Frequency of HPA-15a and HPA-15b (Gov a/b) Human Platelet Alloantigens in the Croatian Population

Human platelet antigen (HPA) genotyping is important for epidemiological studies because the prevalence of particular HPA allotypes differs among various populations and plays a major role in the occurrence of HPA alloimmunization. In Caucasians, antibodies to HPA-1a are the most important causes of...

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Published inArchives of medical research Vol. 37; no. 1; pp. 172 - 174
Main Authors Tomicic, Maja, Bingulac-Popovic, Jasna, Drazic, Vesna, Hundric-Haspl, Zeljka
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 2006
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ISSN0188-4409
1873-5487
DOI10.1016/j.arcmed.2005.06.001

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Abstract Human platelet antigen (HPA) genotyping is important for epidemiological studies because the prevalence of particular HPA allotypes differs among various populations and plays a major role in the occurrence of HPA alloimmunization. In Caucasians, antibodies to HPA-1a are the most important causes of neonatal alloimmune thrombocytopenia (NATP). Recent studies suggest that anti-HPA 15a/15b (Gov b, Gov a) might be the most likely candidate antibodies following anti-HPA-1a in inducing NATP. In the present study, HPA-15 system genotype was determined by PCR-SSP method in 279 unrelated subjects from the Croatian population, yielding an HPA-15a and HPA-15b frequency of 0.53 and 0.47, respectively. Retrograde testing for the presence of anti-HPA-15 antibodies by use of MAIPA in 39 frozen serum samples from serologically negative cases of clinically suspect NATP produced negative results. The clinical role of anti-HPA-15 alloantibodies was unable to be confirmed.
AbstractList Human platelet antigen (HPA) genotyping is important for epidemiological studies because the prevalence of particular HPA allotypes differs among various populations and plays a major role in the occurrence of HPA alloimmunization. In Caucasians, antibodies to HPA-1a are the most important causes of neonatal alloimmune thrombocytopenia (NATP). Recent studies suggest that anti-HPA 15a/15b (Gov b, Gov a) might be the most likely candidate antibodies following anti-HPA-1a in inducing NATP.BACKGROUNDHuman platelet antigen (HPA) genotyping is important for epidemiological studies because the prevalence of particular HPA allotypes differs among various populations and plays a major role in the occurrence of HPA alloimmunization. In Caucasians, antibodies to HPA-1a are the most important causes of neonatal alloimmune thrombocytopenia (NATP). Recent studies suggest that anti-HPA 15a/15b (Gov b, Gov a) might be the most likely candidate antibodies following anti-HPA-1a in inducing NATP.In the present study, HPA-15 system genotype was determined by PCR-SSP method in 279 unrelated subjects from the Croatian population, yielding an HPA-15a and HPA-15b frequency of 0.53 and 0.47, respectively.METHODSIn the present study, HPA-15 system genotype was determined by PCR-SSP method in 279 unrelated subjects from the Croatian population, yielding an HPA-15a and HPA-15b frequency of 0.53 and 0.47, respectively.Retrograde testing for the presence of anti-HPA-15 antibodies by use of MAIPA in 39 frozen serum samples from serologically negative cases of clinically suspect NATP produced negative results.RESULTSRetrograde testing for the presence of anti-HPA-15 antibodies by use of MAIPA in 39 frozen serum samples from serologically negative cases of clinically suspect NATP produced negative results.The clinical role of anti-HPA-15 alloantibodies was unable to be confirmed.CONCLUSIONThe clinical role of anti-HPA-15 alloantibodies was unable to be confirmed.
Human platelet antigen (HPA) genotyping is important for epidemiological studies because the prevalence of particular HPA allotypes differs among various populations and plays a major role in the occurrence of HPA alloimmunization. In Caucasians, antibodies to HPA-1a are the most important causes of neonatal alloimmune thrombocytopenia (NATP). Recent studies suggest that anti-HPA 15a/15b (Gov b, Gov a) might be the most likely candidate antibodies following anti-HPA-1a in inducing NATP. In the present study, HPA-15 system genotype was determined by PCR-SSP method in 279 unrelated subjects from the Croatian population, yielding an HPA-15a and HPA-15b frequency of 0.53 and 0.47, respectively. Retrograde testing for the presence of anti-HPA-15 antibodies by use of MAIPA in 39 frozen serum samples from serologically negative cases of clinically suspect NATP produced negative results. The clinical role of anti-HPA-15 alloantibodies was unable to be confirmed.
Author Hundric-Haspl, Zeljka
Tomicic, Maja
Drazic, Vesna
Bingulac-Popovic, Jasna
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Issue 1
Keywords Antiplatelet antibodies
Croatian population
Neonatal alloimmune thrombocytopenia
Human platelet antigens 15a/b frequency
Monoclonal antibody-immobilization of platelet antigens
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SubjectTerms Antigens, CD - genetics
Antigens, CD - immunology
Antiplatelet antibodies
Autoantibodies - immunology
Croatia
Croatian population
Female
Gene Frequency
GPI-Linked Proteins
Human platelet antigens 15a/b frequency
Humans
Isoantibodies - immunology
Isoantigens - genetics
Isoantigens - immunology
Male
Monoclonal antibody-immobilization of platelet antigens
Neonatal alloimmune thrombocytopenia
Neoplasm Proteins - genetics
Neoplasm Proteins - immunology
Polymerase Chain Reaction
Polymorphism, Single-Stranded Conformational
Thrombocytopenia - immunology
Title Frequency of HPA-15a and HPA-15b (Gov a/b) Human Platelet Alloantigens in the Croatian Population
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https://dx.doi.org/10.1016/j.arcmed.2005.06.001
https://www.ncbi.nlm.nih.gov/pubmed/16314205
https://www.proquest.com/docview/70196970
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