Zusammenfassung
Aufgrund der Besonderheiten der Thrombocytenmembran mit genetisch determinierten, immunogenen Merkmalen einerseits und hämostatischen Funktionen andererseits nehmen Blutplättchen an Immunreaktionen nicht nur passiv als Zielzelle, sondern auch aktiv als Funktionszelle teil. Es wird eine Übersicht über tierexperimentelle Befunde und Ergebnisse von bisher vorliegenden in vivo- und in vitro-Untersuchungen mit menschlichen Blutplättchen gegeben und die Bedeutung thrombocytärer Immunreaktionen für die Pathogenese von hämorrhagischen Diathesen erörtert.
Summary
It is recognized that blood plaetelets with a peculiar cell membrane which carries numerous genetically determined immunogens, but is also intricately associated with the hemostatic process not only participate in immune reactions as a passive target cell, but also as an active functional cell. Pertinent results of animal experiments and of in vivo and in vitro investigations with human blood platelets are reviewed in the attempt to elucidate the role of immune reactions of platelets in the pathogenesis of various human bleeding disorders.
Literature
Achard, Ch., Aynaud, M.: Les glubulines dans l'anaphylaxie. C.R. Soc. Biol.67, 83 (1909)
Ackroyd, J.E.: Allergic purpura, including purpura due to food, drugs and infections. Amer. J. Med.14, 605 (1953)
Adner, M.M., Fisch, G.R., Starobin, S.G., Aster, R.H.: Use of “compatible” platelet transfusions in treatment of congenital isoimmune thrombocytopenic purpura. N. Engl. J. Med.280, 244 (1969)
Ancona, G.R., Ellenhorn, M.J., Falconer, E.H.: Purpura due to food sensitivity: use of skin testing in etiologic diagnosis. J. Allergy22, 487 (1951)
Barbaro, J.F.: The release of histamine from rabbit platelets by means of antigen-antibody precipitates. J. Immunol.86, 369 (1961)
Bettex-Galland, M., Lüscher, E.F., Simon, G., Vassalli, P.: Induction of viscous metamorphosis of human blood platelets by means other than thrombin. Nature (Lond.)200, 1109 (1963)
Bettex-Galland, M., Lüscher, E.F.: Untersuchungen über die Auslösung der viskösen Metamorphose der menschlichen Blutplättchen durch Immunkomplexe. Pathol. Microbiol.27, 533 (1964)
Blombäck, M., Johansson, St.-A., Sjöberg, H.-E.: Coagulation factors and defibrination syndrome in anaphylaxis. Acta physiol. Scand.69, 313 (1967)
Bokisch, V.A., Top, F.H., Russell, P.K., Dixon, F.J., Müller-Eberhard, H.J.: The potential pathogenic role of complement in dengue haemorrhagic shock syndrome. N. Engl. J. Med.289, 996 (1973)
Boxtel van, C.J., Engelfriet, C.P., Feltkamp, T.E.W.: Immunofluorescence microphotometry for the detection of platelet antibodies. I. Standardization of the method. Scand. J. Immunol.2, 217 (1973)
Boxtel van, C.J., Engelfriet, C.P.: Immunofluorescence microphotometry for the detection of platelet antibodies. II. Sensitivity of the method compared with that of conventional serological methods. Scand. J. Immunol.2, 532 (1973)
Bridges, J.M., Baldini, M., Fichera, C., Dameshek, W.: Effect of antiplatelet antibodies on the in vitro uptake of 5-hydroxy-tryptamine by blood platelets. Nature (Lond.)197, 364 (1963)
Colman, R.W., Braun, W.E., Busch, G.J., Dammin, G.J., Merrill, J.P.: Coagulation studies in the hyperacute and other forms of renal allograft rejection. N. Engl. J. Med.281, 685 (1969)
Davis, J.W., Wilson, S.J.: Quinidine effect on platelet uptake and release of serotonin. Blood24, 841 (1964)
De Gaetano, G., Vermylen, J., Verstraete, M.: Platelet aggregation by a specific human immunoglobulin preparation. Thromb. Diath. haemorrh.24, 419 (1970)
Denk, H., Fischer, M., Pilgerstorfer, H.W., Schnack, H.: Immunfluroeszenzmikrophotometrie zur quantitativen Erfassung antithrombozytärer Autoantiköprer. Thromb. Diath. haemorrh.21, 387 (1969)
Dixon, E.J. In: Harrison's Principles of Internal Medicine. 7. Edition, McGraw-Hill Book Comp., New York 1974, p. 381
Dutton, L.O.: Thrombocytopenic purpura due to food allergy. J. Am. med. Ass.111, 1920 (1938)
Eagle, H., Johnston, C.G., Ravdin, J.S.: On the prolonged coagulation time subsequent to anaphylactic shock. Johns Hopkins Hosp. Bull.60, 428 (1937)
Fatzer, H.: Schwere thrombopenische Purpura nach Insektenstich. Folia Haematol.63, 145 (1939)
Gockerman, J.P., Shulman, N.R.: Isoantibody specificity in posttransfusion purpura. Blood41, 817 (1973)
Gorstein, F., Pan, C., Shinowara, G.S., Miescher, P.: Studies of platelet specific antigens by means of heterospecific antisera. Vox Sang.6, 669 (1961)
Greenwood, B.M., Brueton, M.J.: Complement activation in children with acute malaria. Clin. exp. Immunol.18, 267 (1974)
Gross, W., Heinrich, D., Walker, P., Mersch-Baumert, K., Mueller-Eckhardt, Ch.: Evidence of platelet complement-fixing and lymphocytotoxic anti-A1 antibodies. Blut30, 101 (1975)
Heinrich, D., Mueller-Eckhardt, Ch., Kessler, Ch.: The influence of HL-A-specific, complement-fixing isoantibodies on platelet function in vitro. Z. Immun.-Forsch.147, 8 (1974)
Hirschman, R.J., Shulman, N.R.: The use of platelet serotonin release as a sensitive method for detecting anti-platelet antibodies and a plasma anti-platelet factor in patients with idiopathic thrombocytopenic purpura. Brit. J. Haemat.24, 793 (1973)
Horowitz, H.I., Des Prez, R.M., Hook, E.W.: Activation of platelet factor 3 by bacterial endotoxin and by immune reactions. Blood20, 760 (1962)
Horowitz, H.I., Nachman, R.L.: Drug purpura. Seminars in Hematology2, 287 (1965)
Humphrey, J.H., Jaques, R.: The release of histamine and 5-hydroxytryptamine (serotonin) from platelets by antigen-antibody reactions (in vitro). J. Physiol. (Lond.)128, 9 (1955)
Israels, E.D., Nisli, G., Paraskevas, F., Israels, L.G.: Platelet Fc receptor as a mechanism for Ag-Ab complex-induced platelet injury. Thromb. Diath. haemorrh.29, 434 (1973)
Johansson, St.-A.: Studies on platelets and heparin during sensitization and anaphylaxis. Acta allergol.19, 142 (1964)
Karpatkin, S., Siskind, G.W.: Effect of antibody binding and agglutination on human platelet glycolysis: Comparison with thrombin and epinephrin. Blood30, 617 (1967)
Karpatkin, S., Siksind, G.W.: In vitro detection of platelet antibody in patients with idiopathic thrombocytopenic purpura and systemic lupus erythematosus. Blood33, 795 (1969)
Karpatkin, S.: Drug-induced thrombocytopenia. Amer. J. med. Sci.262, 69 (1971)
Katz, G.: Histamine release from blood cells in anaphylaxis in vitro. Science (Wash. D.C.)91, 221 (1940)
Kincaid-Smith, P.: Histological diagnosis of rejection of renal homografts in man. Lancet II, 849 (1967)
King, H.E., Cooper, T.: Thrombocytopenia: a clinical analysis of 500 cases. Postgrad. Med.31, 532 (1962)
Kluge, A., Krah, E., Franz, H.E.: Cellano-Sensibiliserung mit hämolytisch-hämorrhagischem Transfusionszwischenfall. Blut18, 267 (1969)
Kopeloff, N., Kopeloff, L.M.: Blood platelets in anaphylaxis. J. Immunol.40, 471 (1941)
Kugelmass, J.N.: Thrombocytopenic purpura induced by pertussis toxin in allergic children. J. Am. med. Ass.107, 2120 (1936)
Lasch, H.G., Heene, D., Mueller-Eckhardt, Ch.: Hämorrhagische Diathesen. In: Klinische Hämatologie (H. Begemann, Ed.) 2. Auflage, Stuttgart 1975
Lavy, R.: Thrombocytopenic purpura due to lupinus termis bean. J. Allergy35, 386 (1964)
Ledingham, J.C.G.: The experimental production of purpura in animals by the introduction of anti-blood-plate sera. Lancet I, 1673 (1914)
Lee, L.: Antigen-antibody reaction in the pathogenesis of bilateral renal cortical necrosis. J. exp. Med.117, 365 (1963)
Le Sourd, L., Pagniez, P.: Du rôle des hématoblastes dans la retraction du caillot-recherches expérimentales. C.R. Soc. Biol.61, 109 (1906)
Levin, J., Cluff, L.E.: Plateles and the Shwartzman phenomenon. J. exp. Med.121, 235 (1965)
Levin, J., Beck, E.: A re-appraisal of the role of blood coagulation and platelets in the generalized Shwartzman phenomenon. Thromb. Diath. haemorrh.15, 519 (1966)
Licht, W., Jutzler, G.A., Büch, U., Hoffmann, K.Th.: Verbrauchskoagulaopathie bei hämolytischem Transfusionszwischenfall. Dtsch. med. Wschr.93, 344 (1968)
Lowenhaupt, R., Nathan, P.: The participation of platelets in the rejection of dog kidney allotransplants: Hematologic and electron microscopic studies. Transplant. Proc.1, 305 (1969)
Lüscher, E.F., Pfueller, S.L., Massini, P.: Platelet aggregation by large molecules. Ser. Haemat. Vol. VI, 3, 382 (1973)
Marino, M.F.: Recherches sur les plaquettes du sang. Soc. Biol.58, 194 (1905)
McIntosh, S., O'Brien, R.T., Schwartz, A.D., Pearson, H.A.: Neonatal isoimmune purpura: response to platelet infusions. J. Pediat.82, 1020 (1973)
McKay, D.G.: Disseminated intravascular coagulation. Harper & Row, New York 1965
Meindersma, T., de Vries, S.J.: Thrombocytopenic purpura after smallpox vaccination. Brit. med. J. 1962/I, 226
Mey, U., Schmechel, H., Vogel, G.: Gliadinbedingte Antikörperbildung mit Thrombozytopenie bei einem Fall von einheimischer Sprue. Folia haematol. (Leipz.)83, 26 (1965)
Miescher, P., Straessle, R.: Experimentelle Studien über den Mechanismus der Thrombozytenschädigung durch Antigen-Antikörper-Reaktionen. Vox Sang.1, 83 (1956)
Miescher, P.A.: Drug-induced thrombocytopenia. Seminars in Hematology10, 311 (1973)
Müller-Berghaus, G., Mueller-Eckhardt, Ch.: Induction of consumption coagulopathy (disseminated intravascular coagulation) with special reference of Hageman factor activation by unrelated immune reactions. XIII. Internat. Congr. Hemat., München 1970, Abstract vol, p. 243
Mueller-Eckhardt, Ch., Lüscher, E.F.: Immune reactions of human blood platelets. I. A comparative study of the effects on platelets of heterologous antiplatelet antiserum, antigen-antibody complexes, aggregated gammaglobulin and thrombin. Thromb. Diath. haemorrh.20, 155 (1968)
Mueller-Eckhardt, Ch., Lüscher, E.F.: Immune reactions of human blood platelets. II. The effect of latex particles coated with gammaglobulin in relation to complement activation. Thromb. Diath. haemorrh.20, 168 (1968)
Mueller-Eckhardt, Ch., Heene, D., Müller-Berghaus, G., Lasch, H.G.: Hämolytische Transfusionszwischenfälle mit „Verbrauchskoagulopathie“ durch seltene Blutgruppenatikörper (Anti-Duffy (a)). Thromb. Diath. haemorrh.22, 336 (1969)
Mueller-Eckhardt, Ch.: Die Diagnose der chronischen idiopathischen thrombozytopenischen Purpura. Dtsch. med. Wschr.95, 2339 (1970)
Mueller-Eckhardt, Ch., Mönch, H.: The effect of platelet-specific allo-antibodies on the aggregation of human thrombocytes induced by ADP and collagen. Thromb. Diath. haemorrh.25, 379 (1971)
Mueller-Eckhardt, Ch. Kretschmer, V., Heinrich, D., Kwapisz, A.: Therapie der hämorrhagischen Diathese bei Leukämien unter besonderer Berücksichtigung der Thrombozyten-Transfusion.Aus: Leukämie (R. Gross u. J. van de Loo, Herausg.). Springer-Verlag, Berlin-Heidelberg-New York 1972, S. 685
Mustard, J.F., Packham, M.A.: Factors influencing platelet function: adhesion, release, and aggregation. Pharmacol. Rev.22, 97 (1970)
Myllylä, G., Vaheri, A., Vesikari, T., Penttinen, K.: Interaction between human blood platelets, viruses and antibodies. IV. Postrubella thrombocytopenic purpura and platelet aggregation by rubella antigen-antibody reactions. Clin. exper. Immunol.4, 323 (1969)
Myllylä, G., Vaheri, A., Penttinen, K.: Detection and characterization of immune complexes by the platelet aggregation test. II. Circulating complexes. Clin. exp. Immunol.8, 399 (1971)
Nagel, H.J.: Verlauf und Therapie einer alimentär-allergischen thrombopenischen Purpura. Kinderärztl. Praxis35, 305 (1967)
Nilzen, A.: The thrombocyte decrease in food allergy and the influence of ACTH thereon. Acta dermato-venerol.33, 456 (1953)
Pearson, H.A., Shulman, N.R., Marder, V., Cone, T.E.: Isoimmune neonatal thrombocytopenic purpura—clincal and therapeutic considerations. Blood23, 154 (1964)
Penttinen, K., Wager, O., Räsänen, J.A., Myllylä, G., Haapanen, E.: Platelet aggregation and cryo-IgM in the study of hepatitis and immune complex states. Clin. exp. Immunol.15, 409 (1973)
Pesci, E.: Recherches sur la théorie de l'anaphylaxie. Ann. Institut Pasteur35, 315 (1921)
Pfueller, S.L., Lüscher, E.F.: The effects of aggregated immunoglobulins on human blood platelets in relation to their complement-fixing abilities. I. Studies of immunoglobulins of different types. J. Immunol.109, 517 (1972)
Pfueller, S.L., Lüscher, E.F.: The effects of aggregated immunoglobulins on human blood platelets in relation to their complement-fixing abilities. II. Structural requirements of the immunoglobulin. J. Immunol.109, 526 (1972)
Pfueller, S.L., Lüscher, E.F.: The effect of immune complexes on blood platelets and their relationship to complement activation. Immunochemistry9, 1151 (1972)
Pfueller, S.L., Lüscher, E.F.: Studies of the mechanisms of the human platelet release reaction induced by immunologic stimuli. I. Complement-dependent and complement-independent reactions. J. Immunol.112, 1201 (1974)
Pfueller, S.L., Lüscher, E.F.: Studies of the mechanisms of the human platelet release reaction induced by immunologic stimuli. II. The effects of zymosan. J. Immunol.112, 1211 (1974)
Pohle, F.J., Cohen, E.B.: Variations in blood platelets in allergic individuals following the ingestion of test foods. J. Lab. clin. Med.32, 1395 (1947)
Porter, K.A., Dossetor, J.B., Marchioro, T.L., Peart, W.S., Rendall, J.M., Starzl, T.E., Terasaki, P.J.: Human renal transplants. I. Gomerular changes. Lab. Invest.16, 153 (1967)
Reid, H.A., Nkrumah, F.K.: Fibrin-degradation products in cerebral malaria. Lancet I, 218 (1972)
Robbins, J., Stetson, C.A.: An effect of antigen-antibody interaction on blood coagulation. J. exp. Med.109, 1 (1959)
Rocha e Silva, M.: The role played by leukocytes and platelets in anaphylactic and peptone shock. Ann. N.Y. Acad. Sci.50, 1045 (1950)
Roskam, J.: Purpuras hémorrhagiques et thrombopénie. Pathogénie du syndrome hémogénique engendré par l'administration de serum anti-plaquettes. Sang.8, 129 (1934)
Salmon, J.: Pathogénie du purpura thrombopénique immunologique. Int. Arch. Allergy22, 369 (1963)
Salmon, J., Lambert, P.H., Hiernaux, M.: Coagulation intravasculaire et phénomènes anaphylactiques. Nouv. Rev. franc. Hemat.8, 76 (1968)
Seidl, S., Hoitz, G.: Der Einfluß des Serums von Patienten mit Thrombocytopenie auf die elektrophoretische Beweglichkeit normaler menschlicher Thrombocyten. Klin. Wschr.45, 588 (1967)
Seidl, S.: Die Thrombozytentransfusion. Untersuchungen mit radioaktiv markierten Thrombozyten. Gustav Fischer Verlag, Stuttgart, 1968
Shulman, N.R.: Immunoreactions involving platelets. I. A steric and kinetic model for formation of a complex from a human antibody, quindidine as a haptene, and platelets; and for fixation of complement by the complex. J. exper. Med.107, 665 (1958)
Shulman, N.R., Aster, R.H., Lettner, A., Hiller, M.C.: Immunoreactions involving platelets. V. Post-transfusion purpura due to a complement-fixing antibody against a genetically controlled platelet antigen. A proposed mechanism for thrombocytopenia and its relevance in “autoimmunity”. J. clin. Invest.40, 1597 (1961)
Shulman, N.R., Marder, V.J., Hiller, M.C., Collier, E.M.: Platelet and leukocyte isoantigens and their antibodies: Serologic, physiologic and clinical studies. Progress in Hematology6, 222 (1964)
Shulman, N.R., Lange, R.F., Tomasulo, P.A., Coleman, C.N.: Antibodies and platelet membranes. Thromb. Diath. haemorrh.54, 261 (1973)
Squier, T.L., Madison, F.W.: Thrombocytopenic purpura due to food allergy. J. Allergy8, 143 (1937)
Storck, H., Hoigne, H., Koller, F.: Thrombocytes in allergic reactions. Int. Arch. Allergy6, 372 (1955)
Svejgaard, A.: Isoantigenic systems of human blood platelets. A survey. Series Haematologica II, 3 (Munksgaard, Kopenhagen 1969)
Tocantins, L.M.: Experimental thrombopenic purpura in the dog. Arch. Path.21, 69 (1936)
Walkes, T.P., Weissbach, H., Bozicevich, J., Udenfriend, S.: Serotonin and histamine release during anphylaxis in the rabbit. J. clin. Invest.36, 1115 (1957)
Weerdt, Ch.M. van der: Thrombocytopenia due to quinidine or quinine. Vox Sang.12, 265 (1967)
Wintrobe, M.M., Lee, G.R., Boggs, D.R., Bithell, T.C., Athens, J.W., Foerster, J. (Editors): Clinical Hematology, 7. Ausgabe, Lea & Febiger, Philadelphia 1974
Yankee, R.A.: HL-A antigens and platelet therapy.In: Platelets: production, function, transfusion and storage (M.G. Baldini & S. Ebbe, Ed.) Grune & Stratton, New York-San Francisco-London 1974, p. 313
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The author's investigations were supported by the Deutsche Forschungsgemeinschaft (Mu 277/1, 2, 3, 5).
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Mueller-Eckhardt, C. Immune reactions of platelets and their clinical significance. Klin Wochenschr 53, 889–897 (1975). https://doi.org/10.1007/BF01468980
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DOI: https://doi.org/10.1007/BF01468980