Detection of platelet-directed immunoglobin G in sera using the peroxidase-anti-peroxidase (PAP) slide technique

Blood. 1980 Feb;55(2):299-303.

Abstract

An immunohistochemical procedure for the detection of immunoglobulin G adherent to platelets is described. The peroxidase anti-peroxidase method is used to detect antibody activity directed against platelets from normal donors in the sera from 305 individuals. These subjects were divided into three groups: group 1, patients referred for tissue typing; group 2, healthy normal females; group 3, healthy normal males. In group 1, 28% of the sera were found to be positive; in most of these a history of prior transfusions was obtained. In group 2, 7.4% were found to be positive, most having previous pregnancies. Only 1% were found to be positive in group 3, and no reason for presensitization was found. Results from the indirect immunofluorescence technique served as a control and as a means to compare the sensitivity. Under the conditions chosen, the peroxidase anti-peroxidase test was two to eight times more sensitive than the immunofluorescence technique. Specificity of the peroxidase anti-peroxidase technique was demonstrated using a monospecific anti-PLA1 antiserum. It is concluded that the peroxidase anti-peroxidase slide technique may be a useful tool in the study of platelet-related immunophenomena.

MeSH terms

  • ABO Blood-Group System
  • Absorption
  • Animals
  • Blood Platelets / immunology*
  • Female
  • Fluorescent Antibody Technique
  • Goats
  • HLA Antigens / immunology
  • Humans
  • Immunoenzyme Techniques
  • Immunoglobulin G*
  • Male
  • Pregnancy
  • Purpura / immunology
  • Rabbits
  • Receptors, Antigen, B-Cell

Substances

  • ABO Blood-Group System
  • HLA Antigens
  • Immunoglobulin G
  • Receptors, Antigen, B-Cell