Expression of glycolipid blood group antigens in single human kidneys: change in antigen expression of rejected ABO incompatible kidney grafts

Kidney Int. 1993 Dec;44(6):1289-97. doi: 10.1038/ki.1993.381.

Abstract

Total neutral glycolipid fractions were separated into molecular species on thin-layer chromatography plates and detected by immunostaining with monoclonal anti-blood group antibodies. Blood group A antigens based on type 1, 2, 3 and 4 carbohydrate core saccharides were present in kidneys of A1 and A1B individuals. Blood group A2 individuals expressed only small amounts of A antigen compared to A1 individuals especially of the type 3 and 4 compounds. Kidneys from non-secretor individuals contained less A antigen compared to secretor individuals, and in both groups a variation in the antigen expression between single individuals was noted. Blood group A type 2 and 3 (which is an extension of A type 2) antigens were present both as basic 6 and 9 sugar structures as well as extended saccharide chains migrating in the 8 to 11 sugar interval. In contrast, the type 1 chain based A and Lewis antigens were only present as their basic 5 to 7 sugar chains, and no elongated structures were found. Four cases of A2 kidneys initially transplanted into O recipients and removed after 5, 12, 21 days and 4 years, respectively, were also analyzed. Two of these kidneys, originating from the same donor, showed a difference in A antigen expression. The kidney functioning for four years (lost due to chronic rejection) completely lacked X antigen with five sugar residues (present in all other individuals) and contained a large amount of A antigens.(ABSTRACT TRUNCATED AT 250 WORDS)

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • ABO Blood-Group System / immunology*
  • Autoradiography
  • Blood Group Antigens / immunology
  • Blood Group Incompatibility*
  • Chromatography, Thin Layer
  • Glycolipids / metabolism*
  • Graft Rejection / immunology*
  • Humans
  • Immunologic Techniques
  • Isoantigens / immunology*
  • Kidney / metabolism*
  • Lewis Blood Group Antigens / immunology
  • Staining and Labeling

Substances

  • ABO Blood-Group System
  • Blood Group Antigens
  • Glycolipids
  • Isoantigens
  • Lewis Blood Group Antigens