Devine D V, Greenberg C S
Department of Medicine, Duke University Medical Center, Durham, North Carolina.
Am J Clin Pathol. 1988 May;89(5):663-6. doi: 10.1093/ajcp/89.5.663.
Laboratory determination of fibrinolysis has been facilitated by diagnostic tests that use monoclonal antibody DD-3B6 to measure fibrin D-dimer levels in plasma. When DD-3B6 is reacted with soluble fibrin fragments, it is specific for fragment D-dimer. The authors have used immunoblot analysis of DD-3B6 binding to purified fragment D and fragment D-dimer to localize the binding site of the antibody. Although DD-3B6 recognizes only fragment D-dimer in solution, it binds to both immobilized fragment D-dimer and fragment D in immunoblots. When immunoblots were performed using protein which was electrophoresed under reducing conditions, DD-3B6 bound to the gamma-chain of fragments D1, D2, and D3. Therefore, the epitope recognized by DD-3B6 resides between amino acids 86 and 302 in the gamma-chain of fragment D. This epitope is masked in soluble non-cross-linked or nondegraded fibrin, but becomes expressed after cross-linked fibrin has been cleaved by plasmin.