Monoclonal anti-CD47 interference inpre-transfusion testing: clinical trials at home and abroad
10.13303/j.cjbt.issn.1004-549x.2021.11.012
- VernacularTitle:单克隆抗-CD47干扰输血前检测：国内外临床试验案例分析
- Author:
Jie CHEN
1
;
Xingbin HU
2
;
Yaozhen CHEN
2
;
Shijie MU
1
Author Information
1. Department of Transfusion Medicine, the Second Affiliated Hospital, Air Force Military Medical University, Xi’an 710032, China
2. Department of Transfusion Medicine, the First Affiliated Hospital, Air Force Military Medical University
- Publication Type:Journal Article
- Keywords:
anti-CD47;
monoclonal antibody;
Hu5F9-G4;
pre-transfusion test
- From:
Chinese Journal of Blood Transfusion
2021;34(11):1215-1218
- CountryChina
- Language:Chinese
-
Abstract:
【Objective】 To discuss the case reports concerning anti-CD47 monoclonal antibody interfere in pre-transfusion testing, so as to find mitigation strategies for this drug interference. 【Methods】 Blood transfusion cases in clinical trials concerning CD47 mAb drugs at home and abroad were retrieved from PubMed, Medline, Web of Science, Wanfang data knowledge service platform and CNKI database. The characteristics and solutions of this drug interfering with pre-transfusion testing were analyzed. 【Results】 A total of 26 cases concerning anti-CD47 mAb interference in pretransfusion testing were retrieved, and 16 valid cases were included in this study (All received HU5F9-G4 as anti-CD47 mAb). After treatment with Hu5F9-G4, the discrepancy between forward and reverse blood typing reached 77% in pre-transfusion testing. Panagglutination was presented in antibody screenings, and all(100%) platelet antibody screenings was interfered. These results indicated that Hu5F9-G4 seriously affected the compatibility test of blood transfusion. Methods of eliminating anti-CD47 interference, as well as their advantages and disadvantages were further analyzed. 【Conclusion】 The advantages and disadvantages of eliminating anti-CD47 interference with pre-transfusion testing was analyzed according to its characteristics, which could provide reference for the laboratory testing.
