A prominent lack of IgG1-Fc fucosylation of platelet alloantibodies in pregnancy

Author:

Kapur Rick1,Kustiawan Iwan2,Vestrheim Anne34,Koeleman Carolien A. M.5,Visser Remco1,Einarsdottir Helga K.1,Porcelijn Leendert6,Jackson Dave7,Kumpel Belinda7,Deelder André M.5,Blank Dennis5,Skogen Björn89,Killie Mette Kjaer89,Michaelsen Terje E.34,de Haas Masja1,Rispens Theo2,van der Schoot C. Ellen1,Wuhrer Manfred5,Vidarsson Gestur1

Affiliation:

1. Department of Experimental Immunohematology and

2. Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands;

3. Department of Bacteriology and Immunology, Norwegian Institute of Public Health, Oslo, Norway;

4. School of Pharmacy, University of Oslo, Oslo, Norway;

5. Biomolecular Mass Spectrometry Unit, Leiden University Medical Center, Leiden, The Netherlands;

6. Thrombocyte and Leukocyte Serology, Sanquin, Amsterdam, The Netherlands;

7. Bristol Institute for Transfusion Sciences, National Health Service Blood and Transplant, Bristol, United Kingdom;

8. Institute of Medical Biology, University of Tromso, Tromso, Norway; and

9. University Hospital of North Norway, Tromso, Norway

Abstract

Key Points Antibodies causing FNAIT have decreased Fc fucosylation, unlike in refractory thrombocytopenia. Decreased Fc fucose increases affinity to FcγRIIIa/b, enhances platelet phagocytosis, and correlates with increased disease severity.

Publisher

American Society of Hematology

Subject

Cell Biology,Hematology,Immunology,Biochemistry

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