PMID- 10942408 OWN - NLM STAT- MEDLINE DCOM- 20000907 LR - 20210216 IS - 0006-4971 (Print) IS - 0006-4971 (Linking) VI - 96 IP - 4 DP - 2000 Aug 15 TI - Blood group A and B antigens are strongly expressed on platelets of some individuals. PG - 1574-81 AB - It is widely thought that expression of ABH antigens on platelets is insufficient to materially affect the survival of ABH-incompatible platelets in transfusion recipients, but anecdotal reports of poor survival of A and B mismatched platelets suggest that this is not always the case. The A and B antigen expression on platelets of 100 group A(1) and group B blood donors was measured, and 7% and 4%, respectively, had platelets whose A and B antigen levels consistently exceeded the mean plus 2 SD. On the basis of flow cytometric and statistical analysis, donors whose platelets contained higher than normal levels of A antigen were subdivided into 2 groups, designated Type I and Type II ("high expressers"). Serum A(1)- and B-glycosyltransferase levels of A and B high expressers were significantly higher than those of group A(1) and B individuals with normal expression. H antigen levels were low on the red cells of high expressers, indicating that the anomaly affects other cell lineages. Immunochemical studies demonstrated high levels of A antigen on various glycoproteins (GPs) from high-expresser platelets, especially GPIIb and PECAM (CD31). The A(1) Type II high-expresser phenotype was inherited as an autosomal dominant trait in one family. The sequences of exons 5, 6, and 7 of the A(1)-transferase gene of one Type II A(1) high expresser and exon 7 from 3 other genes were identical to the reported normal sequences. Further studies are needed to define the molecular basis for the high-expresser trait and to characterize its clinical implications. (Blood. 2000;96:1574-1581) FAU - Curtis, B R AU - Curtis BR AD - Blood Research Institute, The Blood Center of Southeastern Wisconsin, Milwaukee, WI 53233, USA. brcurtis@bcsew.edu FAU - Edwards, J T AU - Edwards JT FAU - Hessner, M J AU - Hessner MJ FAU - Klein, J P AU - Klein JP FAU - Aster, R H AU - Aster RH LA - eng GR - R01 HL013629/HL/NHLBI NIH HHS/United States GR - HL-13629/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Blood JT - Blood JID - 7603509 RN - 0 (ABO Blood-Group System) SB - IM MH - ABO Blood-Group System/biosynthesis/genetics/*immunology MH - Blood Platelets/*immunology MH - Female MH - Gene Expression Regulation/immunology MH - Humans MH - Male MH - Pedigree EDAT- 2000/08/15 11:00 MHDA- 2000/09/09 11:01 CRDT- 2000/08/15 11:00 PHST- 2000/08/15 11:00 [pubmed] PHST- 2000/09/09 11:01 [medline] PHST- 2000/08/15 11:00 [entrez] AID - S0006-4971(20)71980-4 [pii] PST - ppublish SO - Blood. 2000 Aug 15;96(4):1574-81.