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Blood, Vol. 94 No. 12 (December 15), 1999:
pp. 4103-4111
A Point Mutation Thr799Met on the 2 Integrin
Leads to the Formation of New Human Platelet Alloantigen
Sita and Affects Collagen-Induced Aggregation
Sentot Santoso,
Julia Amrhein,
Heiko A. Hofmann,
Ulrich J.H. Sachs,
Matthias M. Walka,
Hartmut Kroll, and
Volker Kiefel
From the Institute for Clinical Immunology and Transfusion Medicine,
Justus Liebig University Giessen, Giessen, Germany; the Department of
Neonatology, Virchow Hospital, Humboldt-University, Berlin, Germany;
and the Institute for Clinical Immunology and Transfusion Medicine,
University of Leipzig, Leipzig, Germany.
A new platelet-specific alloantigen, termed Sita, was
identified in a severe case of neonatal alloimmune thrombocytopenia. The Sita alloantigen is of low frequency (1/400) in the
German population. Immunochemical studies demonstrated that the
Sita epitopes reside on platelet glycoprotein (GP) Ia.
Nucleotide sequence analysis of GPIa cDNA derived from
Sita-positive platelets showed
C2531 T2531 point mutation, resulting in Thr799Met dimorphism. Analysis of genomic DNA from 22 Sita-negative normal individuals showed that the
Thr799 is encoded by ACG2532 (90.9%) or
ACA2532 (9.1%). To establish a DNA typing technique, we
elucidated the organization of the GPIa gene adjacent to the
polymorphic bases. The introns (421 bp and 1.2 kb) encompass a 142-bp
exon with the 2 polymorphic bases 2531 and 2532. Polymerase chain
reaction-restriction fragment length polymorphism analysis on DNA derived from 100 donors using the restriction enzyme Mae III showed that the Met799 form of GPIa is restricted to
Sita (+) phenotype. Analysis of stable Chinese hamster
ovary transfectants expressing allele-specific recombinant
forms of GPIa showed that anti-Sita exclusively reacted
with the Glu505Met799, but not with the
Glu505Thr799 and the
Lys505Thr799 isoforms. In contrast,
anti-Bra (HPA-5b) only recognized the
Lys505Thr799 form, whereas anti-Brb
(HPA-5a) reacted with both Glu505Thr799 and
Glu505Met799 isoforms. These results
demonstrated that the Met799 is responsible for formation
of the Sita alloantigenic determinants, whereas amino acid
505 (Lys or Glu) specifically controls the expression of
Bra and Brb epitopes, respectively. Platelet
aggregation responses of Sita (+) individuals were
diminished in response to collagen, indicating that the
Thr799Met mutation affects the function of the GPIa/IIa complex.

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