Phosphatidylserine-expressing cell by-products in transfusion: A pro-inflammatory or an anti-inflammatory effect?

Fiche publication


Date publication

juin 2012

Auteurs

Membres identifiés du Cancéropôle Est :
Pr GARNACHE-OTTOU Francine, Pr SEILLES Estelle, Dr PERRUCHE Sylvain, Dr ANGELOT-DELETTRE Fanny


Tous les auteurs :
Saas P, Angelot F, Bardiaux L, Seilles E, Garnache-Ottou F, Perruche S

Résumé

Labile blood products contain phosphatidylserine-expressing cell dusts, including apoptotic cells and microparticles. These cell by-products are produced during blood product process or storage and derived from the cells of interest that exert a therapeutic effect (red blood cells or platelets). Alternatively, phosphatidylserine-expressing cell dusts may also derived from contaminating cells, such as leukocytes, or may be already present in plasma, such as platelet-derived microparticles. These cell by-products present in labile blood products can be responsible for transfusion-induced immunomodulation leading to either transfusion-related acute lung injury (TRALI) or increased occurrence of post-transfusion infections or cancer relapse. In this review, we report data from the literature and our laboratory dealing with interactions between antigen-presenting cells and phosphatidylserine-expressing cell dusts, including apoptotic leukocytes and blood cell-derived microparticles. Then, we discuss how these phosphatidylserine-expressing cell by-products may influence transfusion.

Référence

Transfus Clin Biol. 2012 Jun;19(3):90-7