Effect of SLE-ITP patients Abs on platelet fragmentation in vitro and in vivo. (A) Presence of platelet fragments in SLE-ITP patients. Serum immune complexes from GPIIIa49-66 positive patients or healthy subjects run on 12% SDS-PAGE (upper) and immunoblotted with anti-GPIIIa49-66 antibody (lower). (B) Effect of affinity-purified anti-GPIIIa49-66 IgG from three SLE-ITP patients on platelet fragmentation in vitro. Pt refers to anti-GPIIIa49-66 Ab from HIV-ITP patients. White, dark, and gray bars refer to serial 1:1 dilutions of IgG, starting at 50 μg/ml, SEM is given. (C) Effect of affinity-purified anti-GPIIIa49-66 antibodies from Patient P7 on induction of thrombocytopenia in Balb/C mice. Purified control antibody (Ctl), patient anti-GPIIIa49-66 antibodies (50 μg) were injected intraperitoneally into Balb/C mice, and platelet counts followed for 24 h, n = 4, SEM is given.