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.