TransfusionPub Date : 2025-06-30DOI: 10.1111/trf.18324
Ruud Hulspas, M Felicia Ciuculescu, Carolina Sasso, Baochun Zhang, José A Cancelas, Jerome Ritz
{"title":"Evaluation of a microfluidic chip-based cell sorter in clinical manufacturing processes to deplete or isolate CD4 regulatory T cells.","authors":"Ruud Hulspas, M Felicia Ciuculescu, Carolina Sasso, Baochun Zhang, José A Cancelas, Jerome Ritz","doi":"10.1111/trf.18324","DOIUrl":"https://doi.org/10.1111/trf.18324","url":null,"abstract":"<p><strong>Background: </strong>Clinical scale manufacturing for cell therapies requires reliable methods to purify specific cell types. Few microfluidic chip-based cell sorters have been integrated into manufacturing processes of therapeutic cells. Reports have highlighted the need to assess current requirements and explore areas for improvement.</p><p><strong>Study design and methods: </strong>We evaluated Highway1, a new microfluidic chip-based cell sorter in the context of good manufacturing practice (GMP)-compliant manufacturing processes involving purification of CD4 T cell subsets. Tests explored throughput and processing time limits, as required in GMP-compliant purification of regulatory T cells (Tregs) and of CD4 T cells free of CD4 Tregs. Findings were used to establish conditions with the best balance between processing time and yield.</p><p><strong>Results: </strong>Best average recovery (60%) was obtained when processed at 1-1.5 million cells/mL, purifying a target population of 33%. Weighing recovery against processing time, a sample concentration of 2.0 million cells/mL offers the optimum condition for sorting CD4 T cells free of CD4 Tregs from healthy blood. Similar tests also show that this device allows for shorter overall processing times to purify CD4 Tregs than previously reported for other microfluidic chip-based sorters, with the additional benefit of an essentially user intervention-free operation.</p><p><strong>Discussion: </strong>The Highway1 allows for reliable selection of a highly pure subpopulation of CD4 T cells in a GMP-compliant, cell therapy manufacturing setting. As with conventional sorters, the purification process for Tregs still needs to be preceded by a pre-enrichment process to keep the total processing time within an acceptable range for clinical-grade cell manufacturing.</p>","PeriodicalId":23266,"journal":{"name":"Transfusion","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
TransfusionPub Date : 2025-06-30DOI: 10.1111/trf.18327
Raeshun Glover, Bettie Yeboah, Ralph R Vassallo, Moritz Stolla, Sandhya R Panch, Jenna Khan, Valery J Kogler, Chance John Luckey, James D Gorham
{"title":"It is time to eliminate the one-hour corrected count increment in the diagnostic workup of platelet transfusion refractoriness.","authors":"Raeshun Glover, Bettie Yeboah, Ralph R Vassallo, Moritz Stolla, Sandhya R Panch, Jenna Khan, Valery J Kogler, Chance John Luckey, James D Gorham","doi":"10.1111/trf.18327","DOIUrl":"https://doi.org/10.1111/trf.18327","url":null,"abstract":"","PeriodicalId":23266,"journal":{"name":"Transfusion","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
TransfusionPub Date : 2025-06-28DOI: 10.1111/trf.18326
Carmen L Charlton, Steven J Drews, Kai Makowski, Gordon Hawes, Cynthia Cranney, Alyssia Robinson, Heidi Wood, Mark Bigham, Sheila F O'Brien
{"title":"West Nile Virus positivity amongst Canadian blood donors and effectiveness of off-season screening.","authors":"Carmen L Charlton, Steven J Drews, Kai Makowski, Gordon Hawes, Cynthia Cranney, Alyssia Robinson, Heidi Wood, Mark Bigham, Sheila F O'Brien","doi":"10.1111/trf.18326","DOIUrl":"https://doi.org/10.1111/trf.18326","url":null,"abstract":"<p><strong>Background: </strong>We sought to examine the prevalence of West Nile Virus (WNV) nucleic acid test (NAT) positivity over time in Canadian blood donors, examine the level of false-positive NAT screening, and understand the effectiveness of travel-related testing outside of WNV seasonality in Canada.</p><p><strong>Study design and methods: </strong>All blood donations in Canada (except Québec) between 2018 and 2023 were tested by the Roche Cobas WNV-NAT assay during the summer-fall season by Canadian Blood Services. Testing for recent travel outside Canada was performed in the winter-spring season. All 2023 WNV-NAT-positives were confirmed by two independent WNV-specific polymerase chain reaction (PCRs).</p><p><strong>Results: </strong>While WNV positivity varied by location and time, no increasing trend of positivity was observed over the 6-year study period. No WNV-NAT-positive donors with a history of recent travel outside of Canada in the winter-spring season were identified by donor screening (2018-2023). In total, 2,454,102 samples were tested during summer months and 267,988 in winter months. In 2023, WNV-specific PCR confirmed 10 of 13 (76.9%) screening WNV-NATs. Recent Japanese Encephalitis Virus (JEV) vaccination was identified as a potential false positive for initial WNV screening results.</p><p><strong>Discussion: </strong>Between 2018 and 2023, WNV-NAT positivity amongst Canadian blood donors remained stable, with no evidence of an increasing positivity trend. The utility of off-season travel-related testing may be limited, as no donors were identified during the six-year study timeframe. Finally, confirmation testing using WNV-specific PCR is recommended to identify true cases and to limit misidentification of other genetically similar viruses, such as JEV.</p>","PeriodicalId":23266,"journal":{"name":"Transfusion","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
TransfusionPub Date : 2025-06-25DOI: 10.1111/trf.18319
Caroline Bénech, Clélia Mornet, Laurence Delugin, Delphine Steiger, Christine Guerry, Laurence Le Glatin, Isabelle Dupont, Cédric Le Maréchal, Yann Fichou
{"title":"The novel JK*02(588G;929G) allele in an Indian patient dramatically impairs the expression of the Jk<sup>b</sup> antigen.","authors":"Caroline Bénech, Clélia Mornet, Laurence Delugin, Delphine Steiger, Christine Guerry, Laurence Le Glatin, Isabelle Dupont, Cédric Le Maréchal, Yann Fichou","doi":"10.1111/trf.18319","DOIUrl":"https://doi.org/10.1111/trf.18319","url":null,"abstract":"","PeriodicalId":23266,"journal":{"name":"Transfusion","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144498094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
TransfusionPub Date : 2025-06-25DOI: 10.1111/trf.18322
Lisa Weidner, Xaver Fanninger, Elke Nowak, Georg Gratz, Wolfgang Allhoff, Hanja Tyrakowski, Erwin Scharberg, Christof Jungbauer
{"title":"A new blood group antigen in the Knops blood group system: KNEH.","authors":"Lisa Weidner, Xaver Fanninger, Elke Nowak, Georg Gratz, Wolfgang Allhoff, Hanja Tyrakowski, Erwin Scharberg, Christof Jungbauer","doi":"10.1111/trf.18322","DOIUrl":"https://doi.org/10.1111/trf.18322","url":null,"abstract":"","PeriodicalId":23266,"journal":{"name":"Transfusion","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144485997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
TransfusionPub Date : 2025-06-25DOI: 10.1111/trf.18320
Sirui Ma, Rushad Patell, Laura Dodge, Shengling Ma, Michelle Knox, Brian J Carney
{"title":"Hemostatic and thrombotic outcomes in patients undergoing therapeutic plasma exchange.","authors":"Sirui Ma, Rushad Patell, Laura Dodge, Shengling Ma, Michelle Knox, Brian J Carney","doi":"10.1111/trf.18320","DOIUrl":"https://doi.org/10.1111/trf.18320","url":null,"abstract":"<p><strong>Background: </strong>Whether therapeutic plasma exchange (TPE) results in clinically relevant bleeding or thrombotic events is not well characterized.</p><p><strong>Study design and methods: </strong>We conducted a single-institution retrospective cohort study to estimate the incidence of bleeding and thrombotic outcomes of patients treated with TPE from 2017 to 2021. Patients with ≥3 treatment sessions within a 14-day period were included. Two independent physician reviewers manually reviewed patient charts. We calculated the 30-day cumulative incidence of bleeding and thrombotic outcomes with 95% confidence intervals (CI). We used a regression model to determine the association between clinical and laboratory features and study outcomes.</p><p><strong>Results: </strong>The study comprised 145 patients who underwent 176 treatment courses, representing a cumulative total of 890 individual TPE procedures. The cumulative incidence of clinically relevant bleeding (including major bleeding and clinically relevant nonmajor bleeding) was 8.0% (95% CI 4.4%-13.0%), and thrombosis was 4.0% (95% CI 1.6%-8.0%). There was one fatal bleeding event. Older age and chronic kidney disease were associated with odds ratios of 1.08 (95% CI 1.03-1.13, p = .002) and 4.68 (95% CI 1.33-14.90, p = .01), respectively, for bleeding. Patients who received any quantity of fresh frozen plasma as replacement fluid had a bleeding rate of 16.4% compared to 6.6% in patients who did not receive plasma (p = .05).</p><p><strong>Discussion: </strong>TPE-associated bleeding complications occur at a higher rate than previously understood. Further prospective investigations are merited to characterize bleeding risk factors and optimal preventive strategies.</p>","PeriodicalId":23266,"journal":{"name":"Transfusion","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144485998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
TransfusionPub Date : 2025-06-24DOI: 10.1111/trf.18311
Meghan Delaney, Lucy Asamoah-Akuoko, Jana MacLeod, Bridon M'baya, Bernard Appiah, Yvonne Dei-Adomakoh, Alfred Edwin Yawson, Emmanuel Nene Dei, Cindy Makanga, Abdirahman Musa, Tecla Chelagat, Kevin Ochieng, Titus Chiwindo, Maganizo Chagomerana, Juan Carlos Puyana, Pratap Kumar, Mina C Hosseinipour, Susan Telke, Cavan Reilly
{"title":"The African blood donor study: Study design and pilot experience from the BLOODSAFE program.","authors":"Meghan Delaney, Lucy Asamoah-Akuoko, Jana MacLeod, Bridon M'baya, Bernard Appiah, Yvonne Dei-Adomakoh, Alfred Edwin Yawson, Emmanuel Nene Dei, Cindy Makanga, Abdirahman Musa, Tecla Chelagat, Kevin Ochieng, Titus Chiwindo, Maganizo Chagomerana, Juan Carlos Puyana, Pratap Kumar, Mina C Hosseinipour, Susan Telke, Cavan Reilly","doi":"10.1111/trf.18311","DOIUrl":"https://doi.org/10.1111/trf.18311","url":null,"abstract":"","PeriodicalId":23266,"journal":{"name":"Transfusion","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144476819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
TransfusionPub Date : 2025-06-24DOI: 10.1111/trf.18314
Alexander Owen Taylor, Ulrik Sprogøe
{"title":"Haemolytic transfusion reaction due to anti-A<sub>1</sub> in a group O patient who received allogeneic stem cell transplantation from a group A donor.","authors":"Alexander Owen Taylor, Ulrik Sprogøe","doi":"10.1111/trf.18314","DOIUrl":"https://doi.org/10.1111/trf.18314","url":null,"abstract":"","PeriodicalId":23266,"journal":{"name":"Transfusion","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144476818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}