Prevalencia de anticuerpos anti HLA y/o HNA en muestras de donantes de sangre: una revisión sistemática

ilustraciones, diagramas

Autores:
Angel Peña, Verónica
Tipo de recurso:
Fecha de publicación:
2024
Institución:
Universidad Nacional de Colombia
Repositorio:
Universidad Nacional de Colombia
Idioma:
spa
OAI Identifier:
oai:repositorio.unal.edu.co:unal/86647
Acceso en línea:
https://repositorio.unal.edu.co/handle/unal/86647
https://repositorio.unal.edu.co/
Palabra clave:
610 - Medicina y salud::612 - Fisiología humana
Anticuerpos
Lesión Pulmonar Aguda Postransfusional/inmunología
Donantes de Sangre
Antibodies
Transfusion-Related Acute Lung Injury/inmunology
Blood Donors
Revisión sistemática
Anticuerpos
Antígeno leucocitario humano
Antígeno plaquetario humano
Lesión pulmonar aguda relacionada con transfusión (TRALI)
Systematic review
Antibodies
Human leukocyte antigen
Human platelet antigen
Transfusion-related acute lung injury (TRALI)
Rights
openAccess
License
Atribución-NoComercial 4.0 Internacional
id UNACIONAL2_d111f9352bedbc2614fb2fe1aaeb12d5
oai_identifier_str oai:repositorio.unal.edu.co:unal/86647
network_acronym_str UNACIONAL2
network_name_str Universidad Nacional de Colombia
repository_id_str
dc.title.spa.fl_str_mv Prevalencia de anticuerpos anti HLA y/o HNA en muestras de donantes de sangre: una revisión sistemática
dc.title.translated.eng.fl_str_mv Prevalence of anti HLA and/or HNA antibodies in blood donor samples: a systematic review
title Prevalencia de anticuerpos anti HLA y/o HNA en muestras de donantes de sangre: una revisión sistemática
spellingShingle Prevalencia de anticuerpos anti HLA y/o HNA en muestras de donantes de sangre: una revisión sistemática
610 - Medicina y salud::612 - Fisiología humana
Anticuerpos
Lesión Pulmonar Aguda Postransfusional/inmunología
Donantes de Sangre
Antibodies
Transfusion-Related Acute Lung Injury/inmunology
Blood Donors
Revisión sistemática
Anticuerpos
Antígeno leucocitario humano
Antígeno plaquetario humano
Lesión pulmonar aguda relacionada con transfusión (TRALI)
Systematic review
Antibodies
Human leukocyte antigen
Human platelet antigen
Transfusion-related acute lung injury (TRALI)
title_short Prevalencia de anticuerpos anti HLA y/o HNA en muestras de donantes de sangre: una revisión sistemática
title_full Prevalencia de anticuerpos anti HLA y/o HNA en muestras de donantes de sangre: una revisión sistemática
title_fullStr Prevalencia de anticuerpos anti HLA y/o HNA en muestras de donantes de sangre: una revisión sistemática
title_full_unstemmed Prevalencia de anticuerpos anti HLA y/o HNA en muestras de donantes de sangre: una revisión sistemática
title_sort Prevalencia de anticuerpos anti HLA y/o HNA en muestras de donantes de sangre: una revisión sistemática
dc.creator.fl_str_mv Angel Peña, Verónica
dc.contributor.advisor.spa.fl_str_mv Camacho Rodriguez, Bernado Armando
Vallejo Ortega, María Teresa
Henao Riveros, Sandra Consuelo
dc.contributor.author.spa.fl_str_mv Angel Peña, Verónica
dc.subject.ddc.spa.fl_str_mv 610 - Medicina y salud::612 - Fisiología humana
topic 610 - Medicina y salud::612 - Fisiología humana
Anticuerpos
Lesión Pulmonar Aguda Postransfusional/inmunología
Donantes de Sangre
Antibodies
Transfusion-Related Acute Lung Injury/inmunology
Blood Donors
Revisión sistemática
Anticuerpos
Antígeno leucocitario humano
Antígeno plaquetario humano
Lesión pulmonar aguda relacionada con transfusión (TRALI)
Systematic review
Antibodies
Human leukocyte antigen
Human platelet antigen
Transfusion-related acute lung injury (TRALI)
dc.subject.decs.spa.fl_str_mv Anticuerpos
Lesión Pulmonar Aguda Postransfusional/inmunología
Donantes de Sangre
dc.subject.decs.eng.fl_str_mv Antibodies
Transfusion-Related Acute Lung Injury/inmunology
Blood Donors
dc.subject.proposal.spa.fl_str_mv Revisión sistemática
Anticuerpos
Antígeno leucocitario humano
Antígeno plaquetario humano
Lesión pulmonar aguda relacionada con transfusión (TRALI)
dc.subject.proposal.eng.fl_str_mv Systematic review
Antibodies
Human leukocyte antigen
Human platelet antigen
Transfusion-related acute lung injury (TRALI)
description ilustraciones, diagramas
publishDate 2024
dc.date.accessioned.none.fl_str_mv 2024-07-29T20:18:06Z
dc.date.available.none.fl_str_mv 2024-07-29T20:18:06Z
dc.date.issued.none.fl_str_mv 2024-01
dc.type.spa.fl_str_mv Trabajo de grado - Maestría
dc.type.driver.spa.fl_str_mv info:eu-repo/semantics/masterThesis
dc.type.version.spa.fl_str_mv info:eu-repo/semantics/acceptedVersion
dc.type.content.spa.fl_str_mv Text
dc.type.redcol.spa.fl_str_mv http://purl.org/redcol/resource_type/TM
status_str acceptedVersion
dc.identifier.uri.none.fl_str_mv https://repositorio.unal.edu.co/handle/unal/86647
dc.identifier.instname.spa.fl_str_mv Universidad Nacional de Colombia
dc.identifier.reponame.spa.fl_str_mv Repositorio Institucional Universidad Nacional de Colombia
dc.identifier.repourl.spa.fl_str_mv https://repositorio.unal.edu.co/
url https://repositorio.unal.edu.co/handle/unal/86647
https://repositorio.unal.edu.co/
identifier_str_mv Universidad Nacional de Colombia
Repositorio Institucional Universidad Nacional de Colombia
dc.language.iso.spa.fl_str_mv spa
language spa
dc.relation.indexed.spa.fl_str_mv Bireme
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dc.rights.coar.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.rights.license.spa.fl_str_mv Atribución-NoComercial 4.0 Internacional
dc.rights.uri.spa.fl_str_mv http://creativecommons.org/licenses/by-nc/4.0/
dc.rights.accessrights.spa.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv Atribución-NoComercial 4.0 Internacional
http://creativecommons.org/licenses/by-nc/4.0/
http://purl.org/coar/access_right/c_abf2
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dc.format.extent.spa.fl_str_mv xiii, 75 páginas
dc.format.mimetype.spa.fl_str_mv application/pdf
dc.publisher.spa.fl_str_mv Universidad Nacional de Colombia
dc.publisher.program.spa.fl_str_mv Bogotá - Medicina - Maestría en Inmunología
dc.publisher.faculty.spa.fl_str_mv Facultad de Medicina
dc.publisher.place.spa.fl_str_mv Bogotá, Colombia
dc.publisher.branch.spa.fl_str_mv Universidad Nacional de Colombia - Sede Bogotá
institution Universidad Nacional de Colombia
bitstream.url.fl_str_mv https://repositorio.unal.edu.co/bitstream/unal/86647/3/license.txt
https://repositorio.unal.edu.co/bitstream/unal/86647/4/53160608.2024.pdf
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spelling Atribución-NoComercial 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Camacho Rodriguez, Bernado Armando88e2b81e47b2899669514e6806335352600Vallejo Ortega, María Teresa640cb854bc6f2b1f5781946cd62f099c600Henao Riveros, Sandra Consuelo37ae82bfbf54523207ffb0a58ab27e3d600Angel Peña, Verónica589d87aec5d6546f87e57a484a415d7e2024-07-29T20:18:06Z2024-07-29T20:18:06Z2024-01https://repositorio.unal.edu.co/handle/unal/86647Universidad Nacional de ColombiaRepositorio Institucional Universidad Nacional de Colombiahttps://repositorio.unal.edu.co/ilustraciones, diagramasIntroducción: Los anticuerpos anti-HLA y anti-HNA se encuentran dirigidos contra antígenos que se encuentran en los leucocitos y otras células (los antígenos HNA se encuentran sobre los neutrófilos, y los antígenos HLA sobre la mayoría de células nucleadas). Se han descrito dos sistemas de antígenos leucocitarios: el sistema HLA y el sistema HNA; si bien son bastante diferentes, están asociados por causar TRALI, una condición asociada a la transfusión de componentes sanguíneos que contienen estos anticuerpos, y que puede llegar a comprometer la vida del paciente. Se realizó una revisión sistemática para establecer la frecuencia de estos anticuerpos en donantes de sangre. Objetivo: Determinar la prevalencia de prueba positiva para anticuerpos anti-HLA y anti-HNA en muestras de donantes de sangre Métodos de búsqueda: Se realizó una búsqueda sistemática en las bases de datos electrónicas MEDLINE, EMBASE y LILACS para detectar estudios observacionales o experimentales que hayan medido la prevalencia de anticuerpos anti-HLA, anti-HNA o ambos en muestras de donantes de sangre, ensayos clínicos que compararon la capacidad de pruebas de detección de los anticuerpos y estudios de pruebas diagnósticas que evaluaron la exactitud de las pruebas usadas. Luego de la extracción y calificación por dos investigadores, se evaluó la heterogeneidad y se generaron estimadores de resumen mediante metaanálisis de proporciones por método directo. Resultados principales: Como resultados de la búsqueda fueron detectadas 3340 referencias, luego del proceso de selección fueron incluidos un total de 23 estudios; de los cuales 22 hicieron detección de anticuerpos anti-HLA total y 12 hicieron detección de anticuerpos anti-HNA. Se reportaron los rangos de prevalencias para anticuerpos anti-HLA mediante síntesis textual narrativa debido a que se obtuvieron valores de I2 mayores al 70%. La prevalencia resumida de HNA total fue del 1%. Conclusiones: Existe una alta incertidumbre sobre la magnitud de la prevalencia de anticuerpos anti-HLA y anti-HNA en donantes de bancos de sangre. Podría haber una mayor prevalencia de anticuerpos en mujeres con más de una gestación, pero se requieren estudios que precisen otros factores que puedan mejorar la certeza de la prevalencia de anticuerpos en esta población y expliquen la alta heterogeneidad encontrada. Se necesitan investigaciones adicionales permitan estimar el efecto de los eventos sensibilizantes con la prevalencia de anticuerpos anti-HLA y anti-HNA en donantes de sangre. (Texto tomado de la fuente).Introduction: Anti-HLA and anti-HNA antibodies are directed against antigens found on leukocytes and other cells (HNA antigens are found on neutrophils, and HLA antigens on most nucleated cells). Two leukocyte antigen systems have been described: the HLA system and the HNA system; Although they are quite different, they are associated with causing TRALI, a condition associated with the transfusion of blood components that contain these antibodies, and which can compromise the patient's life. A systematic review was performed to establish the frequency of these antibodies in blood donors. Objective: Determine the prevalence of positive tests for anti-HLA and anti-HNA antibodies in blood donor samples. Search methods: A systematic search was performed in the electronic databases MEDLINE, EMBASE and LILACS to detect observational or experimental studies that have measured the prevalence of anti-HLA antibodies, anti-HNA antibodies or both in blood donor samples, assays clinical trials that compared the ability of antibody detection tests and diagnostic testing studies that evaluated the accuracy of the tests used. After extraction and scoring by two researchers, heterogeneity was assessed and summary estimators were generated through meta-analysis of proportions by direct method. Results: As results of the search, 3340 references were detected, after the selection process a total of 23 studies were included; of which 22 detected total anti-HLA antibodies and 12 detected anti-HNA antibodies. The prevalence ranges for anti-HLA antibodies were reported through narrative textual synthesis because I2 values ​​greater than 70% were obtained. The summary prevalence of total HNA was 1%. Conclusions: There is high uncertainty about the magnitude of the prevalence of anti-HLA and anti-HNA antibodies in blood bank donors. There could be a higher prevalence of antibodies in women with more than one pregnancy, but studies are required that specify other factors that can improve the certainty of the prevalence of antibodies in this population and explain the high heterogeneity found. Additional research is needed to estimate the effect of sensitizing events on the prevalence of anti-HLA and anti-HNA antibodies in blood donors.MaestríaMagíster en Inmunologíaxiii, 75 páginasapplication/pdfspaUniversidad Nacional de ColombiaBogotá - Medicina - Maestría en InmunologíaFacultad de MedicinaBogotá, ColombiaUniversidad Nacional de Colombia - Sede Bogotá610 - Medicina y salud::612 - Fisiología humanaAnticuerposLesión Pulmonar Aguda Postransfusional/inmunologíaDonantes de SangreAntibodiesTransfusion-Related Acute Lung Injury/inmunologyBlood DonorsRevisión sistemáticaAnticuerposAntígeno leucocitario humanoAntígeno plaquetario humanoLesión pulmonar aguda relacionada con transfusión (TRALI)Systematic reviewAntibodiesHuman leukocyte antigenHuman platelet antigenTransfusion-related acute lung injury (TRALI)Prevalencia de anticuerpos anti HLA y/o HNA en muestras de donantes de sangre: una revisión sistemáticaPrevalence of anti HLA and/or HNA antibodies in blood donor samples: a systematic reviewTrabajo de grado - Maestríainfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/acceptedVersionTexthttp://purl.org/redcol/resource_type/TMBiremeTung JP, Chiaretti S, Dean MM, Sultana AJ, Reade MC, Fung YL. 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Hum Immunol. 2022;83(3):204-18EstudiantesInvestigadoresMaestrosPúblico generalLICENSElicense.txtlicense.txttext/plain; charset=utf-85879https://repositorio.unal.edu.co/bitstream/unal/86647/3/license.txteb34b1cf90b7e1103fc9dfd26be24b4aMD53ORIGINAL53160608.2024.pdf53160608.2024.pdfTesis de Maestría en Inmunologíaapplication/pdf1488420https://repositorio.unal.edu.co/bitstream/unal/86647/4/53160608.2024.pdf6ea78d1761e2627fc5a6baf776cfacfdMD54unal/86647oai:repositorio.unal.edu.co:unal/866472024-07-29 15:19:43.002Repositorio Institucional Universidad Nacional de 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