Extreme leukoreduction of major histocompatibility complex class II positive B cells enhances allogeneic platelet immunity

JW Semple, ER Speck, D Cosgrave… - Blood, The Journal …, 1999 - ashpublications.org
JW Semple, ER Speck, D Cosgrave, AH Lazarus, VS Blanchette, J Freedman
Blood, The Journal of the American Society of Hematology, 1999ashpublications.org
In a murine model of platelet alloimmunization, we examined the definitive role that
mononuclear cells (MC) have in modulating platelet immunity by using platelets from severe
combined immunodeficient (SCID) mice. CB. 17 (H-2d) SCID or BALB/c (H-2d) mouse
platelets were transfused weekly into fully allogeneic CBA (H-2k) mice and antidonor
antibodies measured by flow cytometry. MC levels in BALB/c platelets were 1.1±0.6/μL and
SCID mouse platelets could be prepared to have significantly lower (< 0.05/μL) MC …
Abstract
In a murine model of platelet alloimmunization, we examined the definitive role that mononuclear cells (MC) have in modulating platelet immunity by using platelets from severe combined immunodeficient (SCID) mice. CB.17 (H-2d) SCID or BALB/c (H-2d) mouse platelets were transfused weekly into fully allogeneic CBA (H-2k) mice and antidonor antibodies measured by flow cytometry. MC levels in BALB/c platelets were 1.1 ± 0.6/μL and SCID mouse platelets could be prepared to have significantly lower (<0.05/μL) MC numbers. Transfusions with 108 BALB/c platelets (containing ≈100 MC/transfusion) stimulated IgG antidonor antibodies in 100% of the recipients by the fifth transfusion, whereas 108 SCID mouse platelets (containing ≈5 MC/transfusion) stimulated higher-titered IgG alloantibodies by the second transfusion. When titrations of BALB/c peripheral blood MC were added to the SCID mouse platelets, levels approaching 1 MC/μL reduced SCID platelet immunity to levels similar to BALB/c platelets. Characterization of the alloantibodies showed that the low levels of MC significantly influenced the isotype of the antidonor IgG; the presence of 1 MC/μL was associated with induction of noncomplement fixing IgG1 antidonor antibodies, whereas platelet transfusions, devoid of MC (<0.05/μL), were responsible for complement-fixing IgG2a production. When magnetically sorted defined subpopulations of MC were added to the SCID platelets, major histocompatability complex (MHC) class II positive populations, particularly B cells, were found to be primarily responsible for the reduced SCID mouse platelet immunity. The presence of low numbers of MC within the platelets was also associated with an age-dependent reduction in platelet immunogenicity; this relationship however, was not observed with SCID mouse platelets devoid of MC. The results suggest that a residual number of MHC class II positive B cells within allogeneic platelets are required for maximally reducing alloimmunization.
ashpublications.org