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MS Currie, JB Weinberg, PK Rustagi and GL Logue
Patients with syndromes of autoantibody-mediated hematocytopenias may
manifest signs of increased cell destruction and/or decreased cell
production, depending on the maturity of the target cell and the effects of
antibody binding. The purpose of this study was to use a cultured human
cell line of hematopoietic origin for in vitro assays of antibody binding
to overcome the relative inaccessibility of natural human marrow progenitor
cells. This report describes the detection, using radioiodinated
staphylococcal protein A (SPA), of antibodies binding to a human
promyelocytic cell line (HL-60) in sera from three patients with chronic
idiopathic granulocytic hypoplasia ("pure white cell aplasia," PWCA) and 22
patients with other syndromes of suspected immune neutropenia. Bone marrow
from patients with increased IgG binding to HL-60 cells showed less than
15% granulocytic lineage cellularity in 11 of 17 cases. In vitro
differentiation of HL-60 cells by retinoic acid resulted in increased IgG
binding for sera that had shown increased IgG binding to mature
granulocytes but not undifferentiated HL-60 cells; in contrast, for sera
with antibodies to untreated HL-60 cells and for normal serum, in vitro
differentiation had little effect on IgG binding. Antibodies eluted from
mature granulocytes were similar to the parent serum regarding the ratio of
IgG binding to mature cells v HL-60 cells. No sera from 19 patients with
febrile transfusion reactions showed increased IgG binding to HL- 60 cells
in the absence of increased IgG binding to mature granulocytes, although
two sera had antibodies to both cell types. The use of HL-60 cells as
targets may permit measurement of serum antibodies associated with
granulocytic hypoplasia. In combination with assays to detect antibody
binding to mature granulocytes, these techniques may discriminate among
autoantibody specificities for antigens that are gained, conserved, or lost
during myeloid maturation.
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| Copyright © 1987 by American Society of Hematology Online ISSN: 1528-0020 | |||||||||