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B Cooper, PV Tishler, L Atkins and WR Breg
Myeloid metaplasia is a clonal disease of the marrow pluripotent stem cell
in which a constant cytogenetic abnormality could result in an altered
antigenic characteristic of hematopoietic cells. A 57-yr-old man who had
acquired myeloid metaplasia at age 37 was noted to be Rh negative, although
blood typing at age 33 was Rh positive. His erythrocytes reacted with
anti-c and anti-e, typical for an Rh negative individual. Analysis of 11
metaphase bone marrow cells by G-banding revealed 46 chromosomes with a
consistent anomaly in 100% of cells involving chromosomes 1 and 13. The
changes were consistent with a reciprocal translocation, with break points
at approximately 1p32 and 13q22, although break points at 1p13 and 13q14
were also possible. Since previous cytogenetic data have localized the Rh
gene to the short arm of chromosome 1, our data indicate the Rh gene lies
within the segment u13 leads to 1p32. Serum of this patient had circulating
anti-D and anti-C antibodies. Consequently, this patient lost immunologic
tolerance to a "self antigen" after losing the ability to express this
antigen.
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| Copyright © 1979 by American Society of Hematology Online ISSN: 1528-0020 | |||||||||