Busch Jamie, Specht Susan, Ezzelarab Mohamed, Cooper David K C
Department of Surgery, Thomas E. Starzl Transplantation Institute, University of Pittsburgh, Pittsburgh, PA 15213, USA.
Xenotransplantation. 2006 Jan;13(1):63-8. doi: 10.1111/j.1399-3089.2005.00255.x.
Baboons and monkeys fail to express ABH antigens on red blood cells (RBCs), and the A or H antigens are expressed only weakly on the surface of pig RBCs. Baboons and monkeys have been previously blood typed by detection of ABH antigens in the saliva after administration of pilocarpine. A reliable method to ABH type pigs is by immunohistochemical staining of renal distal tubules in kidney biopsies. We describe a simple and efficient method to blood type baboons, monkeys, and pigs.
Baboons (n = 14) and cynomolgus monkeys (n = 8) were blood typed by staining of buccal mucosal smears and by determining the presence of serum anti-A or B antibodies following human type O adsorption. Pigs (n = 11) were tested for ABH type by immunohistochemistry for the presence of A, B, and H antigens using monoclonal antibodies on (i) renal biopsies, (ii) RBCs, and (iii) buccal mucosal smears, without pilocarpine administration, in addition, (iv) after adsorption on human type O RBCs to remove anti-human antibodies, the pig sera were typed by hemagglutination assay for the presence of anti-A or B antibodies using human A and B RBCs.
There was complete consistency among the results obtained using all of the above methods, except that no determination could be made from staining of RBCs in one pig. Staining of buccal mucosal cells proved to be the preferred method in all three species because: (i) expression of A or H antigen is weak on pig RBCs, making an accurate blood type determination difficult, and A, B, and H expression is non-existent on baboon and monkey RBCs, (ii) neither venepuncture nor organ biopsy is necessary, (iii) time-consuming adsorption of anti-human antibodies from the sera of the test animal is not required, and (iv) it proved a quick method of evaluation.
狒狒和猴子的红细胞(RBC)上不表达ABH抗原,猪红细胞表面的A或H抗原表达也很弱。此前,通过在注射毛果芸香碱后检测唾液中的ABH抗原对狒狒和猴子进行血型鉴定。一种可靠的猪ABH血型鉴定方法是对肾活检组织中的肾远端小管进行免疫组织化学染色。我们描述了一种简单有效的狒狒、猴子和猪的血型鉴定方法。
通过对颊黏膜涂片进行染色,并在人O型血吸附后测定血清中抗A或抗B抗体的存在,对14只狒狒和8只食蟹猴进行血型鉴定。对11头猪进行ABH血型检测,使用单克隆抗体通过免疫组织化学方法检测(i)肾活检组织、(ii)红细胞和(iii)颊黏膜涂片上A、B和H抗原的存在,无需注射毛果芸香碱。此外,(iv)在人O型红细胞吸附以去除抗人抗体后,使用人A和B红细胞通过血凝试验对猪血清中抗A或抗B抗体的存在进行血型鉴定。
使用上述所有方法获得的结果完全一致,只是在一头猪中无法通过红细胞染色进行鉴定。颊黏膜细胞染色被证明是所有三个物种中首选的方法,因为:(i)猪红细胞上A或H抗原的表达较弱,难以准确确定血型,而狒狒和猴子的红细胞上不存在A、B和H表达;(ii)既不需要静脉穿刺也不需要器官活检;(iii)不需要从试验动物血清中耗时吸附抗人抗体;(iv)它被证明是一种快速的评估方法。