title: [Carbohydrate auto-antigens in auto-immune hemolytic anemia].
abstract: Anti-erythrocyte antibodies which appear in the sera of patients with auto-immune hemolytic anemia frequently recognize carbohydrate auto-antigens. Most of cold agglutinins are known to recognize the Ii-antigens, and Donath-Landsteiner antibodies which appear in patients with paroxismal cold hemoglobinuria are almost exclusively directed to the P-antigen. These carbohydrate auto-antigens are strongly expressed in various tissues and organs other than erythrocytes, and behave as differentiation- or developmental-antigens, in both humans and mice. The study of nucleotide sequences of human and murine anti-Ii antibodies shows that these antibodies share a highly homologous antigen-binding site in their VH regions. These results indicate that the carbohydrate auto-antigens in autoimmune hemolytic anemia are evolutionally conserved developmental antigens, and suggest that the immunoglobulin genes which encode variable regions of the auto-antibodies directed to these antigens are also conserved evolutionally.
authors.affiliation: Department of Laboratory Medicine, Kyoto University, School of Medicine.
authors.forename: R
authors.initials: R
authors.lastname: Kannagi
authors.forename: K
authors.initials: K
authors.lastname: Zenita
authors.forename: T
authors.initials: T
authors.lastname: Tsunematsu
mesh_terms: D000744:Anemia, Hemolytic, Autoimmune / Q000276:immunology*; D001323:Autoantibodies / Q000235:genetics / Q000276:immunology; D001324:Autoantigens / Q000378:metabolism*; D001483:Base Sequence; D002241:Carbohydrates / Q000276:immunology*; D004912:Erythrocytes / Q000276:immunology; D006801:Humans; D008969:Molecular Sequence Data
chemical_list: D001323:Autoantibodies; D001324:Autoantigens; D002241:Carbohydrates