首页|IgG型自身抗体Fab段遮断红细胞自身抗原的探索研究

IgG型自身抗体Fab段遮断红细胞自身抗原的探索研究

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目的 应用自身抗体的Fab段结合红细胞上的自身抗原,以遮断完整自身抗体与自身抗原的结合。方法 含自身抗体的患者血清,通过吸收放散试验获得成分单一的自身抗体,再应用木瓜酶 37℃过夜水解自身抗体IgG分子获得Fab段,用Fab段特异性结合相对应的自身抗原,从而遮断完整自身抗体与自身抗原的结合。结果 3 例含自身抗体的患者血浆标本,经过吸收放散试验获得的组分单一的自身抗体,均经过木瓜酶水解处理生成Fab段,此Fab段与各自放散液中的完整自身抗体混合后,均能遮断完整自身抗体与红细胞自身抗原的结合。同时 3 例标本之间,1 号标本与 2 号标本的有相互遮断效应,而 2 号标本和 3 号标本之间未见相互遮断效应。结论 自身抗体Fab段能消除完整自身抗体与红细胞自身抗原的凝集,此方法可以应用到临床实践中,解决多种临床问题。
Exploration of the blocking effect of Fab fragment of IgG autoantibody on erythrocyte autoantigens
Objective To use Fab segments of autoantibodies to bind to autoantigens on red blood cells in order to block the binding of intact autoantibodies to the autoantigens.Methods The pure autoantibodies were obtained from the se-rum of patients by absorption and elution test,then Fab segments were obtained by hydrolyzing IgG autoantibodies at 37℃o-vernight with papain enzyme.The Fab segments were used to bind the corresponding autoantigens specifically,thus blocking the binding of intact autoantibodies to autoantigens.Results The pure autoantibodies obtained through absorption and elu-tion test were all hydrolyzed by papain to generate Fab fragments.When mixed with intact autoantibodies in their respective elution solutions,these Fab fragments were able to block the binding of intact autoantibodies to red blood cell autoantigens.Among the three samples,there was a mutual blocking effect between sample 1 and sample 2,while no mutual blocking effect was observed between sample 2 and sample 3.Conclusion Fab segment of autoantibody can eliminate the agglutina-tion of intact autoantibodies and erythrocyte autoantigens,and can be applied to clinical practice to solve clinical problems.

autoantibodyFab fragmentblocking effect

黄海涛、温学红

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天津中医药大学第二附属医院 检验科,天津 300250

自身抗体 Fab片段 遮断效应

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(9)