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. 2013 May 8;122(3):313–320. doi: 10.1182/blood-2013-02-481887

Table 1.

Volunteer details, radiolabeling, and sensitization combinations and individual platelet recovery and survival data using the COST program

UPN Platelet count HPA-1a expression levels, MFI Radiolabel and antibody combination Five-minute recovery, % COST data
Unsensitized B2G1Δnab Unsensitized B2G1Δnab Unsensitized B2G1Δnab
Recovery, % Survival, h Recovery, % Survival, h
1 172 16.3 Cr51 111In 66 94 48 83 73 98
2 270 15.8 111In Cr51 72 94 59 191 71 177
3 412 15.6 Cr51 111In 47 36 36 151 30 283
4 260 18.2 Cr51 111In 54 68 54 214 65 238
5 270 No data 111In Cr51 51 42 51 254 33 215
6 299 17.1 Cr51 111In 38 61 32 212 57 216
7 324 16.9 111In Cr51 69 77 61 212 65 243
Unsensitized
B2G1
Unsensitized
B2G1
Unsensitized
B2G1
Recovery, %
Survival, h
Recovery, %
Survival, min
8 249 19.2 111In Cr51 93 53 62 198 38 14
9 311 14.3 Cr51 111In 57 63 42 223 39 18
Unsensitized
B2G1Δnab75*
Unsensitized
B2G1Δnab75
Unsensitized
B2G1Δnab75
Recovery, %
Survival, h
Recovery, %
Survival, min
10 190 No data Cr51 111In 70 82 58 152 56 48
11 257 17.7 111In Cr51 70 75 60 219 43 40
12 230 18.2 111In Cr51 60 50 54 162 59 45
B2G1
B2G1Δnab90*
B2G1
B2G1Δnab90
B2G1
B2G1Δnab90
Recovery, %
Survival, min
Recovery, %
Survival, min
13 234 14.7 111In Cr51 95 83 70 28 50 45
14 238 15.2 Cr51 111In 51 77 27 14 30 50
15 175 14.0 111In Cr51 65 60 63 15 44 77
16 239 18.0 111In Cr51 60 79 65 18 86 62
17 198 16.6 111In Cr51 78 79 36 17 61 56
18 276 26.3 Cr51 111In 57 69 81 19 96 25

The COST program is a mathematical tool that fits a theoretical survival curve to the measurements of platelet recovery at the various time points32 and infers platelet survival and recovery at time 0 from the fitted curve using the multiple hit calculation model. The first time point used for the curve fitting should be taken after equilibrium.33,34 For unsensitized and B2G1Δnab-sensitized platelets which showed a plateau phase during the first 24 hours (see Figure 1), the 24-hour time point was used as the first point for the curve fit. For B2G1-sensitized platelets and platelets sensitized with a combination of 75% B2G1Δnab/25% B2G1 and 90% B2G1Δnab/10% B2G1B2G1Δnab 90%/ B2G1 10% (*B2G1Δnab75 and -90, respectively) where rapid destruction was observed without a plateau phase (see Figure 1), the 5-minute time point was used (see “Results”).

UPN 18 had a much higher HPA-1a expression level (MFI 26.3 vs mean ± SD MFI of 16.5 ± 1.6 for the rest of the volunteers), and platelet survival data were very different from other volunteers (see supplemental Figure 1). Data from this volunteer were therefore excluded from subsequent analysis.