Fab-mediated binding of drug-dependent antibodies to platelets in quinidine- and quinine-induced thrombocytopenia

J Clin Invest. 1985 Jan;75(1):310-4. doi: 10.1172/JCI111691.

Abstract

Platelets coated with quinine- or quinidine-induced antibodies form rosettes around protein A-Sepharose beads and normal platelets form rosettes about protein A-Sepharose beads coated with these antibodies. These reactions occurred only in the presence of sensitizing drug. Platelets also formed rosettes about protein A-Sepharose beads coated with an anti-PIA1 antibody, but drug was not required. Formation of rosettes between antibody-coated platelets and protein A-Sepharose was inhibited by F(ab')2 fragments of goat antibody specific for the Fc portion of human IgG, while rosette formation between antibody-coated protein A-Sepharose and platelets was inhibited by F(ab')2 fragments directed against the F(ab')2 portion of the IgG molecule. Since binding of IgG to protein A is known to occur via the Fc region, these findings suggest that binding of drug-induced antibodies to platelets occurs at the Fab domains of the IgG molecule.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Antibodies / metabolism*
  • Antibodies, Anti-Idiotypic / pharmacology
  • Blood Platelets / immunology
  • Blood Platelets / metabolism*
  • Depression, Chemical
  • Humans
  • Immunoglobulin Fab Fragments / immunology
  • Immunoglobulin Fab Fragments / metabolism
  • Immunoglobulin Fab Fragments / pharmacology*
  • Immunoglobulin Fc Fragments / immunology
  • Protein Binding
  • Quinidine / adverse effects*
  • Quinidine / immunology
  • Quinine / adverse effects*
  • Quinine / immunology
  • Receptors, Antigen, B-Cell
  • Rosette Formation
  • Staphylococcal Protein A / metabolism
  • Thrombocytopenia / chemically induced*

Substances

  • Antibodies
  • Antibodies, Anti-Idiotypic
  • Immunoglobulin Fab Fragments
  • Immunoglobulin Fc Fragments
  • Receptors, Antigen, B-Cell
  • Staphylococcal Protein A
  • Quinine
  • Quinidine