Table 2.

Unanswered questions and future research areas for RBC alloimmunization triggers

Unanswered questionsFuture research areas
What defines a “responder” to RBC antigens in transfusion or pregnancy? • Identification of reproducible genetic markers of responsiveness 
• Assessment of unique aspects (signatures) of the innate or adaptive immune systems of responders and nonresponders 
• Evaluation of other donor/recipient characteristics that may predispose to responsiveness 
What steps can be taken to limit or avoid antibody development in confirmed responders? • Feasibility of extended genotyped or phenotyped matched units on a large scale 
• Modification of antigen presentation or modulation of the immune system before antigenic exposure 
What other strategies may prevent alloimmunization in transfusion or pregnancy? • Consideration of tolerance induction strategies 
• Exploration of antibody-mediated immune suppression 
Unanswered questionsFuture research areas
What defines a “responder” to RBC antigens in transfusion or pregnancy? • Identification of reproducible genetic markers of responsiveness 
• Assessment of unique aspects (signatures) of the innate or adaptive immune systems of responders and nonresponders 
• Evaluation of other donor/recipient characteristics that may predispose to responsiveness 
What steps can be taken to limit or avoid antibody development in confirmed responders? • Feasibility of extended genotyped or phenotyped matched units on a large scale 
• Modification of antigen presentation or modulation of the immune system before antigenic exposure 
What other strategies may prevent alloimmunization in transfusion or pregnancy? • Consideration of tolerance induction strategies 
• Exploration of antibody-mediated immune suppression 
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