The resolution of platelet serologic problems using Western blotting

Tissue Antigens. 1986 Nov;28(5):257-68. doi: 10.1111/j.1399-0039.1986.tb00494.x.

Abstract

Serologic identification of anti-PLAl and other platelet specific antibodies is difficult because other platelet reactive antibodies (e.g. anti-HLA) are commonly found in the samples. We have developed and evaluated a method using Western blotting to identify platelet specific antibodies. Since anti-PLAl is the most frequently encountered antibody, we used this antibody to validate the method. The PLAl antigen was found on a 95,000 Dalton protein, confirmed as glycoprotein IIIa by two-dimensional electrophoresis. The usefulness of Western blotting in resolving difficult platelet serologic problems was compared to a radiolabeled antiglobulin test using intact platelets. Our results showed that all sera with anti-PLAl identified by serology were confirmed by Western blotting. In addition, one anti-PLAl was detectable only by the proposed method. Western blotting was also as useful as a serologic method to PLAl type platelets. HLA antibodies were not demonstrable by this technique. In summary, Western blotting is a highly specific and sensitive way of identifying anti-PLAl in a variety of clinical situations. This approach may be used to identify antibodies to other platelet specific antigens and to standardize platelet antigen typing sera.

Publication types

  • Case Reports
  • Comparative Study
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Antibody Specificity
  • Antigens, Human Platelet*
  • Antigens, Surface / analysis
  • Blood Platelets / immunology*
  • Collodion
  • Coombs Test
  • Electrophoresis, Polyacrylamide Gel
  • Female
  • Humans
  • Infant, Newborn
  • Integrin beta3
  • Isoantibodies / analysis*
  • Isoantigens / analysis
  • Methods
  • Molecular Weight
  • Radioisotopes
  • Thrombocytopenia / blood
  • Thrombocytopenia / immunology

Substances

  • Antigens, Human Platelet
  • Antigens, Surface
  • ITGB3 protein, human
  • Integrin beta3
  • Isoantibodies
  • Isoantigens
  • Radioisotopes
  • Collodion