[Autologous autotransfusion].
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Biomedical subjects
Publications and source records attributed to V Sachs.
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An obviously new phosphoglycolate phosphatase (PGP) gene product (PGP Sumatra) was detected by use of horizontal starch gel electrophoresis (SGE). The observed phenotype PGP (1-Sumatra) can be distinguished from any known PGP type.
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The introduction of a standardized paternity in index (PI) for the statistical evaluation of blood group findings in cases of disputed paternity is proposed and explained. Using the PI X/Y as a parameter, it is not necessary to give the probability of paternity in percent. The PI includes the full information of the blood group findings. In addition to that, using the suggested standardization based on the probabilities of error according to Schulte Mönting and Walter, the test volume is also taken into account. The interpretation of the mathematical result is given by verbal predicates, the limitations of which are dependent on the verbal predicates for the probabilities of error according to Schulte Mönting and Walter, published by us previously. Besides the essential fact that the test volume is taken into account, the most important advantage of this procedure is that the mathematical result is involved in the court decision only by the PI (which is free of any valuation) and its verbal predicate and not by sometimes relatively high percentages, which may be misunderstood by laymen.
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A new variant of the PGMa1 erythrocyte enzyme system not identical with the known variants of the system has been detected in the hemolyzed red blood cells of a healthy blood donor by isoelectric focusing. Using this technique the variant is represented by two bands, a strong and slow one more cathodically located than the a3 band and a weak one in the position of the a2 band. Using agarose thin layer or acetate foil electrophoresis the variant is represented only by a minimal cathodic broadening of the PGM1 1 band and therefore it is easily overlooked. Investigation of the propositus' family shows that the variant occurs combined with the common alleles PGMa1(1), PGMa1(2), and PGMa1(3) and that it has an autosomal dominant inheritance. Obviously the variant has a very low frequency.
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Studies carried out on the red cells of a patient with autoanti-B agglutinin gave further evidence that it is probably not modified red cell antigens which cause autoantibody formation.
The serum of a patient (Mr. Lat) with the regular blood group A1 B contains an anti-B reacting with all cells having a B antigen except Bx and cis AB. The anti-B reacts at 4 degrees C and occasionally at room temperature as shown by agglutination, absorption-eluction and by thermo-dynamic assays. The antibody is regarded as an irregular autoantibody belonging to the group of the so called "suppressed" or "latent" antibodies.
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In order to desintegrate the membranes and to isolate Rh antigens erythrocytes with well defined Rh patterns are treated with ultrasonic waves. The results of investigation of the homogenous sonicates allow the following tentative conclusions: The Rh antignes (C and E) are combined obviously with certain functional membrane areas of a given size. After sonication the activity of the sonicate to neutralize specific antibodies is greater than the activity of the same amount of untreated cells. It is supposed that this effect is caused by making accessible hidden antigens that are inaccessible in the intact membrane. Immunization of rabbits with the sonicates does not stimulate Rh-specific antibodies.
Erythrocytes of group 0 cde/cde successively treated with bromelin and beta-glucuronidase (DFE) react not only with antibodies (anti-DFE) contained in the IgM-fraction of each human serum but also with Rh-specific antibodies of the IgG-fraction of anti-Rh-sera. This indicates, that the enzyme treatment makes accessible two different possibly crossreacting structures. Since anti-DFE is contained in the IgM-fraction of all human-sera, the antigenic determinant reacting with anti-DFE is considered a polyagglutinogen not identical with the well known polyagglutination-phenomena (T, Tn and Cad) as it is shown by comparative investigations with anti-T and anti-Tn as well as anti-Cad active seed extracts.
According to the hypothesis of Ceppellini and Morgan the Lewis blood groups are formed by the secondary attachment of the Lewis substances to the red blood cells and this process is genetically controlled by the genes of the ABH und Lewis(a)-substance secretion (SE, se, L and 1). The correctness of this hypothesis is demonstrated by determination of the Lewis blood groups and the ABH and Lewis secretor status with different suitable antisera and by estimation of the gene frequencies Se, se, L and 1 in a sample of 382 blood donors from Schleswig-Holstein and by determination of the same groups in 73 pairs of parents with 156 children. There are no significant differences between observation and expectation in the sample as well as in the family investigation and there are no critical pairs of parents having children with "impossible" Lewis blood group. The results suggest to make more use of the Lewis blood groups.
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