The Journal of Experimental Medicine, Vol 123, 951-967,
Copyright © 1966 by The Rockefeller University Press
A-BLOOD GROUP ANTIBODIES
M. Adinolfi M.D.1,
P. L. Mollison M.D.1,
Margaret J. Polley Ph.D.1, and
Jane M. Rose 1
1 From the Medical Research Council's Experimental Haematology Research Unit, Wright-Fleming Institute, St. Mary's Hospital, London, England
The serological characteristics of
A-anti-A and anti-B were studied using, as a source, either colostrum, or fractions relatively rich in
A obtained from selected potent antisera.
A-anti-A and anti-B were never hemolytic nor did they sensitize red cells to agglutination by anticomplement globulin sera.
A-anti-A, like
G-anti-A and unlike
M-anti-A was unaffected by heating at 56°C for 3 hr. On the other hand in the following three characteristics the behavior of
A fell between that of
G- or
M-anti-A: sensitivity to inactivation by 2-mercaptoethanol, ease of neutralization by A substance and degree of enhancement of agglutination in a medium of serum rather than saline. The agglutination produced by
A-anti-A was regularly enhanced by addition of anti-
A-globulin serum.
In searching for
A-blood group antibodies of other specificities the following sera were tested: anti-D (32 examples); anti-c (2 examples); anti-Lea or -Leb (3 examples); anti-K (3 examples); anti-Fya (3 examples), and anti-Jka (3 examples). Only 3 sera, all containing anti-D, sensitized red cells to agglutination by anti-
A. There were no discrepancies between results obtained with four different anti-
A-globulin sera. Approximately half the sera were fractionated on DEAE-cellulose, and the fractions rich in
A tested for their ability to sensitize red cells to agglutination by anti-
A; no additional examples of
A-antibodies were detected.
One of the three examples of
A-anti-D appeared in the serum of a woman during the course of deliberate reimmunization.
A-anti-D appeared only after three intravenous injections of red cells although the
G-anti-D titer rose considerably after a single injection. 3 yr after a fourth injection of Rh-positive cells
A-anti-D, as well as
G-anti-D, was still present in the serum.
Submitted on January 9, 1966