[Antibodies against megakaryocytes in chronic idiopathic thrombocytopenic purpura in children]. 1984

I W Koschel, and K O Omarowa, and N A Torubarowa

Antibodies against megakaryocytes into the bone-marrow were investigated with the aid of direct immunofluorescence in 56 children with chronic-idiopathic thrombocytopenic purpura (ITP) and in 10 children of a control group. The megakaryocyte concentrate of the bone-marrow was produced by using a density grade separation with percoll. In children of the control group, small amounts of fixed immunoglobulins of all three main classes (G, A and M) could only be found on the membrane of megakaryocytes. It was only in some cases that illuminating granules could be identified on the membrane. In patients with ITP the number of megakaryocytes with IgG fixed to the membrane was 10 times higher than in the control group. Immunofluorescence was evident and could be seen to cover part of the cell periphery or even the whole of it. By using an effective hormone therapy the number of megakaryocytes with IgG fixed to the membrane could be shown to have a tendency to diminution, attaining its control level, however, only after splenectomy. The findings obtained point to the possibility of forming antibodies directed against megakaryocytes and they emphasize the possibility of an immunopathologic trouble of thrombopoiesis in chronic ITP.

UI MeSH Term Description Entries
D008297 Male Males
D008533 Megakaryocytes Very large BONE MARROW CELLS which release mature BLOOD PLATELETS. Megakaryocyte
D011696 Purpura, Thrombocytopenic Any form of purpura in which the PLATELET COUNT is decreased. Many forms are thought to be caused by immunological mechanisms. Purpura, Thrombopenic,Purpuras, Thrombocytopenic,Purpuras, Thrombopenic,Thrombocytopenic Purpura,Thrombocytopenic Purpuras,Thrombopenic Purpura,Thrombopenic Purpuras
D011947 Receptors, Antigen, B-Cell IMMUNOGLOBULINS on the surface of B-LYMPHOCYTES. Their MESSENGER RNA contains an EXON with a membrane spanning sequence, producing immunoglobulins in the form of type I transmembrane proteins as opposed to secreted immunoglobulins (ANTIBODIES) which do not contain the membrane spanning segment. Antigen Receptors, B-Cell,B-Cell Antigen Receptor,B-Cell Antigen Receptors,Surface Immunoglobulin,Immunoglobulins, Membrane-Bound,Immunoglobulins, Surface,Membrane Bound Immunoglobulin,Membrane-Bound Immunoglobulins,Receptors, Antigen, B Cell,Surface Immunoglobulins,Antigen Receptor, B-Cell,Antigen Receptors, B Cell,B Cell Antigen Receptor,B Cell Antigen Receptors,Bound Immunoglobulin, Membrane,Immunoglobulin, Membrane Bound,Immunoglobulin, Surface,Immunoglobulins, Membrane Bound,Membrane Bound Immunoglobulins,Receptor, B-Cell Antigen,Receptors, B-Cell Antigen
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D001323 Autoantibodies Antibodies that react with self-antigens (AUTOANTIGENS) of the organism that produced them. Autoantibody

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