ANTI-A/B IMMUNE ANTIBODY TITERS IN ABO-INCOMPATIBLE ALLOGENEIC HEMATOPOIETIC STEM CELL TRANSPLANTATION
Main Article Content
Abstract
Objective: To determine anti-A/B immune antibody titers and evaluate their associations with the time to ABO blood group conversion and post-transplant RBC transfusion requirements.
Subjects and Methods: Cross-sectional analytical study included 24 patients undergoing allogeneic hematopoietic stem cell transplantation with ABO blood group incompatibility at the National Institute of Hematology and Blood Transfusion from January 2025 to June 2026.
Results: Immune anti-A/B antibodies were detected before transplantation in 54.2% of patients, while 37.5% of patients had immune anti-A/B antibodies reactive with donor red blood cells. The median pre-transplant immune anti-A/B antibody titer was 16 (IQR:16-64), and the median duration of antibody persistence was 28 days (IQR:14-39). Higher pre-transplant immune anti-A/B antibody titers were associated with prolonged antibody persistence (rs=0,841, p=0,005) and increased post-transplant red blood cell transfusion requirements (p=0,004).
Conclusion: Determination of pre-transplant immune anti-A/B antibody titers and monitoring their post-transplant persistence may help predict post-transplant RBC transfusion requirements.
Keywords
Anti-A/B immune antibody, allogeneic hematopoietic stem cell transplantation, transfusion medicine
Article Details
References
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