Naturally occurring point mutation Cys460Trp located in the I-EGF1 domain of integrin β3 alters the binding of some anti-HPA-1a antibodies.
Sarah Theresa HolzwarthBehnaz BayatJieqing ZhuRoongaroon PhuangthamLars FischerDoris BoeckelmannLida RöderHeike BerghöferSilke SchmidtGregor BeinSentot SantosoPublished in: Transfusion (2020)
These observations confirm the existence of Type I and Type II anti-HPA-1a. Furthermore, this study underlines different immunogenicity of HPA-1a antigen(s) residing on either αIIbβ3 or αvβ3. Further analysis of FNAIT cases from mothers having a fetus with and without intracranial bleedings with use of such an approach may highlight the functional relevance of different anti-HPA-1a subtypes.