DTM
Research
Blood Services Section
In addition to providing services to support
Clinical Center patients the Blood Services Section conducts important
research. Please note the current research projects of the section
below.
Research
Interests
Apheresis
and Hemochromatosis Studies
The Department of Transfusion Medicine
at NIH continues a 35 year tradition of excellence in clinical apheresis
research. Current studies emphasize optimization of donor safety
and component yields during large volume leukapheresis for collection
of peripheral blood stem cells and other mononuclear cells to be
used for hematopoietic reconstitution and immunomodulatory therapy
with collaborating intramural institute research programs. Specific
interests address the evaluation of citrate anticoagulant toxicity
and management with prophylactic divalent cation solutions, the
effect of volume processed, flow rate and apheresis device settings
on cell yields and efficiency, and the performance of LVL on pediatric
donors. More recently, the DTM has pioneered a comprehensive program
for subjects with hemochromatosis, in which the optimal method of
phlebotomy therapy is evaluated while blood from eligible subjects
is made available to the allogeneic inventory for transfusion to
patients at the Clinical Center. Additional active protocols include
collection of anthrax-immune plasma from vaccinated volunteers,
red cell exchange programs for sickle cell anemia patients, photopheresis
therapy for subjects with autoimmune disease or chronic graft versus
host disease after allogeneic transplantation, and the application
of novel apheresis procedures for control of severe hereditary hypercholesterolemia.
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