Neonatal alloimmune thrombocytopenia due to a new platelet-specific
alloantibody
JG McFarland, V Blanchette, J Collins, PJ Newman, R Wang and RH Aster
Blood Center of Southeastern Wisconsin, Milwaukee 53233.
An infant with severe neonatal alloimmune thrombocytopenia is described in
whom an antibody directed at a new platelet-specific alloantigen, Ca
(HPA-6b), is implicated. The new alloantigen is of low frequency in the
population and was localized to platelet glycoprotein (GP) IIIa.
Immunoprecipitation studies using murine monoclonal antibodies specific for
the GP complex IIb-IIIa and GPIIIa alone (AP2 and AP3) suggest that the
location of the Ca epitope on GPIIIa may be near the binding site for AP3.
Neonatal alloimmune thrombocytopenia associated with Ca is likely to be as
severe as that seen in cases due to incompatibilities for the HPA-1 (PIA)
and HPA-4 (Pen) platelet alloantigen systems, because each is located on
GPIIIa, a densely represented molecule on the platelet surface.
Volume 81,
Issue 12,
pp. 3318-3323,
06/15/1993
Copyright © 1993 by The American Society of Hematology