Blood, 1 April 2001, Vol. 97, No. 7, pp. 2171-2172
BRIEF REPORT
Autoantibodies to
IIb
3 in patients
with chronic immune thrombocytopenic purpura bind primarily to epitopes
on
IIb
Robert McMillan,
Jennifer Lopez-Dee, and
Joseph C. Loftus
From the Department of Molecular and Experimental
Medicine, Room 215, The Scripps Research Institute, La Jolla,
CA, and the Department of Biochemistry and Molecular Biology, Mayo
Clinic, Scottsdale, AZ.
Chronic immune thrombocytopenic purpura (ITP) is an autoimmune
disease caused by platelet destruction resulting from autoantibodies against platelet surface proteins, particularly platelet
glycoprotein IIb/IIIa (
IIb
3). To
localize the auto-epitopes on platelet
IIb
3, the binding of autoantibodies to
Chinese hamster ovary (CHO) cells expressing either
IIb
3 or
v
3
was studied. Thirteen of 14 ITP autoantibodies bound only to CHO cells
expressing
IIb
3. Because these 2 integrins have the same beta chain (
3), these
results show that most epitopes in chronic ITP are
dependent on the presence of glycoprotein
IIb.