“…First, leukocytes rapidly go through apoptosis and degradation in storage and thereby release cytokines (interleukin-1, interleukin-6, interleukin-8, tumor necrosis factor-␣) 1 and other inflammatory mediators (histamine, serotonin, and acid phospatase). 20 With transfusion into the patient, these molecules can lead to FNTRs. Second, FNTRs also can be due to allommunization against leukocyte antigens (histocompatability leukocyte antigen [HLA] class I) that are present on platelets and leukocytes.…”