A comparison of the reactivity of monoclonal and polyclonal Rh reagents with red cells after prolonged storage.
Previous studies with stored red cells collected into EDTA anticoagulant had shown that commercial polyclonal anti-C, -c, and -E reagents gave acceptable reactions for 60 days, hut polyclonal anti- e reagents reliably detected the e antigen only through 14 days. At that time it was noted that a monoclonal anti-e reacted 3+ to 4+ with red cells that no longer reacted, or reacted very weakly, with the polyclonal anti-e reagents. This observation led to a comparison study of the reactivity of monoclonal versus polyclonal R h reagents with stored red cells. Monoclonal and polyclonal anti-C, -c, and -E reagents showed comparable reaction strengths, and gave acceptable reactions over the entire testing period. Polyclonal anti-e reagents, which are known to he of lower titer, again did not give reliable reactions with stored cells after 14 days. However, three different monoclonal anti-e reagents were able to detect the presence of the e antigen on stored cells for many weeks, This study showed that the monoclonal anti-e reagents tested are superior to polyclonal anti-e reagents for typing specimens that have been stored for more than 14 days.
Westhoff
C M
CM
Blood Bank Consultation Services, Clinical Laboratories of Lincoln/A Nichols Institute Laboratory, and the University of Nebraska, 338 Manter Hall, Lincoln, NE 68688-0118, USA.
Sipherd
B D
BD
Toalson
L D
LD