1. Maternal incompatibilities with fetal human platelet alloantigens -1a, -1b and -15 are the main causes of neonatal alloimmune thrombocytopenia in Russia
- Author
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L L Golovkina, E K Donush, S. G. Khaspekova, Olga N Shustova, N V Golubeva, and A. V. Mazurov
- Subjects
Blood Platelets ,History ,Platelet associated IgG ,endocrine system ,Genotype ,Endocrinology, Diabetes and Metabolism ,lcsh:Medicine ,Human platelet ,030204 cardiovascular system & hematology ,GPI-Linked Proteins ,03 medical and health sciences ,0302 clinical medicine ,Antigens, CD ,Pregnancy ,russian population ,Humans ,Medicine ,Antigens, Human Platelet ,Platelet ,human platelet alloantigens ,Allele ,Genotyping ,Alleles ,Autoantibodies ,neonatal alloimmune thrombocytopenia ,Fetus ,Polymorphism, Genetic ,biology ,business.industry ,lcsh:R ,Infant, Newborn ,Integrin beta3 ,General Medicine ,medicine.disease ,Neoplasm Proteins ,Thrombocytopenia, Neonatal Alloimmune ,Blood Grouping and Crossmatching ,Blood Group Incompatibility ,Immunoglobulin G ,Immunology ,Neonatal alloimmune thrombocytopenia ,platelets ,biology.protein ,Female ,Antibody ,Family Practice ,business ,hormones, hormone substitutes, and hormone antagonists ,030215 immunology - Abstract
The aim. Mechanisms underlying the development of neonatal alloimmune thrombocytopenia (NAIT) in in Russia have been studied. Materials and methods. Genetic polymorphisms of human platelet alloantigens (HPA) -1, -2, -3, -4, -5, and -15 were evaluated in 27 families having the newborns with NAIT. NAIT was diagnosed according to the following criteria: (1) newborn with thrombocytopenia; (2) mother with no thrombocytopenia and no increase of platelet associated IgG, (3) presence of antibodies reacting with paternal platelets in maternal plasma / serum. HPA genotyping revealed incompatibilities in 23 out of 27 tested families. In these 23 families HPA-1 conflicts were detected in 16 ones (70%). In 8 cases mothers were homozygous carriers of rare HPA-1b allele and in another 8 cases - of HPA-1a allele which cased incompatibilities with fetal HPA-1a and HPA-1b respectively. In 5 out of 23 families (22%) there were incompatibilities with fetal HPA-15 (HPA-15a, n=2 and HPA-15b, n=3), in 1 family - with HPA-5b (4%), and in 1 family - with HPA-3b (4%) alloantigens. In conclusion the main causes of NAIT in Russia were HPA-1a and -1b conflicts and HPA-15 conflicts were the second frequent ones.
- Published
- 2018