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[抗P1A1血小板抗体所致的同种免疫性新生儿血小板减少症]

[Alloimmune neonatal thrombocytopenia due to anti-P1A1 thrombocyte antibodies].

作者信息

Korínková P, Holada K, Dyr J E

机构信息

Ustav hematologie a krevní transfúze, Praha.

出版信息

Cesk Pediatr. 1990 Jul;45(7):399-401.

PMID:2289267
Abstract

The authors describe three patients with neonatal thrombocytopenia where they detected in the maternal serum, using the immunofluorescence and immunoenzymatic test, antibodies against thrombocytes and thus confirmed the alloimmune nature of thrombocytopenia. By molecular characterization of the immunoreactivity of the thrombocytic antibody in the mother of neonate no. 1 evidence was provided that the antibody is against glycoprotein IIIa which carried antigen P1A1. In the reference laboratory in Amsterdam the anti-P1A1 specificity of this thrombocytic antibody was confirmed. The authors obtained and tested the first type anti-P1A1 serum in Czechoslovakia which can serve to detect P1A1 antigen negative subjects.

摘要

作者描述了三名新生儿血小板减少症患者,他们通过免疫荧光和免疫酶试验在母体血清中检测到抗血小板抗体,从而证实了血小板减少症的同种免疫性质。通过对1号新生儿母亲体内血小板抗体免疫反应性的分子特征分析,未发现该抗体针对携带P1A1抗原的糖蛋白IIIa的证据。在阿姆斯特丹的参考实验室中,证实了这种血小板抗体的抗P1A1特异性。作者在捷克斯洛伐克获得并检测了首例抗P1A1血清,该血清可用于检测P1A1抗原阴性的个体。

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