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Prevalence of Anti Erythocyte Alloimmunization to Sub-Saharan African Blood Donors

Received: 4 May 2019    Accepted: 23 August 2019    Published: 6 September 2019
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Abstract

A part from any incompatible blood transfusion, anti-erythrocyte alloimmunization is observed to pregnant women. It is the result of the passage of red blood cells carrying antigens different from those of the mother during pregnancy and delivery. The Rhesus D system is the most involved; but there are also other systems involved in this alloimmunization. Non-transfusion alloimmunization is an extremely rare event in the order of 1 of 4000 to women in Europe and in most cases concerns the Rhesus D. In sub-Saharan Africa, there are no statistics collected on foeto-maternal alloimmunization. As part of our postgraduate thesis on the sensitization status of red blood cells to acridine, we used the technique of looking for irregular agglutinins. The goal was to find anti-erythrocyte alloimmunization to blood donors in sub-Saharan Africa. We conducted a two-year multicenter prospective and descriptive study of 903 blood donors in Côte d'Ivoire, Benin and Cameroon. The samples were analyzed in the laboratories of the National Blood Transfusion Center of Côte D'Ivoire and Frankfurt according to the technique of the RAI gel card of the BIORAD company after centrifugation and incubation using test red cells treated with S-303. In the case of a positive reaction, identification is made by a panel of red blood cells in the different blood group systems. In our study population, there is a male predominance with a male/female ratio of 7.42. We found a very low prevalence of alloimmunization to non-transfused blood donors (0.9% or 8 cases out of 902). 4 anti-erythrocyte antibodies have been identified (1 Ac anti D and 3 AC anti S); 2 pan-agglutination, 2 unidentified Ac (insufficient serum) and suspicion of anti-glutathione. Anti-erythrocyte alloimmunization to sub-Saharan Africa blood donor is about 0.9% in our series. It remains high compared to European data. This alloimmunization is mainly observed to women with low frequency antigens to black peoples.

Published in International Journal of Immunology (Volume 7, Issue 2)
DOI 10.11648/j.iji.20190702.12
Page(s) 33-36
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Antierythrocyte, Alloimmization, Subsaharian, Blood Donor

References
[1] J. C Bensa, B Schweizer. Antigènes et anticorps concernés dans les incompatibilités foeto-maternelles [en ligne]. Disponible sur: «www.sante.uijfgrenoble.fr» (consulté le 20 octobre 2008).
[2] Rapport d’activité du centre national de transfusion sanguine (CNTS) de Côte D’Ivoire. Conseil de gestion (COGES) Février 2014.
[3] Nébié KY, Olinger CM, Kafando E, Dahourou H, Diallo S, Kientega Y, Domo Y, Kienou K, Ouattara S, Sawadogo I, Ky L, Muller CP. Lack of knowledge among blood donors in Burkina Faso (West Africa); potential obstacle to transfusion security. Transfus Clin Biol. 2007; 14 (5): 446-52.
[4] Tagny CT, Mbanya D, Tapko JB, Lefrere JJ. Blood safety in sub-Saharan Africa: a multi-factorial problem. Transfusion. 2008; 48 (6): 1256-61.
[5] Christian Ngama Kakisingi et al. Profil épidémiologique et séroprévalence des donneurs de sang aux cliniques universitaires de Lubumbashi, République Démocratique du Congo. The Pan African Medical Journal. 2016; 23: 175.
[6] Tagny CT, Kouao MD, Touré H, et al. Transfusion safety in francophone African countries: an analysis of strategies for the medical selection of blood donors. Transfusion. 2012; 52: 134–43.
[7] J.-Y. Py Risques infectieux et immunologiques de la transfusion érythrocytaire https://www.srlf.org/wp-content/uploads/2015/11/0312-Reanimation-Vol12-N8-p564_574.pdf.
[8] J.-J. Lefrère, G. Andreu, C. Barisien, P. Bierling, B. Danic, P. Morel, T. Peyrard, T. Schneider, J. Y Muller Transfusion sanguine, Organisation, bases immunologiques et produits sanguins labiles EMC (Elsevier Masson SAS), Hématologie. 1992; 1984 (12).
[9] M. H. Poissonnier, Y. Brossard, J.-C. Soulié, M. Maynier, M. Larsen, M. Lefevre, J. Chavinié, M. Tournaire. Incompatibilité fœto-maternelle érythrocytaire Extrait des Mises à jour en Gynécologie et Obstétrique – Tome XXV publié le 6.12.2001 p119-151.
[10] Chavinié J, Brossard Y. Les incompatibilités sanguines 25 ans après. In: Azoulay M, Mezin R, ed. Xe Journées des Techniques Avancées en Gynécologie-Obstétrique, Périnatologie, PMA. Fort-de-France, 1995: 669-692.
[11] Rigala D, Meyera F, Mayranda E, Dupraza F. Les allo-immunisations foeto-maternelles anti-érythrocytaires: état de l'art en 2008. Revue francophone des laboratoires. 2008; 402: 51–62.
[12] Bricca P, Guinchard E, Guitton Bliem C. Prise en charge des allo-immunisations foeto-maternelles anti-érythrocytaires. Transfusion Clinique et Biologique. 2011; 18 (2): 269–276.
[13] Carbonne B, Castaigne V, Cynober E, Levy R, Cortey A, Mailloux A, Larsen M, Brossard Y. Le point sur le suivi des allo-immunisations érythrocytaires. Gynécologie Obstétrique & Fertilité. 2010; 38 (3): 205-213.
[14] C. D’Ercole, Conséquences de l’allo-immunisation foeto-maternelle érythrocytaire: Données épidémiologiques. Journal de gynécologie obstétrique et biologie de la reproduction. 2007, 36 (1): S1-S2.
[15] Akré DP, Seka Seka J, Dasse SR, Kplé-Faget P. Alloimmunisation antiérythrocytaire post-transfusionnelle chez les drépanocytaires suivis au CHU de Cocody. J Sci Pharm Biol. 2008; 9 (2): 64-70.
[16] Kabore S, Dembele B, Dasse SR, Sekongo YM, Siransy BL, Yao KD, et al. Allo-immunisation anti-érythrocytaire chez les femmes hémoglobinopathes au CNTS d’Abidjan. Transfus Clin Biol. sept 2017; 24 (3): 339.
[17] Sekongo YM, Kouacou AP, Kouamenan S, Kassogue K, Konan S, N’guessan P, et al. Allo-immunisation anti-érythrocytaire chez les drépanocytaires suivis dans l’unité de thérapeutique transfusionnelle du centre national de transfusion sanguine de Côte d’Ivoire. Transfus Clin Biol. sept 2015; 22 (4): 244-5.
[18] Kangiwa U, Ibegbulam O, Ocheni S, Madu A, Mohammed N. Pattern and prevelence of alloimmunization in multiply transfused patients with sickle cell disease in Nigeria. Biomark Res. oct 2015; 3 (26).
[19] Rosse WF, Gallagher D, Kinney TR, Castro O, Dosik H, Moohr J, et al. Transfusion and alloimmunization in sickle cell disease. The Cooperative Study of Sickle Cell Disease. Blood. Oct 1990; 76 (7): 1431-7.
[20] Verduin EP, Brand A, Schonewille H. Is female sex a risk factor for red blood cell alloimmunization after transfusion? A systematic review. Transfus Med Rev. oct 2012; 26 (4): 342-53.
[21] Hussein E, Ahmed Eldesoukey N, Rihan A, Kamal A. Predictors of red cell alloimmunization in multitransfused Egyptian patients with β-thalassemia. Arch Pathol Lab Med. 2014; 138 (5): 684-8.
[22] Alkindi S, AlMahrooqi S, AlHinai S, AlMarhoobi A, Al-Hosni S, Daar S, et al. Alloimmunization in Patients with Sickle Cell Disease and Thalassemia: Experience of a Single Centre in Oman. Mediterr J Hematol Infect Dis [Internet]. 15 févr 2017; 9 (1). Disponible sur: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5333756/.
[23] B. Branger, N. Winer, Epidémiologie de l’allo-immunisation anti-D pendant la grossesse. Journal de gynécologie obstétrique et biologie de la reproduction, Fev 2006, 35 (1): 1S87-1S92.
[24] EMC. Allo immunisation fœto-maternelle érythrocytaire [en ligne]. Disponible sur: http: //em-premium.com [consulté le 5 September 2011].
[25] C. D’Ercole, Conséquences de l’allo-immunisation foeto-maternelle érythrocytaire: Données épidémiologiques. Journal de gynécologie obstétrique et biologie de la reproduction, Sept 2007; 36 (1): S1-S2.
[26] American Hospital of Paris. Incompatibilité sanguine mère-enfant [en ligne]. Disponible sur «www.american-hospital.org/» (consulté le 28 avril 2008).
Cite This Article
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    Sekongo Yassongui Mamadou, Dasse Sery Romuald, Altemeyer Anaïs, Soraya Amar, Tayou Claude, et al. (2019). Prevalence of Anti Erythocyte Alloimmunization to Sub-Saharan African Blood Donors. International Journal of Immunology, 7(2), 33-36. https://doi.org/10.11648/j.iji.20190702.12

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    Sekongo Yassongui Mamadou; Dasse Sery Romuald; Altemeyer Anaïs; Soraya Amar; Tayou Claude, et al. Prevalence of Anti Erythocyte Alloimmunization to Sub-Saharan African Blood Donors. Int. J. Immunol. 2019, 7(2), 33-36. doi: 10.11648/j.iji.20190702.12

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    AMA Style

    Sekongo Yassongui Mamadou, Dasse Sery Romuald, Altemeyer Anaïs, Soraya Amar, Tayou Claude, et al. Prevalence of Anti Erythocyte Alloimmunization to Sub-Saharan African Blood Donors. Int J Immunol. 2019;7(2):33-36. doi: 10.11648/j.iji.20190702.12

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  • @article{10.11648/j.iji.20190702.12,
      author = {Sekongo Yassongui Mamadou and Dasse Sery Romuald and Altemeyer Anaïs and Soraya Amar and Tayou Claude and Anani Ludovic and Kassogue Kadidia and Geisen Cristof and Herbrich Anne and Kouamenan Sisonie and Konate Seidou},
      title = {Prevalence of Anti Erythocyte Alloimmunization to  Sub-Saharan African Blood Donors},
      journal = {International Journal of Immunology},
      volume = {7},
      number = {2},
      pages = {33-36},
      doi = {10.11648/j.iji.20190702.12},
      url = {https://doi.org/10.11648/j.iji.20190702.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.iji.20190702.12},
      abstract = {A part from any incompatible blood transfusion, anti-erythrocyte alloimmunization is observed to pregnant women. It is the result of the passage of red blood cells carrying antigens different from those of the mother during pregnancy and delivery. The Rhesus D system is the most involved; but there are also other systems involved in this alloimmunization. Non-transfusion alloimmunization is an extremely rare event in the order of 1 of 4000 to women in Europe and in most cases concerns the Rhesus D. In sub-Saharan Africa, there are no statistics collected on foeto-maternal alloimmunization. As part of our postgraduate thesis on the sensitization status of red blood cells to acridine, we used the technique of looking for irregular agglutinins. The goal was to find anti-erythrocyte alloimmunization to blood donors in sub-Saharan Africa. We conducted a two-year multicenter prospective and descriptive study of 903 blood donors in Côte d'Ivoire, Benin and Cameroon. The samples were analyzed in the laboratories of the National Blood Transfusion Center of Côte D'Ivoire and Frankfurt according to the technique of the RAI gel card of the BIORAD company after centrifugation and incubation using test red cells treated with S-303. In the case of a positive reaction, identification is made by a panel of red blood cells in the different blood group systems. In our study population, there is a male predominance with a male/female ratio of 7.42. We found a very low prevalence of alloimmunization to non-transfused blood donors (0.9% or 8 cases out of 902). 4 anti-erythrocyte antibodies have been identified (1 Ac anti D and 3 AC anti S); 2 pan-agglutination, 2 unidentified Ac (insufficient serum) and suspicion of anti-glutathione. Anti-erythrocyte alloimmunization to sub-Saharan Africa blood donor is about 0.9% in our series. It remains high compared to European data. This alloimmunization is mainly observed to women with low frequency antigens to black peoples.},
     year = {2019}
    }
    

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  • TY  - JOUR
    T1  - Prevalence of Anti Erythocyte Alloimmunization to  Sub-Saharan African Blood Donors
    AU  - Sekongo Yassongui Mamadou
    AU  - Dasse Sery Romuald
    AU  - Altemeyer Anaïs
    AU  - Soraya Amar
    AU  - Tayou Claude
    AU  - Anani Ludovic
    AU  - Kassogue Kadidia
    AU  - Geisen Cristof
    AU  - Herbrich Anne
    AU  - Kouamenan Sisonie
    AU  - Konate Seidou
    Y1  - 2019/09/06
    PY  - 2019
    N1  - https://doi.org/10.11648/j.iji.20190702.12
    DO  - 10.11648/j.iji.20190702.12
    T2  - International Journal of Immunology
    JF  - International Journal of Immunology
    JO  - International Journal of Immunology
    SP  - 33
    EP  - 36
    PB  - Science Publishing Group
    SN  - 2329-1753
    UR  - https://doi.org/10.11648/j.iji.20190702.12
    AB  - A part from any incompatible blood transfusion, anti-erythrocyte alloimmunization is observed to pregnant women. It is the result of the passage of red blood cells carrying antigens different from those of the mother during pregnancy and delivery. The Rhesus D system is the most involved; but there are also other systems involved in this alloimmunization. Non-transfusion alloimmunization is an extremely rare event in the order of 1 of 4000 to women in Europe and in most cases concerns the Rhesus D. In sub-Saharan Africa, there are no statistics collected on foeto-maternal alloimmunization. As part of our postgraduate thesis on the sensitization status of red blood cells to acridine, we used the technique of looking for irregular agglutinins. The goal was to find anti-erythrocyte alloimmunization to blood donors in sub-Saharan Africa. We conducted a two-year multicenter prospective and descriptive study of 903 blood donors in Côte d'Ivoire, Benin and Cameroon. The samples were analyzed in the laboratories of the National Blood Transfusion Center of Côte D'Ivoire and Frankfurt according to the technique of the RAI gel card of the BIORAD company after centrifugation and incubation using test red cells treated with S-303. In the case of a positive reaction, identification is made by a panel of red blood cells in the different blood group systems. In our study population, there is a male predominance with a male/female ratio of 7.42. We found a very low prevalence of alloimmunization to non-transfused blood donors (0.9% or 8 cases out of 902). 4 anti-erythrocyte antibodies have been identified (1 Ac anti D and 3 AC anti S); 2 pan-agglutination, 2 unidentified Ac (insufficient serum) and suspicion of anti-glutathione. Anti-erythrocyte alloimmunization to sub-Saharan Africa blood donor is about 0.9% in our series. It remains high compared to European data. This alloimmunization is mainly observed to women with low frequency antigens to black peoples.
    VL  - 7
    IS  - 2
    ER  - 

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Author Information
  • National Blood Transfusion Center of C?te D’Ivoire, Abidjan, Ivory Coast

  • Hospitality and University Center of Cocody, Abidjan, C?te D’Ivoire

  • Transfusion Swiss Red Cross Switzerland, Laupenstrasse, Switzerland

  • Haematology and Blood Transfusion Service of University Teaching Hospital, Yaoundé, Cameroon

  • Blood Transfusion Agency of Benin, Benin, Nigeria

  • National Blood Transfusion Center of C?te D’Ivoire, Abidjan, Ivory Coast

  • Institute of Transfusion Medicine and Immunohematology, Frankfurt, Germany

  • Institute of Transfusion Medicine and Immunohematology, Frankfurt, Germany

  • National Blood Transfusion Center of C?te D’Ivoire, Abidjan, Ivory Coast

  • National Blood Transfusion Center of C?te D’Ivoire, Abidjan, Ivory Coast

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