American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons 2011-09
Blood transfusions in organ transplant patients: mechanisms of sensitization and implications for prevention.
ABSTRACT
Sensitization by previous pregnancies or transplants is considered unavoidable, but it is transfusions given to these patients that leads most often to broad sensitization. Both leukocytes and red cells carry a significant HLA antigen load, and residual leukocytes and/or red cell HLA may explain why leukocyte-reduced units are unable to prevent sensitization to any significant degree. Prevention of sensitization will require a more active effort to avoid blood transfusions, whenever possible. When transfusions are required, there is evidence that the use of HLA-matched blood or immunosuppression in selected situations may reduce sensitization, even in patients previously exposed to alloantigens. These additional measures are not logistically straightforward or devoid of risks and need to be confirmed by rigorous studies. However, remaining as passive observers when patients become broadly sensitized should no longer be considered an acceptable alternative for potential transplant recipients.
New answer by at Dell Medical School (March 31, 2025)
HLA sensitization via blood transfusions could present problems with transplant candidates (diminishing the chance of finding a compatible donor) and for transplant recipients...