In clinical transplantation, an observed complication is that previous red blood cell (RBC) transfusions may reduce the risk of solid organ transplant rejection but increase the risk of bone marrow transplant (BMT) graft failure (Storb and Weiden, 1981). This statement is seemingly a contradiction. It is difficult to understand how RBC transfusions can both reduce the risk of solid organ transplant rejection and increase the risk of BMT rejection. But this contradiction can be resolved by understanding three considerations. First, the immune system is extremely complex and attempts to control its effects routinely have both positive and negative effects ( ...
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