In recent years, several studies have identified the leukocyte content
and the age of the blood components as dominant factors in febrile tr
ansfusion reactions (FTRs). At present, extensive efforts are being ma
de to reduce adverse effects by implementation and/or introduction of
new methods for leukodepletion of blood components and by studying the
mechanisms responsible for these phenomena. A recent approach has bee
n the evaluation of cytokines in platelet concentrates and this issue
has been addressed with some detail in this review. Comparative data c
urrently available on levels of cytokines in the different platelet co
ncentrates is provided along with the functional role of the detected
cytokines in including adverse reactions. (C) 1997 Elsevier Science Lt
d.