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The immune response to the HPA‐la antigen: association with HLA‐DRw52a

 

作者: F. Décary,   D. L'Abbé,   L. Tremblay,   P. Chartrand,  

 

期刊: Transfusion Medicine  (WILEY Available online 1991)
卷期: Volume 1, issue 1  

页码: 55-62

 

ISSN:0958-7578

 

年代: 1991

 

DOI:10.1111/j.1365-3148.1991.tb00010.x

 

出版商: Blackwell Publishing Ltd

 

关键词: lloimmunization;DRw52a;HLA;HPA‐la antigen;immune response;platelets.

 

数据来源: WILEY

 

摘要:

Summary.Antibodies to the HPA‐la antigen can elicit a condition in the new‐born known as neonatal alloimmune thrombocytopenia (NAITP). Retrospective and prospective studies have shown that there is a strong correlation between the presence of HLA‐DR3, HLA‐DRw52 in the mother and the antibody response to HPA‐la. HLA Class II molecules play an important role in the initiation of the immune response and it has been postulated that HPA‐la antibody production could be determined by the presence of a specific HLA Class II molecule at the surface of the antigen‐presenting cell. Thirty‐one HPA‐la negative women with HPA‐la antibodies (responders) and nine HPA‐la negative women without HPA‐la antibodies (non‐responders) were recruited. They were studied using serological HLA Class I and Class II typing and RFLP analysis with a DRβ probe. We found that all responders had the HLA‐DRw52a sub‐specificity confirming recently published data. Moreover, two of the nine non‐responders were also found to be HLA‐DRw52a. These results suggest that the HLA‐DRw52a molecule is necessary for HPA‐la antibody responsiveness but not sufficient. The results also indicate that in HPA‐la negative women the absence of HLA‐DRw52a is associated with a very low risk of being antibody producers and hence, is associated with a

 

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