A Case of Polyagglutination due to T Activation.
- Author:
Hyun Ok KIM
;
Jin Ju KIM
;
Sung Suk CHOI
- Publication Type:In Vitro ; Case Report
- MeSH:
Adult;
Arachis;
Blood Transfusion;
Erythrocytes;
Female;
Glycophorin;
Humans;
Infant;
Lectins;
Membranes;
Meningitis, Bacterial;
N-Acetylneuraminic Acid;
Neuraminidase;
Peanut Agglutinin;
Streptococcus pneumoniae
- From:Korean Journal of Blood Transfusion
1996;7(2):263-268
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Red blood cells that agglutinate with most normal adult sera but never with own sera are termed polyagglutinable and can be separated by patterns of lectin reactivity into various types. Among these polyagglutination, activation of the T cryptantigen occurs when carbohydrate structures on glycophorins A and B lose sialic acid and express the disaccharide Gal beta-l-3 GalNac which reacts with the peanut agglutinin, a lectin from Arachis hypogaea. T activation is a temporary condition due to exposure of the membrane antigen to the action of microbial neuraminidase. In T activated red cells, the following hazards, which are theoretically possible, are spontaneous polyagglutination of red cells in vitro, in vivo and severe blood transfusion reactions. We experienced a case of T activation in 6 month old girl with bacterial meningitis caused by Streptococcus pneumoniae. The reactivity to lectins indicated the patient's red cells were T activated. We report a case of T activation in an infant with the review of literature.
