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 in | Archives of medical research Vol. 37; no. 1; pp. 172 - 174 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
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United States
Elsevier Inc
2006
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ISSN | 0188-4409 1873-5487 |
DOI | 10.1016/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. |
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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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Cites_doi | 10.1111/j.1479-828X.2001.tb01293.x 10.1046/j.1537-2995.1997.37897424405.x 10.1046/j.1537-2995.2003.00354.x 10.1046/j.1423-0410.2003.00331.x 10.1046/j.1365-2141.2000.02170.x 10.1046/j.1423-0410.2002.00187.x 10.1182/blood.V70.6.1722.1722 10.1182/blood.V99.5.1692 |
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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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