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SP Masouredis, MJ Branks and EJ Victoria
IgG autoantibodies eluted from RBCs of antiglobulin positive normal blood
donors contained at least two antibody populations, an IgG autoantibody (Ab
1), and an IgG population (Ab 2) that agglutinated RBCs coated with some
Rh(D) alloantibodies. Eight of 24 autoantibody eluates tested agglutinated
3 of 10 anti-Rh(D) sensitized RBCs. The agglutinating activity was
inhibited specifically by preincubation of the autoantibody eluate with the
reactive anti-D. The reaction did not require the Fc domain of the
anti-Rh(D), since autoantibody eluates agglutinated RBCs coated with
F(ab')2 prepared from the reactive anti-D sera. These findings indicate
that the RBCs of some antiglobulin- positive blood donors contain an
immunoglobulin auto-antiidiotype (Ab 2) against the RBC autoantibody (Ab 1)
which is demonstrable through its cross-reactivity with selected Rh(D)
alloantibodies. Identification of auto-antiidiotypes in RBC autoimmunity
lends support to the idiotype- antiidiotype network hypothesis of immune
regulation and is consistent with the bizarre and complex serology of
autoimmune hemolytic anemia. The absence of clinical hemolysis in
antiglobulin-positive normal blood donors suggests that immunoglobulin
idiotype-antiidiotype interactions may play a role in modulating the
effects of RBC autoimmunity.
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| Copyright © 1987 by American Society of Hematology Online ISSN: 1528-0020 | |||||||||