Skip to main content
The Journal of Clinical Investigation logoLink to The Journal of Clinical Investigation
. 1968 Mar;47(3):633–642. doi: 10.1172/JCI105759

Heterophile antibodies in human transplantation

F T Rapaport 1,2, K Kano 1,2, F Milgrom 1,2
PMCID: PMC297209  PMID: 4866325

Abstract

Sensitization of human recipients with transplantation antigens (leucocytes, skin, or kidney allografts) has resulted in the appearance of serum hemagglutinins directed against sheep, guinea pig, and rat erythrocytes. Such hemagglutinins have been identified as IgG and IgM antibodies. Their appearance was not related to AB0 erythrocyte group incompatibility between donors and recipients, and the antibodies were not of the Forssman or Paul-Bunnel type. The antibody responses appeared to be primarily directed against antigen(s) present on rat erythrocytes, but shared to varying extents by other species. The peak antibody titers occurred in association with allograft rejection. In this regard, they may be of interest as a possible early warning system for the diagnosis and prompt management of rejection crises in clinical organ transplantation.

Full text

PDF
633

Images in this article

Selected References

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

  1. BILLINGHAM R. E. TRANSPLANTATION IMMUNITY AND THE MATERNAL-FETAL RELATION. N Engl J Med. 1964 Mar 26;270:667–CONTD. doi: 10.1056/NEJM196403262701306. [DOI] [PubMed] [Google Scholar]
  2. BRAKKE M. K. Zone electrophoresis of dyes, proteins and viruses in density-gradient columns of sucrose solutions. Arch Biochem Biophys. 1955 Mar;55(1):175–190. doi: 10.1016/0003-9861(55)90556-7. [DOI] [PubMed] [Google Scholar]
  3. BRENT L., MEDAWAR P. B., RUSZKIEWICZ M. Serological methods in the study of transplantation antigens. Br J Exp Pathol. 1961 Oct;42:464–477. [PMC free article] [PubMed] [Google Scholar]
  4. Bailey G. H., Raffel S. HEMOLYTIC ANTIBODIES FOR SHEEP AND OX ERYTHROCYTES IN INFECTIOUS MONONUCLEOSIS. J Clin Invest. 1935 Mar;14(2):228–244. doi: 10.1172/JCI100671. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Chase R. M., Jr, Rapaport F. T. The bacterial induction of homograft sensitivity. I. Effects of sensitization with group A streptococci. J Exp Med. 1965 Oct 1;122(4):721–732. doi: 10.1084/jem.122.4.721. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. DAMMIN G. J., COUCH N. P., MURRAY J. E. Prolonged survival of skin homografts in uremic patients. Ann N Y Acad Sci. 1957 Mar 22;64(5):967–976. doi: 10.1111/j.1749-6632.1957.tb52488.x. [DOI] [PubMed] [Google Scholar]
  7. DEUTSCH H. F., MORTON J. I. Dissociation of human serum macroglobulins. Science. 1957 Mar 29;125(3248):600–601. doi: 10.1126/science.125.3248.600. [DOI] [PubMed] [Google Scholar]
  8. Davidsohn I., Lee C. L. Heterophilic antibodies following injection of blood group substances. Transfusion. 1966 Sep-Oct;6(5):487–492. doi: 10.1111/j.1537-2995.1966.tb04762.x. [DOI] [PubMed] [Google Scholar]
  9. FUDENBERG H. H., KUNKEL H. G. Physical properties of the red cell agglutinins in acquired hemolytic anemia. J Exp Med. 1957 Nov 1;106(5):689–702. doi: 10.1084/jem.106.5.689. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Finland M., Curnen E. C. AGGLUTININS FOR HUMAN ERYTHROCYTES IN TYPE XIV ANTI-PNEUMOCOCCIC HORSE SERUMS. Science. 1938 May 6;87(2262):417–418. doi: 10.1126/science.87.2262.417. [DOI] [PubMed] [Google Scholar]
  11. HITCHINGS G. H., ELION G. B. Chemical suppression of the immune response. Pharmacol Rev. 1963 Jun;15:365–405. [PubMed] [Google Scholar]
  12. KAPLAN M. H. IMMUNOLOGIC RELATION OF STREPTOCOCCAL AND TISSUE ANTIGENS. I. PROPERTIES OF AN ANTIGEN IN CERTAIN STRAINS OF GROUP A STREPTOCOCCI EXHIBITING AN IMMUNOLOGIC CROSS-REACTION WITH HUMAN HEART TISSUE. J Immunol. 1963 Apr;90:595–606. [PubMed] [Google Scholar]
  13. KAPLAN M. H., MEYESERIAN M. An immunological cross-reaction between group-A streptococcal cells and human heart tissue. Lancet. 1962 Apr 7;1(7232):706–710. doi: 10.1016/s0140-6736(62)91653-7. [DOI] [PubMed] [Google Scholar]
  14. KAPLAN M. H., SUCHY M. L. IMMUNOLOGIC RELATION OF STREPTOCOCCAL AND TISSUE ANTIGENS. II. CROSS-REACTION OF ANTISERA TO MAMMALIAN HEART TISSUE WITH A CELL WALL CONSTITUENT OF CERTAIN STRAINS OF GROUP A STREPTOCOCCI. J Exp Med. 1964 Apr 1;119:643–650. doi: 10.1084/jem.119.4.643. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. KAPLAN M. H., SVEC K. H. IMMUNOLOGIC RELATION OF STREPTOCOCCAL AND TISSUE ANTIGENS. III. PRESENCE IN HUMAN SERA OF STREPTOCOCCAL ANTIBODY CROSS-REACTIVE WITH HEART TISSUE. ASSOCIATION WITH STREPTOCOCCAL INFECTION, RHEUMATIC FEVER, AND GLOMERULONEPHRITIS. J Exp Med. 1964 Apr 1;119:651–666. doi: 10.1084/jem.119.4.651. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. LITSCHEL E. [On human normal agglutinins to sheep and bovine erythrocytes]. Pathol Microbiol (Basel) 1961;24:954–962. [PubMed] [Google Scholar]
  17. MARKOWITZ A. S., ARMSTRONG S. H., Jr, KUSHNER D. S. Immunological relationships between the rat glomerulus and nephritogenic streptococci. Nature. 1960 Sep 24;187:1095–1097. doi: 10.1038/1871095a0. [DOI] [PubMed] [Google Scholar]
  18. MARKOWITZ A. S., LANGE C. F., Jr STREPTOCOCCAL RELATED GLOMERULONEPHRITIS. I. ISOLATION, IMMUNOCHEMISTRY AND COMPARATIVE CHEMISTRY OF SOLUBLE FRACTIONS FROM TYPE 12 NEPHRITOGENIC STREPTOCOCCI AND HUMAN GLOMERULI. J Immunol. 1964 Apr;92:565–575. [PubMed] [Google Scholar]
  19. MILGROM F., KANO K., WITEBSKY E. THE MIXED AGGLUTINATION TEST IN STUDIES ON HUMAN TRANSPLANTATION. JAMA. 1965 Jun 7;192:845–848. doi: 10.1001/jama.1965.03080230051013. [DOI] [PubMed] [Google Scholar]
  20. MILGROM F. THE UNUSUAL SEROLOGY OF SYPHILIS, INFECTIOUS MONONUCLEOSIS AND RHEUMATOID ARTHRITIS. Transfusion. 1964 Nov-Dec;4:407–413. doi: 10.1111/j.1537-2995.1964.tb02899.x. [DOI] [PubMed] [Google Scholar]
  21. MILGROM F., WITEBSKY E. Studies on the rheumatoid and related serum factors. I. Autoimmunization of rabbits with gamma globulin. JAMA. 1960 Sep 3;174:56–63. doi: 10.1001/jama.1960.63030010013013. [DOI] [PubMed] [Google Scholar]
  22. Markowitz A. S., Clasen R., Nidus B. D., Ainis H. Streptococcal related glomerulonephritis. II. Glomerulonephritis in rhesus monkeys immunologically induced both actively and passively with a soluble fraction from human glomeruli. J Immunol. 1967 Jan;98(1):161–170. [PubMed] [Google Scholar]
  23. Milgrom F., Litvak B. I., Kano K., Witebsky E. Humoral antibodies in renal homograft. JAMA. 1966 Oct 17;198(3):226–230. [PubMed] [Google Scholar]
  24. RAPAPORT F. T., CHASE R. M., Jr HOMOGRAFT SENSITIVITY INDUCTION BY GROUP A STREPTOCOCCI. Science. 1964 Jul 24;145(3630):407–408. doi: 10.1126/science.145.3630.407. [DOI] [PubMed] [Google Scholar]
  25. RAPAPORT F. T., DAUSSET J., CONVERSE J. M., LAWRENCE H. S. BIOLOGICAL AND ULTRASTRUCTURAL STUDIES OF LEUCOCYTE FRACTIONS AS TRANSPLANTATION ANTIGENS IN MAN. Transplantation. 1965 Jul;3:490–500. doi: 10.1097/00007890-196507000-00004. [DOI] [PubMed] [Google Scholar]
  26. RAPAPORT F. T., LAWRENCE H. S., CONVERSE J. M., MULHOLLAND J. H. HOMOGRAFT ANTIGEN STUDIES IN MAN. Ann N Y Acad Sci. 1964 Nov 30;120:280–284. doi: 10.1111/j.1749-6632.1964.tb34726.x. [DOI] [PubMed] [Google Scholar]
  27. Rapaport F. T., Chase R. M., Jr The bacterial induction of homograft sensitivity. II. Effects of sensitization with staphylococci and other microoorganisms. J Exp Med. 1965 Oct 1;122(4):733–744. doi: 10.1084/jem.122.4.733. [DOI] [PMC free article] [PubMed] [Google Scholar]
  28. SCHEIDEGGER J. J. Une micro-méthode de l'immuno-electrophorèse. Int Arch Allergy Appl Immunol. 1955;7(2):103–110. [PubMed] [Google Scholar]
  29. WILKINSON P. C., CARMICHAEL D. S. IMMUNOCHEMICAL CHARACTERIZATION AND SEROLOGIC BEHAVIOR OF ANTIBODIES AGAINST RED CELLS IN INFECTIOUS MONONUCLEOSIS. J Lab Clin Med. 1964 Oct;64:529–539. [PubMed] [Google Scholar]
  30. Zabriskie J. B., Freimer E. H. An immunological relationship between the group. A streptococcus and mammalian muscle. J Exp Med. 1966 Oct 1;124(4):661–678. doi: 10.1084/jem.124.4.661. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Journal of Clinical Investigation are provided here courtesy of American Society for Clinical Investigation

RESOURCES