Abstract
Blood platelets circulate for approximately 10 days in normal humans. The macrophages of the monocyte-macrophage system then recognise them as old and phagocytose and destroy them. The mechanism through which the macrophages recognise the “old” platelets is not known. A hypothesis to explain red cell ageing and sequestration implicates that membrane sialic acid may play a role. According to this view, red cells loose sialic acid while they are circulating. This exposes a senescent cell antigen on the red cell membrane. IgG recognises and binds to the antigen. Once sufficient antibody-antigen complex is formed, the macrophages recognise the red cells as “foreign” and phagocytose and destroy them1.
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References
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Kotzé, H.F., van Wyk, V., Heyns, A.d.P., Roodt, J.P., Lötter, M.G., Badenhorst, P.N. (1994). Influence of Platelet Membrane Sialic Acid and Platelet Associated IgG on Ageing and Sequestration of Blood Platelets in Baboons. In: Martin-Comin, J., Thakur, M.L., Piera, C., Roca, M., Lomeña, F. (eds) Radiolabeled Blood Elements. NATO ASI Series, vol 262. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-2462-5_19
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DOI: https://doi.org/10.1007/978-1-4615-2462-5_19
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4613-6048-3
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