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临床输血与检验 ›› 2023, Vol. 25 ›› Issue (5): 625-630.DOI: 10.3969/j.issn.1671-2587.2023.05.008

• 临床输血 • 上一篇    下一篇

达雷妥尤单抗对凝聚胺技术检出IgG抗D抗体的影响

刘慧, 卓海龙, 骆群   

  1. 解放军总医院第五医学中心输血医学科,北京 100071
  • 收稿日期:2023-06-13 出版日期:2023-10-20 发布日期:2023-11-20
  • 通讯作者: 骆群,主要从事免疫血液学、重症疑难患者输血、治疗性单采及全血置换术等研究,(E-mail)luoq66@aliyun.com。
  • 作者简介:刘慧,主要从事临床输血研究,(E-mail)liuhui506925912@qq.com。

Daratumomab Interference in Polybrene Test Due to IgG Anti-D Antibody

LIU Hui, ZHUO Hailong, LUO Qun   

  1. The Fifth Medical Center of the General Hospital of the People's Liberation Army,Beijing 100071
  • Received:2023-06-13 Online:2023-10-20 Published:2023-11-20

摘要: 目的 观察达雷妥尤单抗对凝聚胺技术检出IgG类抗D抗体的影响。方法 选取10份AB型RhD阳性、不规则抗体筛查阴性的血浆样本,将每份标本各分装2 mL于3个试管中,分为3组,抗筛阴性对照组不做任何处理;加入IgG类抗D抗体的作为抗筛阳性对照组;加入达雷妥尤单抗(400 mg/20 mL)和IgG抗D试剂作为实验组。使用微柱凝胶卡法和凝聚胺法分别进行不规则抗体筛查试验,观察IgG抗D抗体的检出。结果 微柱凝胶卡法的抗体筛查试验结果显示:实验组(23.80±1.40)与阳性对照组(18.80±1.40)评分比较,差异有统计学意义(P<0.05);凝聚胺法的抗体筛查试验结果显示:实验组(14.80±2.53)与阳性对照组(14.80±2.53)评分比较,无统计学意义(P>0.05);且倍比稀释后实验组凝聚胺法对IgG抗D的检出下限同阳性对照组一致(1∶64)。结论 达雷妥尤单抗对凝聚胺法检出IgG类抗D抗体无影响,达雷妥尤单抗对微柱凝胶卡法检出IgG类抗D抗体有影响。

关键词: 达雷妥尤单抗, 同种抗体, 凝聚胺技术

Abstract: Objective To observe the effect of Daratumomab on detection of IgG anti-D antibody by polybrene test. Methods Ten plasma samples with AB RhD positive blood type and negative irregular antibody screening were selected, and each sample was divided into 3 groups by 2 mL in 3 tubes. Any substance was added in the antibody screening negative control group. IgG anti-D antibody was added in the antibody screening positive control group. Daretozumab (400 mg/20 mL) and IgG anti-D reagent were added in the experimental group. The irregular antibody screening test was performed by microcolumn gel card test and polybrene test to identify IgG anti-D antibody. Results There was significant difference between the experimental group (23.80±1.40) and the positive control group (18.80±1.40) by microcolumn gel card test (P<0.05). There was no significant difference between the experimental group (14.80±2.53) and the positive control group (14.80±2.53) by polybrene test (P>0.05). The lower limit of detection of IgG anti-D in the experimental group by polybrene test after dilution was the same result as that in the positive control group (1∶64). Conclusion Daretozumab has no effect on the detection of IgG anti D antibody by polybrene test, but has effect by the microcolumn gel card test.

Key words: Daratumomab, Alloantibody, Polybrene technique

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