Heterogenous expression of decay accelerating factor and CD59/membrane attack complex inhibition factor on paroxysmal nocturnal haemoglobinuria (PNH) erythrocytes

Br J Haematol. 1991 Aug;78(4):545-50. doi: 10.1111/j.1365-2141.1991.tb04486.x.

Abstract

In order to clarify the characterization of phenotypes of paroxysmal nocturnal haemoglobinuria (PNH) erythrocytes (E), we analysed the expression of decay accelerating factor (DAF) and CD59/membrane attack complex inhibition factor (MACIF) on the membrane surface of PNH-E by means of the flow cytometric method using anti-DAF and/or CD59/MACIF monoclonal antibodies in nine PNH-patients. In two-colour analysis, this expression of PNH-E was classified into three fractions; negative, intermediate and positive according to intensity. The negative fraction was classified into two groups; one group an exclusively negative population, and the other a negative population having slightly DAF-positive E. The intermediate fraction was recognized on PNH-E of cases with PNH II-E and extremely heterogenous. In the positive fraction, this expression was almost the same as on normal E except for case 8. In single-colour analysis for DAF or CD59/MACIF, three fractions were classified as well as the definition in two-colour analysis. In single-colour analysis, the expression on PNH-E was also heterogenous in each fraction and among PNH-patients. However, the intermediate fraction for CD59/MACIF was not found on PNH-E of cases without PNH II-E, although intermediate fraction for DAF was recognized on PNH-E of some cases with PNH III-E in addition to those with PNH II-E. The results suggest that expression of CD59/MACIF and DAF on the membrane surface of PNH-E phenotypes is heterogenous and varies among PNH patients.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Antigens, CD / analysis*
  • CD55 Antigens
  • CD59 Antigens
  • Complement Inactivator Proteins / analysis*
  • Erythrocyte Membrane / immunology
  • Erythrocytes / immunology*
  • Female
  • Flow Cytometry
  • Hemoglobinuria, Paroxysmal / immunology*
  • Humans
  • Male
  • Membrane Glycoproteins / analysis*
  • Membrane Proteins / analysis*
  • Middle Aged

Substances

  • Antigens, CD
  • CD55 Antigens
  • CD59 Antigens
  • Complement Inactivator Proteins
  • Membrane Glycoproteins
  • Membrane Proteins