a six percent increased risk of death per transfused product compared with recipients of red
blood cells from
donors aged 40 - 50.
The researchers also found similar associations with red
blood cells from younger
donors.
This is the first study to suggest that red
blood cell transfusions from young
donors and from female
donors may be associated with poorer survival in recipients.
For example, for a recipient that received six units of red
blood cells, this would translate into an associated risk of death of 36 percent for recipients of all - female
donor blood compared to 27 percent for recipients of all - male
donor blood one year later.
HSCs can be harvested from a suitable
donor and then transplanted into a patient, where, after establishing themselves in the bone marrow, they can generate healthy
blood cells.
Recipients of
blood from
donors aged 17 - 20 were associated with an eight percent increased risk of death per unit transfused compared with recipients of red
blood cells from
donors aged 40 - 50.
Concerned that the drug by itself might not keep his aggressive cancer at bay, Wartman opted for a second transplant — this time with stem
cells isolated from peripheral
blood from an unrelated
donor.
In the current study Davis's group used this approach to determine the frequency of H - Y — specific T
cells in a group of
blood donors.
In similar experiments at Washington University in St Louis, John Goss and Wayne Flye injected white
blood cells from the spleen of
donors into the thymus of rats and mice.
More recently, physicians have learned how to harvest
blood - forming stem
cells from a
donor's
blood and transplant them into a patient, sidestepping the need for an operating room and a needle stick into the pelvis to extract bone marrow.
GVHD affects up to half of the more than 30,000 people worldwide each year who receive an immune system transplanted from a
donor, as either bone marrow or peripheral
blood stem
cells.
In general, founder
cells are easy to acquire from a
donor and come in one of four types: fibroblasts, keratinocytes, peripheral and umbilical cord
blood, and dental pulp
cells.
In animal models — and in one postmortem brain from a child who had been treated for a different disorder — Kurtzberg's team has found that
donor cord
blood can cross the
blood - brain barrier that keeps the vast majority of molecules and
cells out of the brain.
Using a new method, the scientists therefore isolated T
cells specifically programmed to target the CMV virus from the
blood of the
donor and transferred small numbers of these
cells to the patients.
Now, researchers have found that a very small subset of anti-viral immune
cells, transplanted along with a
donor's
blood stem
cells, could be enough to fight and even prevent the disease caused by CMV, in research conducted in mice and published Jan 16th in the Journal of Immunology.
The only
blood components that contain DNA are white
blood cells, but
blood banks routinely irradiate
donor pints with gamma rays to kill off these
cells because they can trigger a rejection response in their new host.
Subsequently, the hematopoietic system has to be replaced with stem
cells from the
blood of a healthy
donor.
Once
donor blood cells mix with recipient immune
cells, they blunt the immune attack by a process called negative selection, says Strober, who has spent 30 years developing the regimen.
In later stages, the trial will deliver cord
blood cells from
donors to children and adults with autism.
Starzl tested these patients, hoping to see something consistent; he observed
donor cells in various tissues and
blood.
About 10 days after the transplant, Strober injects the patient with millions of white
blood cells extracted from the kidney
donor.