Alloimmune neonatal neutropenia linked to anti-HNA-4a

被引:33
作者
Fung, YL
Pitcher, LA
Willett, JE
Reed, C
Mison, L
Bux, J
Eiber, G
Minchinton, RM
机构
[1] Australian Red Cross Blood Serv Queensland, Platelet & Granulocyte Immunobiol Lab, Brisbane, Qld 4000, Australia
[2] Starship Childrens Hosp, Dept Haematol Oncol, Auckland, New Zealand
[3] Queensland Inst Med Res, Brisbane, Qld 4006, Australia
[4] Univ Giessen, Inst Clin Immunol & Transfus Med, D-6300 Giessen, Germany
[5] Amer Red Cross, N Cent Blood Serv, Clin Lab Serv, Minneapolis, MN USA
关键词
alloimmune neonatal neutropenia; DNA sequencing; HNA-4a;
D O I
10.1046/j.1365-3148.2003.00413.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This is a novel case report of alloimmune neonatal neutropenia (ANN) linked to the neutrophil antibody anti-HNA-4a (MART). Since its discovery, the HNA-4a antigen has never been associated with any clinical neutropenia. A first-born neonate with respiratory distress was found to be severely neutropenic, because of ANN. The broad reactivity of the antibody together with its capture by CD11b and CD18 in monoclonal antibody immobilization of granulocyte antigen test suggested HNA-4a specificity. DNA sequencing confirmed that the father is HNA-4a-positive and that the mother is HNA-4a-negative, supporting the diagnosis of ANN linked to MART.
引用
收藏
页码:49 / 52
页数:4
相关论文
共 18 条
[1]   SEROLOGICAL AND CLINICAL ASPECTS OF GRANULOCYTE ANTIBODIES LEADING TO ALLOIMMUNE NEONATAL NEUTROPENIA [J].
BUX, J ;
JUNG, KD ;
KAUTH, T ;
MUELLERECKHARDT, C .
TRANSFUSION MEDICINE, 1992, 2 (02) :143-149
[2]   Characterization of a new alloantigen (SH) on the human neutrophil Fc gamma receptor IIIb [J].
Bux, J ;
Stein, EL ;
Bierling, P ;
Fromont, P ;
Clay, M ;
Stroncek, D ;
Santoso, S .
BLOOD, 1997, 89 (03) :1027-1034
[3]  
BUX J, 1999, VOX SANG, V77, P251
[4]   Neutrophil antigen 5b is carried by a protein, migrating from 70 to 95 kDa, and may be involved in neonatal alloimmune neutropenia [J].
de Haas, M ;
Muniz-Diaz, E ;
Alonso, LG ;
van der Kolk, K ;
Kos, M ;
Buddelmeijer, L ;
Porcelijn, L ;
von dem Borne, AEGK .
TRANSFUSION, 2000, 40 (02) :222-227
[5]   A possible role for maternal HLA antibody in a case of alloimmune neonatal neutropenia [J].
Hagimoto, R ;
Koike, K ;
Sakashita, K ;
Ishida, T ;
Nakazawa, Y ;
Kurokawa, Y ;
Kamijo, T ;
Saito, S ;
Hiraoka, A ;
Kobayashi, M ;
Komiyama, A .
TRANSFUSION, 2001, 41 (05) :615-620
[6]  
HARTMAN KR, 1991, BLOOD, V78, P1096
[7]  
HUIZINGA TWJ, 1990, BLOOD, V76, P1927
[8]   3-SERA DEFINING A NEW GRANULOCYTE-LYMPHOCYTE MONOCYTE-LYMPHOCYTE LYMPHOCYTE-T ANTIGEN [J].
KLINE, WE ;
PRESS, C ;
CLAY, M ;
KEASHENSCHNELL, M ;
HACKEL, E ;
MCCULLOUGH, J .
VOX SANGUINIS, 1986, 50 (03) :181-186
[9]   AN ISOLOGOUS ANTIGEN-ANTIBODY REACTION WITH HUMAN NEUTROPHILES RELATED TO NEONATAL NEUTROPENIA [J].
LALEZARI, P ;
BERNARD, GE .
JOURNAL OF CLINICAL INVESTIGATION, 1966, 45 (11) :1741-&