Human Platelet‐Specific Alloantigens: Update

Platelet alloantigens and their respective alloantibodies play an important role in immune-mediated platelet disorders. There are essentially three clinical conditions caused by platelet alloantibodies: Neonatal alloimmune thrombocytopenia (NAIT), posttransfusion purpura (PTP) and platelet transfusion refractoriness (1). In addition, two rare alloimmune thrombocytopenia syndromes were described: passive alloimmune thrombocytopenia (2) and transplantation-associated thrombocytopenia (3). In the past two decades considerable progress has been made in the characterization of platelet alloantigens. The use of serological antigen capture assays such as the monoclonal antibody immobilization of platelet antigens (4) and immunochemical methods led to a rapid increase in the number of newly recognized platelet alloantigens. The introduction of PCR technology for amplification of platelet specific mRNA (5 ) made the characterization of platelet alloantigens possible at the molecular level. Based on the molecular genetic basis of platelet alloantigens a number of genotyping techniques could be developed. In this chapter, we will briefly review the progress of the molecular genetics and the structure of human platelet alloantigens. Platelet alloantigenslantibodies

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