The proposita was a healthy 51-year-old female donor who was brought to our attention when her serum reacted with all the cells tested except two Ko samples by saline, bromelin, albumin and anti-globulin methods.
The proposita's cells failed to react with anti-K, anti-k, anti-Kp
a, anti-Kp
b, anti-Kp
c, anti-Js
a, anti-Js
b and anti-Ku as expected. These negative reactions were reconfirmed by absorption-elution tests with appropriate sera. These findings indicated that the proposita was Ko with anti-Ku in her serum. Furthermore, she was found to be SS besides Ko, which is exceedingly rare in Japanese.
A family study disclosed that the Ko phenotype occurred in two successive generations.
Our experiments showed that the three samples of anti-Ku including the proposita's were absorbed by cells from the platelets layer, but the other antibodies of the Kell system such as anti-k, anti-Kp
b, anti-Kp
c and anti-Js
b were not.
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