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RB Stricker and MA Shuman
Quinidine-induced thrombocytopenia has been associated with both immune
complex and autoantibody binding to platelets. In the present study, serum
antibody from six of six patients with quindine purpura was shown by
immunoblotting to bind to a single platelet membrane protein of mol wt
80,000. This target protein was absent from Bernard-Soulier (BSS)
platelets. F(ab)2 prepared from one patient's serum also bound to this
protein, indicating autoantibody rather than immune complex binding to the
target antigen. Antibody binding to the 80-kd protein was preserved after
treatment of platelets with concentrations of trypsin or chymotrypsin that
completely removed glycoprotein Ib (GPIb). Preincubation of platelet
proteins with one patient's serum blocked binding of a polyclonal rabbit
antibody against glycoprotein V (GPV), indicating that these antibodies
recognize the same antigen. By wheat germ affinity chromatography, GPV was
shown to copurify with GPIb. Quinidine-induced antibody bound to the wheat
germ-purified GPV but not to GPIb. We conclude that quinidine purpura is
associated with autoantibody directed against platelet GPV.
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| Copyright © 1986 by American Society of Hematology Online ISSN: 1528-0020 | |||||||||