A(2) cord bloods do not react with Dolichos bif. anti-A and their H status
is equivalent to that of group O cord bloods, indicating that the A components
of these bloods are formed independently of H.
Bloods reacting with Dolichos bif. extract require H for the development of
their A(1) components and this is reflected in the lower H status of these bloods.
As the alternative pathway is necessary for the development of the first formed
parts of A both the alternative and the orthodox pathways are necessary for the
development of bloods with A(1) components.
Extracts from seeds of Lotus tetragon.,
Cytisus sessil, and Laburnum alp. give lower titration
scores with O H + ii cells than with O H + I + cells
although both have a similar H status in studies with
Ulex europ. reagent. Absorption and elution studies
indicate that the Lotus extract contained anti-HI agglutinins with little activity for
OH+ii cells whereas the Cytisus and Laburnum extracts contained anti-HI-H
agglutinins that cross-reacted with O H+ ii cells.
Lactose (7.1g/100ml) strongly inhibited the anti-HI-H reactions with little
effect on the Ulex anti-H reagent. The anti-HI/HI-H reagents gave maximum
activity at lower temperatures whereas the Ulex anti-H extract was just as active
at 37°C as at 4°C.
Studies on seventy-five sera containing antibodies of the H‘0’I-B complex
together with a survey of studies by other workers show that many of the
antibodies formerly called anti-‘0’ and some of those called anti-H are in fact
reacting with a joint product of the H and I genes.
The serological specificities of these antibodies were shown by agglutination
tests with cells of known H and I or B and I status, together with the use of neutralisation
and absorption techniques. These tests revealed that many of the sera
contain mixtures of antibody specificities.
The occurrence of anti-H-HI antibodies is probably associated with pregnancy.
An H notation based on that proposed by Wiener et al. is recommended for
use in the classification of these antibodies.
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