Binding of Anti-Actin Auto-Antibodies to Platelets
It was recently shown (Gabbiani & Coll., Am. J. Path. 72, 473-488, 1973) that a natural antibody occurring in patients with chronic hepatitis is specifically directed against smooth and striated muscle actin or, in the case of platelets, Thrombosthenin A. Thus it is proposed to change its name from Smooth Muscle Antibody (SMA) to Anti Actin Antibody (AAA). The possibility that AAA would contain a contaminant directed against cell membranes was ruled out because it does not bind (nor its titer in supernatant decrease) to intact platelets, but only to damaged ones (by freeze-thawing). However AAA binds to a platelet-rich clot, and bright fluorescent staining is obtained both for such clots and bone-marrow megacaryocytes. AAA does not induce platelet aggregation in vitro when added to platelet-rich plasma; it does not inhibit or potentiate ADP, Adrenalin or Collagen induced aggregation, and does not inhibit platelet-rich plasma clot retraction.With aggregation controlled in an aggregometer, the following observations were made : AAA adsorption (and consequent fluorescent staining) begins immediately after addition of the trigger, and becomes maximal when a plateau is reached (so-called irreversible aggregation). However, when liminary amounts of ADP are added, so as to obtain reversible aggregation, a large number of disaggregated platelets do bind with AAA, suggesting that actin-related antigens have become available to antibody. This implies that a major change in membrane permeability to large molecules has occurred. The same holds true when ADP-induced aggregation is prevented by EDTA.