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What Triggers the Initiative of Developments in Transfusion Medicine: Advances in Ex Vivo Haematopoietic Cell Therapy and Next Generation Transfusion Products

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Trigger Factors in Transfusion Medicine

Part of the book series: Developments in Hematology and Immunology ((DIHI,volume 31))

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Abstract

Transfusion medicine and blood banking have evolved over the years from the collection and use of whole blood to the fractionation of blood into plasma and cell components including red blood cells, platelets and granulocytes (Figure 1). Plasma has been further refined and fractionated into specific components of significant therapeutic value including albumin, immunoglobulin and coagulation components such as Factor VIII. The evolution of molecular biology and recombinant protein technology has had a significant impact on the field and resulted in ways to generate therapeutic proteins which are functionally equivalent to proteins derived directly from the plasma. The best example of this is Factor VIII for the treatment of haemophilia. The therapeutic form of the protein has moved from being a plasma fraction to affinity purified Factor VIII using monoclonal antibody technology to the recombinant form of this protein which was introduced commercially in 1993. Many other basic plasma proteins have now been cloned and it is anticipated that many of these will be produced cost-effectively and applied clinically. It can also be anticipated that there will be a need for specific antibody therapy for infectious disease, autoimmune disease, transplantation, and cancer therapy. Such antibodies may augment or even replace the use of immunoglobulin fractions from plasma in situations where broad spectrum activity is not required.

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© 1996 Kluwer Academic Publishers

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van Epps, D.E. (1996). What Triggers the Initiative of Developments in Transfusion Medicine: Advances in Ex Vivo Haematopoietic Cell Therapy and Next Generation Transfusion Products. In: Sibinga, C.T.S., Das, P.C., Snyder, E.L. (eds) Trigger Factors in Transfusion Medicine. Developments in Hematology and Immunology, vol 31. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-1287-1_16

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  • DOI: https://doi.org/10.1007/978-1-4613-1287-1_16

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4612-8550-2

  • Online ISBN: 978-1-4613-1287-1

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