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[通过吸收和洗脱试验对血浆中IgG血型抗体进行相对定量分析]

[Relative Quantification for Obtaining the IgG Blood Group Antibodies in Plasma by the Absorption and Elution Test].

作者信息

Qi Xi, Gao Lin-Bao, Chen Sheng-Xia

机构信息

Department of Laboratory Medicine, School of Medicine, Jiangsu University, Zhenjiang 212013, Jiangsu Province, China.

Department of Transfusion, The People's Hospital of Taizhou, Taizhou 225300, Jiangsu Province, China.

出版信息

Zhongguo Shi Yan Xue Ye Xue Za Zhi. 2024 Aug;32(4):1278-1283. doi: 10.19746/j.cnki.issn.1009-2137.2024.04.046.

DOI:10.19746/j.cnki.issn.1009-2137.2024.04.046
PMID:39192431
Abstract

OBJECTIVE

To establish the absorption and elution test for relatively quantitive obtaining anti-A and anti-B blood group IgG antibodies in the plasma of O-type RhD-positive pregnant women.

METHODS

95 cases of the O-type RhD-positive pregnant women plasma samples were randomly selected for obtaining the IgG antibodies of anti-A and anti-B blood group, with absorption test under 37 ℃ and elution test under 56 ℃, and the IgG anti-A and anti-B antibody titers of plasma and elution were determined by the microcolumn gel anti-human globulin test. The differences and correlation between the titers of IgG antibodies in the eluent and plasma were compared and analyzed.

RESULTS

After a logarithmic transformation (Log2), there was no statistically difference between IgG antibody anti-A difference value and anti-B difference value in the eluent and plasma ( >0.05). The titer of IgG antibody in the eluent was positively correlated with the titer of IgG antibody in the plasma ( =0.914). The linear equation for IgG antibody titers fitted by a scatter plot between the eluent and plasma was Y=-3.55+0.96X.

CONCLUSION

The absorption and elution test can be used to obtain the anti-A and anti-B IgG antibodies in the plasma of O-type RhD-positive pregnant women, whose plasma origin IgG titer is greater than 8. Meanwhile, the acquisition of anti-A antibodies was as effective as anti-B antibodies at the same time, and the antibodies obtained are positive proportional to their respective concentrations in the plasma.

摘要

目的

建立吸收和洗脱试验,以相对定量地获取O型RhD阳性孕妇血浆中的抗A和抗B血型IgG抗体。

方法

随机选取95例O型RhD阳性孕妇血浆样本,获取抗A和抗B血型的IgG抗体,进行37℃吸收试验和56℃洗脱试验,采用微柱凝胶抗人球蛋白试验测定血浆和洗脱液中IgG抗A和抗B抗体效价。比较并分析洗脱液和血浆中IgG抗体效价的差异及相关性。

结果

经对数转换(Log2)后,洗脱液和血浆中IgG抗A差值与抗B差值无统计学差异(>0.05)。洗脱液中IgG抗体效价与血浆中IgG抗体效价呈正相关(=0.914)。洗脱液与血浆IgG抗体效价散点图拟合的线性方程为Y=-3.55+0.96X。

结论

吸收和洗脱试验可用于获取O型RhD阳性孕妇血浆中的抗A和抗B IgG抗体,其血浆来源的IgG效价大于8。同时,抗A抗体与抗B抗体的获取效果相同,所获抗体与其在血浆中的各自浓度呈正比。

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