IgA cold agglutinins recognize Pr and Sa antigens expressed on glycophorins

Three cases of IgAκ cold agglutinins (CAs) were studied. One had anti‐Pr1 specificity, one had anti‐Pra, and one had anti‐Sa. The CAs recognize O‐glycans of glycophorins. The findings supplement previous data on anti‐Pr1 specificities of four IgAκ CAs. Because all IgA kappa CAs described recognize O‐glycans of glycophorins, a close association between the CA IgA isotype and specificities for O‐glycans becomes apparent. It is unlikely, however, that the striking association reflects interrelations between IgA CA structure and specificity, because anti‐Sa specificity and all anti‐Pr subspecificities were originally defined with IgM CAs.

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