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Biomedical subjects

C M Giles

Publications and source records attributed to C M Giles.

At least 55 records · Page 3Linked to original sources

Further examples of human anti-Me found in sera of Israeli donors.

A number of Israeli donors had anti-M in their sera, a proportion of which cross-reacted with N He(+) red cells. Anti-Me was detected and while the reactivity with M and He determinants could be separated by using trypsin-treated red cells, the cross-reactivity for M and He determinants was complete in absorption experiments. One serum had anti-M separable from anti-Me and another apparent anti-M was absorbed by trypsin-treated N He(+) red cells.

Absorption↗

An international reference typing for Ch and Rg determinants on rare human C4 allotypes.

Red cells, serum and plasma samples of 20 individuals, selected for their C4 allotypes, were distributed from Bonn to five laboratories, for investigation of their Chido (Ch) and Rodgers (Rg) determinants. One anti-Ch (M.H.) and one anti-Rg(Prest.) were distributed, but the individual laboratories also used their own reagents and their own typing methods. There was general agreement in interpretation of the majority of samples. Partial inhibition for Ch and Rg was detected. Two samples gave anomalous results; one sample with C4 A1,3 BQO, QO had Ch determinants on the red cells and in plasma (partial inhibition), and another sample with C4 A3,4 B5, QO apparently lacked Ch determinants on the red cells and in plasma. Heterogeneity of anti-Ch and anti-Rg was suggested in testing red cells, perhaps, reflecting a quantitative effect. This heterogeneity was confirmed by inhibition studies. The capacity of some reagents to detect partial inhibition probably reflects qualitative as well as quantitative differences.

Alleles↗

Anti-C4 in the serum of a transfused C4-deficient patient with systemic lupus erythematosus.

A C4-deficient patient with systemic lupus erythematosus had been transfused on several occasions. His red cells reacted with a proportion of anti-Rg (Rodgers) and anti-Ch (Chido) reagents, but this was due to a separable antibody that did not have anti-Rg or anti-Ch specificity. Eluates of anti-Rg and anti-Ch indicate his red cell phenotype to be Rg-Ch-. Anti-C4 has been identified in his serum that exhibits neither anti-Rg nor anti-Ch specificity, but has similar serological characteristics in reacting with C4- and C4d-coated red cells.

Adult↗

Rodgers (Rg) and Chido (Ch) determinants on human C4: characterization of two C4 B5 subtypes, one of which contains Rg and Ch determinants.

The genetically determined polymorphism of the fourth component of human complement was further extended with the aid of a panel of human allo-anti-C4 sera, anti-Rodgers and anti-Chido. These antisera were found previously to react with the alpha-chains of the C4 molecules controlled by the C4A and C4B loci, respectively. We analyzed a number of new and rare C4 allotypes, and found that they generally followed the expected pattern. Some interesting exceptions, however, were found. The alpha-chain of the allotype C4A1 was found to react with anti-Chido, unlike all other C4A allotypes. Also the C4B5 allotype could be subdivided into two subtypes on the basis of their reaction with anti-Rodgers. They were tentatively named B5Rg+ and B5Rg-. Moreover, the B5Rg+ subtype reacted not only with anti-Rodgers but also with some anti-Chido sera, indicating for the first time that Chido and Rodgers determinants are present on the same allotype.

Antigen-Antibody Reactions↗

Extended MHC haplotypes in 21-hydroxylase-deficiency congenital adrenal hyperplasia: shared genotypes in unrelated patients.

HLA, complement, and glyoxalase I alleles were studied in 29 families in which at least one member has classical 21-hydroxylase-deficiency congenital adrenal hyperplasia. A rare complement allele, C4B*31, was found in over 20% of the haplotypes defined in these families and was always part of the complement haplotype BF*F, C2*C, C4A*Q0, C4B*31 (abbreviated FCO,31). The haplotype containing this rare set of complement alleles always carried the rare HLA allele, HLA-Bw47, usually carried HLA-A3, and almost always had the alleles HLA-Cw6, HLA-DR7, and the glyoxalase I (GLO) allele GLO1. Thus over 20% of the haplotypes in the population studied contained all or almost all of the rare extended haplotype HLA-(A3), Bw47, Cw6,DR7, FCO,31, GLO 1. 3 other haplotypes were each found twice in unrelated patients concordant for their disease phenotype and ethnic background. Extended MHC haplotypes may be markers for different genetic mutations causing 21-hydroxylase deficiency.

Adrenal Hyperplasia, Congenital↗

A detailed serological study of five anti-Jka sera reacting by the antiglobulin technique.

Detailed serological investigation of five examples of anti-Jka revealed considerable heterogeneity in their characteristics. All the sera were investigated by the antiglobulin technique, with and without complement and by a range of sensitization and testing methods. Three were readily detected in the presence of complement, while two were detectable with anti-IgG, providing a spin test was used. Complement was bound by all and resulted in enhanced reactions, particularly when slide/tile tests were used. The study emphasizes that anti-complement (C3) is an essential component of polyspecific antiglobulin reagents used in cross-matching, enabling the ready detection of these clinically important antibodies.

Antigen-Antibody Reactions↗

Observations on the Anton antigen and antibody.

Five antisera with Anton specificity were studied serologically. The determinant is not sensitive to treatment by proteolytic enzymes (notably trypsin) and is present on cells of the recessive type of Lu(a-b-) phenotype. The Anton 'para-Lutheran' antigen/antibody therefore seems to be associated with the Lutheran blood group system only by means of cells of the dominant type of the Lu(a-b-) phenotype which is controlled by In(Lu), a gene independent of the Lutheran locus.

Epitopes↗

Skjelbred, a low frequency antigen in serum and on red cells.

The Skjelbred (Sk) antigen has been studied in the donor population of South London and found to have a frequency of 0.0035%. Its presence in serum as well as on red cells, its transient nature and its absence in relatives of Sk(+) individuals are suggestive of a non-genetic background for Sk. The antibody is not uncommon in normal donor sera (3--12%).

Adsorption↗

The LW blood group: a review.

A review of the LW blood group antigen and antibodies is given. Early association with the D(Rho) antigen proved to be at a phenotypic level, as the LW and Rh genes were seen to be inherited independently. The present state of knowledge is collated and reassessed.

Animals↗

Probable EnaEn heterozygotes in two British families.

An investigation of the serological and biochemical properties of red cells in two unrelated British families revealed the probable presence of examples of the rare genotype EnaEn. In one family the En-modified red cells carried N-like determinants associated with s. In the other family M-like determinants associated with S were found.

Blood Group Antigens↗

Two apparently healthy Japanese individuals of type MkMk have erythrocytes which lack both the blood group MN and Ss-active sialoglycoproteins.

A Japanese blood donor (H. T.) and his brother (M. S.) are the first homozygous MkMk individuals described; their red cells lack, as expected, known antigens of the MNSs blood group system and also have no demonstrable MN-active and Ss-active glycoproteins. Both MkMk individuals have a naturally occurring atypical antibody in their serum. The antibody in the serum of H. T. is inhibited by MNSs-active glycoprotein preparations from normal erythrocytes.

Animals↗

Mk in three generations of an English family.

Mk was demonstrated in three generations of an English family. The propositus was detected as a result of an incompatibility in cross-match. General serological, biochemical and biophysical aspects have been studied.

ABO Blood-Group System↗