|
|
Previous Article | Table of Contents | Next Article 
Blood, 15 August 2000, Vol. 96, No. 4, pp. 1574-1581
TRANSFUSION MEDICINE
Blood group A and B antigens are strongly expressed on
platelets of some individuals
Brian R. Curtis,
Jennifer T. Edwards,
Martin J. Hessner,
John P. Klein, and
Richard H. Aster
From the Blood Research Institute, The Blood
Center of Southeastern Wisconsin, and the Departments of Medicine,
Pathology, and Biostatistics of the Medical College of Wisconsin,
Milwaukee, WI.
It is widely thought that expression of ABH antigens on platelets
is insufficient to materially affect the survival of ABH-incompatible platelets in transfusion recipients, but anecdotal reports of poor
survival of A and B mismatched platelets suggest that this is not
always the case. The A and B antigen expression on platelets of 100 group A1 and group B blood donors was measured, and 7% and
4%, respectively, had platelets whose A and B antigen levels consistently exceeded the mean plus 2 SD. On the basis of flow cytometric and statistical analysis, donors whose platelets contained higher than normal levels of A antigen were subdivided into 2 groups,
designated Type I and Type II ("high expressers"). Serum A1- and B-glycosyltransferase levels of A and B high
expressers were significantly higher than those of group
A1 and B individuals with normal expression. H antigen
levels were low on the red cells of high expressers, indicating that
the anomaly affects other cell lineages. Immunochemical studies
demonstrated high levels of A antigen on various glycoproteins (GPs)
from high-expresser platelets, especially GPIIb and PECAM
(CD31). The A1 Type II high-expresser phenotype was
inherited as an autosomal dominant trait in one family. The sequences
of exons 5, 6, and 7 of the A1-transferase gene of one Type
II A1 high expresser and exon 7 from 3 other genes were
identical to the reported normal sequences. Further studies are needed
to define the molecular basis for the high-expresser trait and to
characterize its clinical implications.

CiteULike Connotea Del.icio.us Digg Reddit Technorati What's this?
This article has been cited by other articles:

|
 |

|
 |
 
B. R. Curtis, R. H. Aster, and L. L. Cooling
Expression of ABH antigens on platelets
Blood,
January 15, 2006;
107(2):
842 - 843.
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
B. R. Curtis, J. G. McFarland, A. Fick, A. J. Lochowicz, R. H. Ball, and A. H. Richard
Neonatal Alloimmune Thrombocytopenia (NATP) Associated with Maternal-Fetal Incompatibility for Blood Group B.
Blood (ASH Annual Meeting Abstracts),
November 16, 2005;
106(11):
955 - 955.
[Abstract]
|
 |
|

|
 |

|
 |
 
L. L. W. Cooling, K. Kelly, J. Barton, D. Hwang, T. A. W. Koerner, and J. D. Olson
Determinants of ABH expression on human blood platelets
Blood,
April 15, 2005;
105(8):
3356 - 3364.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
J. O'Donnell, F. E. Boulton, R. A. Manning, and M. A. Laffan
Amount of H Antigen Expressed on Circulating von Willebrand Factor Is Modified by ABO Blood Group Genotype and Is a Major Determinant of Plasma von Willebrand Factor Antigen Levels
Arterioscler Thromb Vasc Biol,
February 1, 2002;
22(2):
335 - 341.
[Abstract]
[Full Text]
[PDF]
|
 |
|
|
|