首页|抗-PP1Pk的血清学特性探究及P血型相关文献分析

抗-PP1Pk的血清学特性探究及P血型相关文献分析

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目的 本研究旨在深入了解抗-PP1Pk的血清学特性,探索小p血型孕妇顽固性流产的可能性治疗方法.方法 通过使用鸽子蛋清、人血浆中和法;2-巯基乙醇试剂破坏IgM抗体;添加补体成分等方法对抗-PP1Pk进行探究.在不同处理条件、不同介质、不同温度下测定抗-PP1Pk的效价,研究人血清对抗-PP1Pk及其致敏补体能力的中和作用.结果 所采用抗-PP1Pk在盐水和柱凝集中的效价分别为4和8,低温会使抗-PP1Pk效价增高,2-巯基乙醇破坏会明显降低其效价.鸽子蛋清可以部分中和抗-PP1Pk.人血浆同样可以降低抗-PP1Pk的效价,其中和能力高于鸽子蛋清,且中和能力存在个体差异.结论 抗-PP1Pk是1种IgM和IgG并存、冷性、可以激活补体的混合抗体.人血浆可以有效降低抗-PP1Pk效价以及激活补体的能力,输注中和能力高的血浆有望成为治疗p表型孕妇习惯性流产的新方法.
Serological characteristics of anti-PP1Pk and literature review on P blood group system
Objective To comprehensively explore the serological characteristics of anti-PP1Pk and potential therapeu-tic strategies for recurrent miscarriage in p-blood type pregnant women.Methods Neutralization with pigeon egg white and human plasma,disruption of IgM antibodies by 2-mercaptoethanol reagent,and complement adding were conducted.Anti-PP1Pk titers under different processing conditions,media and temperatures were determined,and neutralizing effect of hu-man plasma on anti-PP1Pk and its sensitization complement ability were analyzed.Results The titers of anti-PP1Pk in sa-line and column agglutination were 4 and 8,respectively.Low temperature increased titers,while β-mercaptoethanol treat-ment significantly reduced them.Pigeon egg white partially neutralized anti-PP1Pk antibodies.Human plasma was also capa-ble of reducing anti-PP1Pk titers with neutralization capability surpassing that of pigeon egg white,and there were individual differences in neutralization capability.Conclusion The anti-PP1Pk was a blend of antibodies encompassing both IgM and IgG types,exhibiting cold reactivity,and having the potential for complement activation.Human plasma emerges as an ef-fective modulator for diminishing the efficacy of anti-PP1Pk.Plasma transfusion holds promise as a therapeutic avenue for addressing recurrent miscarriages in pregnant individuals with the p phenotype.

anti-PP1PkP1Pk blood group systemGloboside blood group systempigeon egg whiteneutralization experiment

李金龙、叶水文、孙君、陈亚南、向东

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邢台市人民医院,河北邢台 054000

南昌大学第二附属医院

淄博市第一医院

上海市血液中心

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抗-PP1Pk P1Pk血型系统 Globoside血型系统 鸽子蛋清 中和实验

2024

中国输血杂志
中国输血协会 中国医学科学院输血研究所

中国输血杂志

CSTPCD
影响因子:1.279
ISSN:1004-549X
年,卷(期):2024.37(1)
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