Leukocyte antigen-antibody reaction and lysis of paroxysmal nocturnal hemoglobinuria erythrocytes.

نویسندگان

  • G Sirchia
  • S Ferrone
  • F Mercuriali
چکیده

T HE TRANSFUSION OF COMPATIBLE WHOLE BLOOD to patients suffering from paroxysmal nocturnal hemoglobinuria ( PNH ) is known to sometimes cause a hemolytic reaction. It has been suggested that leukocyte isoantibodies present in the patient’s serum through interaction with the donor’s leukocyte antigens are responsible for lysis of PNH red cells.’ As yet, it has not been clarified why this interaction should cause an exacerbation of hemolysis of PNH cells. In PNH, the basic abnormality is an intrinsic defect of the red cell membrane which renders the erythrocyte abnormally sensitive to the lytic action of complement ( C ) 2,3 Yachnin and Ruthenberg4 suggested that PNH erythrocyte lysis might depend upon the evolution in the fluid phase ( i.e., in plasma or serum ) of hemolytically active C components which are capable of injuring the cell membrane despite the lack of an antibody coat. Available data suggest that any mechanism which leads to activation of C in the fluid phase, as for example an antigen-antibody reaction, could result in increased hemolysis of PNH red cells. In the work reported here, evidence is presented that interaction between leukocyte antigen and isoantibody can cause PNH cell lysis in vitro.

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عنوان ژورنال:
  • Blood

دوره 36 3  شماره 

صفحات  -

تاریخ انتشار 1970