In recent years, the translation of basic research in transfusion medicine
has led to development of novel cellular therapies using well-characterized
cell populations isolated from either bone marrow or blood (eg, hematopoie
tic stem and progenitor cells, T lymphocytes, dendritic cells). Refinements
in cell therapies will make possible optimal stem cell engraftment, gene t
herapy, immunotherapy of cancer and infectious disease, and even solid orga
n regeneration. Moreover, the immune consequences of transfusion therapy ar
e better appreciated and opportunities are at hand to prevent or blunt unwa
nted immune responses, such as platelet refractoriness and graft-vs-host di
sease. Transfusion medicine has become a broad, multidisciplinary field tha
t has evolved beyond issues related to blood procurement and storage. The n
ext series of advances in transfusion medicine will complement the current
approaches of donor blood screening and viral/bacterial inactivation steps
to ensure a safe and adequate blood supply.