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Erythroid Cells

Erythrocyte antigen and reticulocyte engraftment after allogeneic hematopoietic stem cell transplantation

Bone Marrow Transplantation volume 34, pages 351–355 (2004)Cite this article

Summary:

The aim of this study was to study the usefulness of erythrocyte antigen (EA) measurement to study engraftment after allogeneic HSCT. In all, 31 consecutive patients receiving HLA-identical bone marrow (BM) (n=13) or peripheral blood stem cells (n=18) were investigated. Apart from the ABO group, 15 EAs representing six minor blood groups were followed by the simple tube agglutination technique. A total of 20 (64.5%) patients received ABO-identical, eight (25.8%) received ABO minor and three (9.7%) received ABO major mismatched grafts. In all, 29 patients were followed for a median of 12 (6–16) months; 65% of the patients expressed donor type EA 1 month and almost all did so 6 months after transplant. Reticulocyte engraftment was significantly shorter than EA engraftment (median 18 vs 35 days) (P=0.001). Patients who received PB stem cells showed significantly faster EA and reticulocyte engraftment than patients who received BM stem cells (P=0.038 and 0.025). ABO compatibility did not have an impact on reticulocyte and EA engraftment (P=0.4 and 0.55). The earliest donor type EA detected was from the Rh and Kidd system. These data suggest that EA and reticulocyte assays are useful in monitoring engraftment.

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Authors and Affiliations

  1. Department of Hematology, Faculty of Medicine, Ankara University, Blood Bank and Apheresis Unit, Ankara, Turkey

    I Yıldırım, Y Özer, M K Yüksel, M Arat & Ö Arslan

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  1. I Yıldırım
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  2. Y Özer
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  3. M K Yüksel
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  4. M Arat
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Correspondence to Ö Arslan.

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Yıldırım, I., Özer, Y., Yüksel, M. et al. Erythrocyte antigen and reticulocyte engraftment after allogeneic hematopoietic stem cell transplantation. Bone Marrow Transplant 34, 351–355 (2004). https://doi.org/10.1038/sj.bmt.1704576

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