Figure 5.
Effect of autoantibody adsorption with immobilized GPIIb-IIIa. Biotinylated murine monoclonal anti-GPIIb (2A9), coupled to avidin-Sepharose beads, was incubated with normal platelet lysate to allow GPIIb-IIIa binding. After washing, test plasmas (patient plasmas containing anti-GPIIb/IIIa antibody [ITP-1, ITP-5] and control plasmas [Cont-1, Cont-2]) were incubated with 2 separate aliquots of the immobilized GPIIb-IIIa, followed by centrifugation. Adsorption removed more than 80% of the autoantibody, as demonstrated in binding assays. Unadsorbed and adsorbed (ads) plasmas were tested, and the total numbers of megakaryocytes present after 10 days were determined.