title: ABO blood type predicts the cytolocalization of anti-P-glycoprotein monoclonal antibody reactivity in human colon and ureter.
abstract: Classic multidrug resistance is mediated by a P-glycoprotein. Using monoclonal antibody C219 (MAb C219) in an immunohistochemical study, we found high levels of putative Golgi P-glycoprotein in normal columnar and transitional epithelium in subpopulations of patients with specific blood types. For example, Golgi staining was present in blood type A patients in 46% of normal colon samples (N = 21) and 88% of normal ureter samples (N = 17). In comparison, Golgi staining was present in blood group O patients in only 6% of normal colon samples (N = 34) and in 0% of normal ureter samples (N = 19). The association of MAb C219 Golgi staining with blood type A and lack of Golgi staining with blood type O was statistically significant in normal colon (P = .001) and normal ureter (P less than .0001). Inappropriate hyperexpression of P-glycoprotein was frequently found in colon carcinomas. Additional evidence that Golgi MAb C219 reactivity represents P-glycoprotein is presented. This includes (1) immunostaining of Golgi with two anti-P-glycoprotein MAbs, C219 and JSB-1, and (2) experiments in which Mab C219 Golgi reactivity was blocked by preincubation of MAb C219 with a specific P-glycoprotein epitope-containing peptide. The high degree of association of Golgi P-glycoprotein with blood type A may suggest a role for P-glycoprotein in processing or trafficking of specific blood group antigens.
authors.affiliation: Department of Pathology, Rush Medical College, Chicago, IL.
authors.forename: R S
authors.initials: RS
authors.lastname: Weinstein
authors.forename: J R
authors.initials: JR
authors.lastname: Kuszak
authors.forename: S M
authors.initials: SM
authors.lastname: Jakate
authors.forename: M D
authors.initials: MD
authors.lastname: Lebovitz
authors.forename: L F
authors.initials: LF
authors.lastname: Kluskens
authors.forename: J S
authors.initials: JS
authors.lastname: Coon
mesh_terms: D000017:ABO Blood-Group System; D020168:ATP Binding Cassette Transporter, Subfamily B, Member 1; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000911:Antibodies, Monoclonal / Q000276:immunology; D000937:Antigen-Antibody Reactions; D003106:Colon / Q000032:analysis* / Q000473:pathology; D003110:Colonic Neoplasms / Q000032:analysis / Q000097:blood / Q000473:pathology; D004351:Drug Resistance; D004848:Epithelium / Q000032:analysis; D005260:Female; D006801:Humans; D007150:Immunohistochemistry; D008297:Male; D008562:Membrane Glycoproteins / Q000032:analysis*; D008875:Middle Aged; D014407:Tumor Cells, Cultured / Q000032:analysis / Q000187:drug effects; D014513:Ureter / Q000032:analysis*
chemical_list: D000017:ABO Blood-Group System; D020168:ATP Binding Cassette Transporter, Subfamily B, Member 1; D000911:Antibodies, Monoclonal; D008562:Membrane Glycoproteins