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Clinical and Experimental Immunology logoLink to Clinical and Experimental Immunology
. 1977 Apr;28(1):49–55.

The occurrence of circulating immune complexes and viral antigens in idiopathic thrombocytopenic purpura.

A Z Lurhuma, H Riccomi, P L Masson
PMCID: PMC1540862  PMID: 558848

Abstract

The sera of seventy-two patients with ITP were tested for their inhibitory activity on the agglutination of IgG-coated particles by RF or C1q. The majority (83%) displayed an inhibitory effect toward both agglutinators, whereas 17% were found to contain endogenous RF. A negative correlation was observed between the number of platelets and the titres of inhibitory factors. Some sera were fractionated by gel filtration. The inhibitory factors and sometimes trace amounts of IgG were distributed over several peaks eluted before monomeric 7S IgG. The IgG detected in the heavy fractions of two ITP sera corresponded to antigen-antibody complexes as shown by dissociation experiments at acid pH. In all ITP sera analysed by chromatography, DNA has been detected in the heavy fractions and appears to be the antigen of certain complexes. The sera from forty-two patients with ITP were analysed by counter-electrophoresis for the presence of viral antigens. HBs antigen was detected in twenty sera, EBV antigen in five, and adenovirus antigen in six.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Agnello V., Winchester R. J., Kunkel H. G. Precipitin reactions of the C1q component of complement with aggregated gamma-globulin and immune complexes in gel diffusion. Immunology. 1970 Dec;19(6):909–919. [PMC free article] [PubMed] [Google Scholar]
  2. DANON D., JERUSHALMY Z., DE VRIES A. Incorporation of influenza virus in human blood platelets in vitro. Electron microscopical observation. Virology. 1959 Dec;9:719–722. doi: 10.1016/0042-6822(59)90168-0. [DOI] [PubMed] [Google Scholar]
  3. DAUSSET J., COLOMBANI J., COLOMBANI M. Study of leukopenias and thrombocytopenias by the direct antiglobulin consumption test on leukocytes and/or platelets. Blood. 1961 Dec;18:672–690. [PubMed] [Google Scholar]
  4. Dixon R. H., Rosse W. F. Platelet antibody in autoimmune thrombocytopenia. Br J Haematol. 1975 Oct;31(2):129–134. doi: 10.1111/j.1365-2141.1975.tb00843.x. [DOI] [PubMed] [Google Scholar]
  5. Ewald R. W., Schubart A. F. Agglutinating activity of the complement component C'1q in the F-II latex fixation test. J Immunol. 1966 Jul;97(1):100–105. [PubMed] [Google Scholar]
  6. GRUBB R. Agglutination of erythrocytes coated with incomplete anti-Rh by certain rheumatoid arthritic sera and some other sera; the existence of human serum groups. Acta Pathol Microbiol Scand. 1956;39(3):195–197. [PubMed] [Google Scholar]
  7. Gocke D. J., Hsu K., Morgan C., Bombardieri S., Lockshin M., Christian C. L. Vasculitis in association with Australia antigen. J Exp Med. 1971 Sep 1;134(3 Pt 2):330s–336s. [PubMed] [Google Scholar]
  8. Israels E. D., Nisli G., Paraskevas F., Israels L. G. Platelet Fc receptor as a mechanism for Ag-Ab complex-induced platelet injury. Thromb Diath Haemorrh. 1973 May 10;29(2):434–444. [PubMed] [Google Scholar]
  9. Karpatkin S., Schur P. H., Strick N., Siskind G. W. Heavy chain subclass of human anti-platelet antibodies. Clin Immunol Immunopathol. 1973 Nov;2(1):1–8. doi: 10.1016/0090-1229(73)90030-5. [DOI] [PubMed] [Google Scholar]
  10. Karpatkin S., Siskind G. W. In vitro detection of platelet antibody in patients with idiopathic thrombocytopenic purpura and systemic lupus erythematosus. Blood. 1969 Jun;33(6):795–812. [PubMed] [Google Scholar]
  11. Loos M., Bitter-Suermann D., Dierich M. Interaction of the first (C1), the second (C2) and the fourth (C4) component of complement with different preparations of bacterial lipopolysaccharides and with lipid A. J Immunol. 1974 Mar;112(3):935–940. [PubMed] [Google Scholar]
  12. Lurhuma A. Z., Cambiaso C. L., Masson P. L., Heremans J. F. Detection of circulating antigen-antibody complexes by their inhibitory effect on the agglutination of IgG-coated particles by rheumatioid factor of Clq. Clin Exp Immunol. 1976 Aug;25(2):212–226. [PMC free article] [PubMed] [Google Scholar]
  13. MIESCHER P., MIESCHER A. Die Sedormid-Anaphylaxie. Schweiz Med Wochenschr. 1952 Dec 13;82(50):1279–1282. [PubMed] [Google Scholar]
  14. Myllylä G., Vaheri A., Vesikari T., Penttinen K. Interaction between human blood platelets, viruses and antibodies. IV. Post-Rubella thrombocytopenic purpura and platelet aggregation by Rubella antigen-antibody interaction. Clin Exp Immunol. 1969 Mar;4(3):323–332. [PMC free article] [PubMed] [Google Scholar]
  15. Osler A. G., Siraganian R. P. Immunologic mechanisms of platelet damage. Prog Allergy. 1972;16:450–498. [PubMed] [Google Scholar]
  16. Palosuo T., Leikola J. Platelet aggregation by isolated and aggregated human IgG. Clin Exp Immunol. 1975 May;20(2):371–374. [PMC free article] [PubMed] [Google Scholar]
  17. SHULMAN N. R. A MECHANISM OF CELL DESTRUCTION IN INDIVIDUALS SENSITIZED TO FOREIGN ANTIGENS AND ITS IMPLICATIONS IN AUTO-IMMUNITY. COMBINED CLINICAL STAFF CONFERENCE AT THE NATIONAL INSTITUTES OF HEALTH. Ann Intern Med. 1964 Mar;60:506–521. doi: 10.7326/0003-4819-60-3-506. [DOI] [PubMed] [Google Scholar]
  18. Shulman N. R., Marder V. J., Weinrach R. S. Similarities between known antiplatelet antibodies and the factor responsible for thrombocytopenia in idiopathic purpura. Physiologic, serologic and isotopic studies. Ann N Y Acad Sci. 1965 Jun 30;124(2):499–542. doi: 10.1111/j.1749-6632.1965.tb18984.x. [DOI] [PubMed] [Google Scholar]
  19. Zubler R. H., Babel J. F., Lambert P. H., Miescher P. A. Quatre cas d'anémie hémolytique autoimmune et de purpura thrombopémique idiopathique avec anticorps contre le DNA natif. Schweiz Med Wochenschr. 1975 Nov 22;105(47):1586–1587. [PubMed] [Google Scholar]

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