Analysis of immunoglobulin class, IgG subclass and titre of HPA-1a antibodies in alloimmunized mothers giving birth to babies with or without neonatal alloimmune thrombocytopenia

Br J Haematol. 1994 Aug;87(4):813-7. doi: 10.1111/j.1365-2141.1994.tb06742.x.

Abstract

We analysed the titre and isotype composition of antibodies produced by mothers giving birth to babies with or without neonatal alloimmune thrombocytopenic purpura (NAITP) and patients with post-transfusion purpura (PTP). All these individuals produced an antibody specific for the HPA-1a allotype present on the platelet glycoprotein IIb-IIIa (GPIIb-IIIa). Sera from mothers who gave birth to thrombocytopenic babies (group 1, n = 36), non-thrombocytopenic babies (group 2, n = 4) or from PTP patients (group 3, n = 3) were tested by an indirect-ELISA. Results indicated no evident differences in the isotype composition or titre of the antibodies from the three groups of sera. The antibody titre ranged from 1:120 to 1:3500. Antibodies with the IgG1 subclass were present in all sera. Most sera contained IgG1 alone (24/43 sera tested) or in combination with IgG3 (10/43). IgG2 was never present and only three sera showed intermediate reactivity with anti-IgG4 MAb. Few sera (nine sera from groups 1 and 2) were weakly positive when tested with the anti-IgM antibodies. These results suggest that neither the titre nor the isotype composition can be used to predict the severity or the occurrence of thrombocytopenia in newborns.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Antigen-Antibody Reactions / immunology
  • Antigens, Human Platelet / immunology*
  • Blood Platelets / immunology*
  • Female
  • Humans
  • Immunoglobulin G / blood
  • Immunoglobulin Isotypes / blood*
  • Immunoglobulin Light Chains / blood
  • Infant, Newborn
  • Integrin beta3
  • Isoantibodies / blood*
  • Platelet Count
  • Thrombocytopenia / congenital

Substances

  • Antigens, Human Platelet
  • ITGB3 protein, human
  • Immunoglobulin G
  • Immunoglobulin Isotypes
  • Immunoglobulin Light Chains
  • Integrin beta3
  • Isoantibodies