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Publication : Nonhemolytic antibody-induced loss of erythrocyte surface antigen.

First Author  Zimring JC Year  2005
Journal  Blood Volume  106
Issue  3 Pages  1105-12
PubMed ID  15831698 Mgi Jnum  J:117321
Mgi Id  MGI:3695994 Doi  10.1182/blood-2005-03-1040
Citation  Zimring JC, et al. (2005) Nonhemolytic antibody-induced loss of erythrocyte surface antigen. Blood 106(3):1105-12
abstractText  Transfusion of red blood cells (RBCs) into patients with anti-donor RBC antibodies (crossmatch-incompatible transfusion) can result in lethal antibody-mediated hemolysis. Less well appreciated is the ability of anti-RBC antibodies to specifically remove their target antigen from donor RBCs without compromising cell survival or adversely affecting the transfusion recipient. In an effort to elucidate the mechanistic details of this process, we describe the first animal model of nonhemolytic antibody-induced RBC antigen loss. RBCs from transgenic mHEL mice express surface hen egg lysozyme (HEL) as a transmembrane protein. Transfusion of mHEL RBCs into mice immunized with HEL results in selective loss of HEL antigen from donor RBCs without affecting other blood group antigens or reducing the circulatory life span of the transfused RBCs. While this process does not require the presence of a spleen, it requires both anti-RBC immunoglobulin G (IgG) antibodies and the FcgammaIII receptor. These studies provide mechanistic insight into the phenomenon of antigen loss during incompatible transfusion in humans.
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