Blood group antigens visualisation on leukocytes

Background/Aim: The leukocytes have been reported to contain blood group specific antigens, that are clinically relevant, however visualisation of A and B group antigens on leukocytes is a big issue. In cases of ABO discrepancies weak blood group antigens on nuclear cells have been demonstrated by u...

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Main Authors: Grigorovich Kravchun Pavlo, Solomonivna Leontyeva Frida, Dmytrivna Povelichenko Olena, Yuriivna Dielievska Valentyna
Format: Article
Language:English
Published: Medical Society of the Republic of Srpska, Banja Luka, University of Banja Luka. Faculty of Medicine 2024-01-01
Series:Scripta Medica
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Online Access:https://scindeks-clanci.ceon.rs/data/pdf/2490-3329/2024/2490-33292405525G.pdf
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author Grigorovich Kravchun Pavlo
Solomonivna Leontyeva Frida
Dmytrivna Povelichenko Olena
Yuriivna Dielievska Valentyna
author_facet Grigorovich Kravchun Pavlo
Solomonivna Leontyeva Frida
Dmytrivna Povelichenko Olena
Yuriivna Dielievska Valentyna
author_sort Grigorovich Kravchun Pavlo
collection DOAJ
description Background/Aim: The leukocytes have been reported to contain blood group specific antigens, that are clinically relevant, however visualisation of A and B group antigens on leukocytes is a big issue. In cases of ABO discrepancies weak blood group antigens on nuclear cells have been demonstrated by using expensive techniques. Thus, the development of the method of the detection of weak blood group antigens on leukocytes available for any laboratory technician is hardly essential. The study aimed to reveal and analyse A and B blood group specific adsorbing antigens on leukocytes and erythrocytes and to develop a method for visualisation of weak blood group antigens on leukocytes. Methods: Polyclonal and monoclonal anti-A and anti-B antibodies, received from international laboratories according to the program of Workshop IV, held in Paris, 2000, were used for the study. Mixed agglutination reaction was performed as the method for visualisation of weak blood group antigens on leukocytes as nuclear cells. Results: Polyclonal sera from O blood group persons without weak blood group antigens in contrast to monoclonal antibodies demonstrated the ability to reveal weak blood group specific antigens on leukocytes by the method of mixed agglutination reaction. However, the test erythrocytes from the persons with increased levels of platelets and erythrocyte sedimentation rate did not allow to visualise weak antigen expression on the studied leukocytes in contrast to the persons with normal levels of platelets and erythrocyte sedimentation rate, that successfully formed mixed agglutinates with weak blood group antigens on leukocytes in mixed agglutination reaction. The leukocytes suspended in 0.9 % saline (as a diluent) incubated with the mixture of the serum with 0.9 % saline (1:2) led to the formation of specific agglutinates with test erythrocytes. The experiments with different temperature regimes and time of incubation demonstrated the usefulness of the studied method in specific leukocytes antigen visualisation during prolonged incubation at 4 °C. The persons with weak group A and B antigens, revealed on the leukocytes by the studied method, demonstrated decreased level of erythrocytes, platelets, titre of corresponding warm agglutinating antibodies (less than 1:8) and increased erythrocyte sedimentation rate. Conclusion: The mixed agglutination reaction with prolonged incubation at 4 °C and the use of the selected polyclonal sera and test erythrocytes from the donors with normal values of platelets and erythrocyte sedimentation rate may be used for weak blood group antigens detection on leukocytes. The donors of the sera and test erythrocytes used in mixed agglutination reaction should be investigated on common blood analysis, agglutinating titre of corresponding warm group specific antibodies and presence of weak blood group antigens.
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publishDate 2024-01-01
publisher Medical Society of the Republic of Srpska, Banja Luka, University of Banja Luka. Faculty of Medicine
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spelling doaj-art-bb8aa5153f0844218ace80bcc7f7ae7d2024-12-02T12:56:27ZengMedical Society of the Republic of Srpska, Banja Luka, University of Banja Luka. Faculty of MedicineScripta Medica2490-33292303-79542024-01-0155552553510.5937/scriptamed55-517542490-33292405525GBlood group antigens visualisation on leukocytesGrigorovich Kravchun Pavlo0https://orcid.org/0000-0002-8285-6763Solomonivna Leontyeva Frida1https://orcid.org/0000-0001-9801-7908Dmytrivna Povelichenko Olena2https://orcid.org/0000-0002-1810-6538Yuriivna Dielievska Valentyna3https://orcid.org/0000-0003-2493-5102Kharkiv National Medical University, Department of Internal Medicine No 2, Clinical Immunology and Allergology Named After Academician LT Malaya, Kharkiv, UkraineNational Academy of Medical Sciences of Ukraine, Sytenko Institute of Spine and Joint Pathology, Kharkiv, UkraineNational Academy of Medical Sciences of Ukraine, Sytenko Institute of Spine and Joint Pathology, Kharkiv, UkraineKharkiv National Medical University, Department of Internal Medicine No 2, Clinical Immunology and Allergology Named After Academician LT Malaya, Kharkiv, UkraineBackground/Aim: The leukocytes have been reported to contain blood group specific antigens, that are clinically relevant, however visualisation of A and B group antigens on leukocytes is a big issue. In cases of ABO discrepancies weak blood group antigens on nuclear cells have been demonstrated by using expensive techniques. Thus, the development of the method of the detection of weak blood group antigens on leukocytes available for any laboratory technician is hardly essential. The study aimed to reveal and analyse A and B blood group specific adsorbing antigens on leukocytes and erythrocytes and to develop a method for visualisation of weak blood group antigens on leukocytes. Methods: Polyclonal and monoclonal anti-A and anti-B antibodies, received from international laboratories according to the program of Workshop IV, held in Paris, 2000, were used for the study. Mixed agglutination reaction was performed as the method for visualisation of weak blood group antigens on leukocytes as nuclear cells. Results: Polyclonal sera from O blood group persons without weak blood group antigens in contrast to monoclonal antibodies demonstrated the ability to reveal weak blood group specific antigens on leukocytes by the method of mixed agglutination reaction. However, the test erythrocytes from the persons with increased levels of platelets and erythrocyte sedimentation rate did not allow to visualise weak antigen expression on the studied leukocytes in contrast to the persons with normal levels of platelets and erythrocyte sedimentation rate, that successfully formed mixed agglutinates with weak blood group antigens on leukocytes in mixed agglutination reaction. The leukocytes suspended in 0.9 % saline (as a diluent) incubated with the mixture of the serum with 0.9 % saline (1:2) led to the formation of specific agglutinates with test erythrocytes. The experiments with different temperature regimes and time of incubation demonstrated the usefulness of the studied method in specific leukocytes antigen visualisation during prolonged incubation at 4 °C. The persons with weak group A and B antigens, revealed on the leukocytes by the studied method, demonstrated decreased level of erythrocytes, platelets, titre of corresponding warm agglutinating antibodies (less than 1:8) and increased erythrocyte sedimentation rate. Conclusion: The mixed agglutination reaction with prolonged incubation at 4 °C and the use of the selected polyclonal sera and test erythrocytes from the donors with normal values of platelets and erythrocyte sedimentation rate may be used for weak blood group antigens detection on leukocytes. The donors of the sera and test erythrocytes used in mixed agglutination reaction should be investigated on common blood analysis, agglutinating titre of corresponding warm group specific antibodies and presence of weak blood group antigens.https://scindeks-clanci.ceon.rs/data/pdf/2490-3329/2024/2490-33292405525G.pdfdiscrepancyblood group antigensvisualisationleukocytes
spellingShingle Grigorovich Kravchun Pavlo
Solomonivna Leontyeva Frida
Dmytrivna Povelichenko Olena
Yuriivna Dielievska Valentyna
Blood group antigens visualisation on leukocytes
Scripta Medica
discrepancy
blood group antigens
visualisation
leukocytes
title Blood group antigens visualisation on leukocytes
title_full Blood group antigens visualisation on leukocytes
title_fullStr Blood group antigens visualisation on leukocytes
title_full_unstemmed Blood group antigens visualisation on leukocytes
title_short Blood group antigens visualisation on leukocytes
title_sort blood group antigens visualisation on leukocytes
topic discrepancy
blood group antigens
visualisation
leukocytes
url https://scindeks-clanci.ceon.rs/data/pdf/2490-3329/2024/2490-33292405525G.pdf
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AT solomonivnaleontyevafrida bloodgroupantigensvisualisationonleukocytes
AT dmytrivnapovelichenkoolena bloodgroupantigensvisualisationonleukocytes
AT yuriivnadielievskavalentyna bloodgroupantigensvisualisationonleukocytes