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JOURNAL OF CLINICAL TRANSFUSION AND LABORATORY MEDICINE ›› 2026, Vol. 28 ›› Issue (2): 279-285.DOI: 10.3969/j.issn.1671-2587.2026.02.021

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Research Progress on the Relationship between CD36 Antigen Deficiency and Clinical Blood Transfusion Safety

WANG Xin, LI Yao, SHAN Zhuoyue, ZHAO Liyan   

  1. The Second Hospital of Jilin University, Changchun 130041
  • Received:2025-09-17 Accepted:2025-10-28 Online:2026-04-20 Published:2026-04-22

Abstract: The CD36 antigen is widely present on the surface of platelets, monocytes and other cells. However, some individuals in the population show a deficiency of the CD36 antigen. These individuals may produce anti-CD36 antibodies after exposure to immune stimuli such as blood transfusion and pregnancy. Patients carrying this antibody may experience complications related to blood transfusion, such as platelet transfusion refractoriness, alloimmune thrombocytopenia in the fetus and neonate, and post-transfusion purpura, if they receive blood products positive for the CD36 antigen again. This poses a threat to the safety of clinical blood transfusion. This article will review the molecular basis of CD36 antigen deficiency and its correlation with platelet transfusion refractoriness, alloimmune thrombocytopenia in the fetus and neonate, and transfusion-related acute lung injury.

Key words: CD36 antigen deficiency, Platelet transfusion refractoriness, Fetal and neonatal alloimmune thrombocytopenia, Transfusion-related acute lung injury, Post-transfusion purpura

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