Research Article

Mechanism of Rh prophylaxis: an experimental study on specificity of immunosuppression.

Br Med J 1975; 2 doi: https://doi.org/10.1136/bmj.2.5962.57 (Published 12 April 1975) Cite this as: Br Med J 1975;2:57
  1. J C Woodrow,
  2. C A Clarke,
  3. W T Donohow,
  4. R Finn,
  5. R B McConnell,
  6. P M Sheppard,
  7. D Lehane,
  8. F M Roberts,
  9. T M Gimlette

    Abstract

    The mechanism by which Rh immunization is prevented by IgG anti-D was investigated by studying the specificity of immunosuppression. 62 D-negative Kell(K)-negative male volunteers were given two successive stimuli of 1 ml D-positive K-positive red cells. Thirty-one of the volunteers were also given 13-14 mug of IgG anti-K immediately after each stimulus, the others acting as controls. Anti-D developed in 11 of the 31 controls and in one of the 31 volunteers who had received anti-K. This marked suppression of the anti-D response by IgG anti-K was accompanied by the rapid clearance of the injected red cells to the spleen. This shows that the predominant mechanism that must be operating when IgG anti-D prevents Rh immunization is not antigen specific but is one that must involve the whole red cell, probably through destruction within splenic macrophages.