ABSTRACT
Anti-Au, the first example of the antithetical antibody to anti-Au, was identified in the serum of a blood donor who had been transfused 16 years previously. Au has a gene frequency of 0.4326 in an American black population and 0.2994 in a southern English donor population. The expression of Au is suppressed by In(Lu). XS2 also suppresses Auberger antigen expression.
Subject(s)
Blood Group Antigens/immunology , Isoantibodies/analysis , Black People , Blood Group Antigens/genetics , Blood Transfusion , Gene Expression Regulation , Gene Frequency , Humans , Immune Sera/immunology , Immunologic Techniques , Lutheran Blood-Group System/genetics , Lutheran Blood-Group System/immunology , Male , Neuraminidase/pharmacology , Papain/pharmacology , Phenotype , White PeopleABSTRACT
Anti-Vw detecting an antigen on Miltenberger I (Mi I) variant glycophorin A (GPA) has rarely been reported as a cause of hemolytic disease of the newborn (HDN). We report an infant with severe HDN due to anti-Vw. Examination of the Vw+ erythrocytes of the father and paternal grandmother by sodium dodecylsulphate polyacrylamide gel electrophoresis showed an extra trypsin-sensitive, periodic-acid-Schiff staining band, consistent with Mi I variant GPA. Staining of Western blots by monoclonal antibodies showed that normal paternal GPA expressed blood group M, while Mi I variant GPA expressed blood group N. Mi I variant GPA expressed the trypsin-sensitive antigenic determinant detected by MoAb 10F7, indicating that the alterations known to occur in the trypsin-sensitive fragment of Mi I variant GPA do not affect expression of the antigen detected by 10F7.
