NEONATAL ALLOIMMUNE THROMBOCYTOPENIA IN TAIWAN DUE TO AN ANTIBODY AGAINST A LABILE COMPONENT OF HPA-3A (BAK(A))

被引:29
作者
LIN, M
SHIEH, SH
LIANG, DC
YANG, TF
SHIBATA, Y
机构
[1] MACKAY MEM HOSP, DEPT PEDIAT, TAIPEI, TAIWAN
[2] UNIV TOKYO, DEPT TRANSFUS MED & IMMUNOHEMATOL, TOKYO, JAPAN
关键词
D O I
10.1111/j.1423-0410.1995.tb00369.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We report on two siblings who developed severe neonatal alloimmune thrombocytopenia (NAIT) due to an alloantibody against a labile component or components of the HPA-3a (Bak(a)) antigen. The antibody reacted only with fresh, unfixed platelets by the solid-phase red cell adherence test, immunofluorescence test and mixed passive haemagglutination test, In the latter method: weakly fixed platelets also gave a weak positive reaction, Monoclonal-antibody-specific immobilization of platelet antigens and immunoblotting tests gave negative results, Our findings may possibly help to explain why in some cases of NAIT no platelet-specific antibody is demonstrable in tests with fixed or solubilized platelets,
引用
收藏
页码:336 / 340
页数:5
相关论文
共 16 条
[1]   ELECTRON MICROSCOPICAL OBSERVATIONS ON SURFACE COATING OF HUMAN BLOOD PLATELETS [J].
BEHNKE, O .
JOURNAL OF ULTRASTRUCTURE RESEARCH, 1968, 24 (1-2) :51-&
[2]  
BLANC P, 1991, Journal de Gynecologie Obstetrique et biologie de la Reproduction, V20, P860
[3]   BAKA, A NEW PLATELET-SPECIFIC ANTIGEN INVOLVED IN NEONATAL ALLO-IMMUNE THROMBOCYTOPENIA [J].
BORNE, AEGKVD ;
VONRIESZ, E ;
VERHEUGT, FWA ;
TENCATE, JW ;
KOPPE, JG ;
ENGELFRIET, CP ;
NIJENHUIS, LE .
VOX SANGUINIS, 1980, 39 (02) :113-120
[4]  
BURNETTE WN, 1981, ANAL BIOCHEM, V112, P195, DOI 10.1016/0003-2697(81)90281-5
[5]   NEONATAL ALLOIMMUNE THROMBOCYTOPENIA CAUSED BY AN ANTIBODY TO THE BAKA ANTIGEN [J].
EISEN, M ;
MOTUM, P ;
GIBSON, J ;
UHR, E ;
GETT, M ;
KRONENBERG, H ;
WYLIE, B .
PATHOLOGY, 1990, 22 (04) :203-205
[6]  
GOLDBERGER A, 1991, BLOOD, V78, P681
[7]  
HARLOW E, 1988, LABORATORY MANUAL, V99, P506
[8]  
KIEFEL V, 1987, BLOOD, V70, P1722
[9]   FREQUENCY OF PLATELET-SPECIFIC ANTIGENS AMONG CHINESE IN TAIWAN [J].
LIN, M ;
SHIEH, SH ;
YANG, TF .
TRANSFUSION, 1993, 33 (02) :155-157
[10]  
MUELLERECKHARDT C, 1989, LANCET, V1, P363