Antiglobulin testing for CR1-related (Knops/McCoy/Swain-Langley/York) blood group antigens: negative and weak reactions are caused by variable expression of CR1

Vox Sang. 1992;62(4):230-5. doi: 10.1111/j.1423-0410.1992.tb01204.x.

Abstract

The Knops, McCoy, Swain-Langley and York antigens have recently been identified as being on complement receptor type 1 (CR1, CD35, C3b/C4b receptor). We examined the relationship between CR1 expression and the reactivity of the CR1-related blood group antigens with their specific antibodies. RBC from donors of selected phenotypes were tested by hemagglutination using two monoclonal antibodies to CR1, as well as anti-Kna, -McCa, -S1a, -'Kn/McC' and -Yka. Monoclonal antibodies 3D9 and E11 required approximately 250 and approximately 400 CR1/RBC to obtain a positive reaction. Agglutination of antigen-positive cells by human polyclonal antisera was related to the CR1/RBC: thus, cells expressing 20-100 CR1/RBC were negative and included the previously designated null phenotypes for this collection, 100-150 were weak or negative, and greater than 200 were usually positive. One RBC sample carried Yka on the 190,000 dalton (A or F allele), but not the 220,000 dalton (B or S allele) variant of CR1, and gave inconsistent reactions with Yka antisera. These data provide an explanation for certain of the serologic characteristics of the CR1-related blood group antigen system.

Publication types

  • Comparative Study

MeSH terms

  • Alleles
  • Antibodies, Monoclonal / immunology
  • Artifacts
  • Blood Group Antigens / genetics
  • Blood Group Antigens / immunology*
  • Coombs Test*
  • Epitopes / immunology
  • Erythrocyte Membrane / immunology*
  • False Negative Reactions
  • Gene Expression
  • Humans
  • Immunoassay
  • Phenotype
  • Polymorphism, Restriction Fragment Length
  • Receptors, Complement / biosynthesis
  • Receptors, Complement / genetics
  • Receptors, Complement / immunology*
  • Receptors, Complement 3b

Substances

  • Antibodies, Monoclonal
  • Blood Group Antigens
  • Epitopes
  • Receptors, Complement
  • Receptors, Complement 3b