A Flow Cytometric Approach to Assess RBC-Bound IgG Antibodies in Different Age Populations

Background: RBC-bound IgG antibody-mediated agglutination occurs when red blood cells (RBCs) cluster together due to the presence of antibodies or other contributing factors. This process could be favorable in the elderly population. Not only is it critical for blood typing procedures, but also play...

Full description

Saved in:
Bibliographic Details
Main Authors: Anwar Ullah, Lina Liu, Xia Qi, Hui Liu
Format: Article
Language:English
Published: Elsevier 2025-05-01
Series:Immunobiology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0171298525000300
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850130946311847936
author Anwar Ullah
Lina Liu
Xia Qi
Hui Liu
author_facet Anwar Ullah
Lina Liu
Xia Qi
Hui Liu
author_sort Anwar Ullah
collection DOAJ
description Background: RBC-bound IgG antibody-mediated agglutination occurs when red blood cells (RBCs) cluster together due to the presence of antibodies or other contributing factors. This process could be favorable in the elderly population. Not only is it critical for blood typing procedures, but also plays a significant role in autoimmune hemolytic anemia, a condition characterized by escalated destruction of RBCs. Understanding these mechanisms are essential for precise diagnoses, ensuring the safety of blood transfusions, and facilitating laboratory testing protocols in clinical settings. Objective: This study explores to detect RBC-bound IgG antibodies in various age groups using flow cytometry method. Materials and methods: A total of 120 Serum samples were taken from different age groups of healthy individuals. In addation, 30 samples were obtained from individuals with autoimmune diseases, and another 30 samples were collected from healthy elderly individuals of the same ages. Serum (100 μL) were added in eppendorf tube containing equal amount of normal saline and 50 μL of 2 % RBC, mixed well and then kept in water bath at 37 °C for 30 min. After incubation, antihuman globulin (AHG) was added and checked for the index of agglutination (IAG) using flow cytometry method. A control sample was also analyzed using the same method. Results: Flow cytometry analysis revealed significant differences in IAG between younger individuals and the elderly (P-value 0.003), demonstrating a positive linear relationship. Interestingly, no agglutination was observed in the younger group, whereas elderly healthy individuals exhibited agglutination. Furthermore, significant differences were found between autoimmune disease patients and elderly healthy individuals of the same age groups (P-value 0.0001), with strong IAG in autoimmune patients compared to relatively less agglutination in the elderly population. Conclusion: Our study has successfully detected RBC-bound IgG antibodies in various age groups. Young age groups showed negative IAG while elderly individuals and patients with autoimmune diseases exhibited the presence of RBC-bound IgG antibodies.
format Article
id doaj-art-93fe699c74474dc4bc9603b476faf66a
institution OA Journals
issn 0171-2985
language English
publishDate 2025-05-01
publisher Elsevier
record_format Article
series Immunobiology
spelling doaj-art-93fe699c74474dc4bc9603b476faf66a2025-08-20T02:32:33ZengElsevierImmunobiology0171-29852025-05-01230315289610.1016/j.imbio.2025.152896A Flow Cytometric Approach to Assess RBC-Bound IgG Antibodies in Different Age PopulationsAnwar Ullah0Lina Liu1Xia Qi2Hui Liu3College of Medical Laboratory, Dalian Medical University, Dalian 116044, ChinaCollege of Medical Laboratory, Dalian Medical University, Dalian 116044, ChinaCorresponding authors at: College of Medical Laboratory, Dalian Medical University, Dalian 116044, China.; College of Medical Laboratory, Dalian Medical University, Dalian 116044, ChinaCorresponding authors at: College of Medical Laboratory, Dalian Medical University, Dalian 116044, China.; College of Medical Laboratory, Dalian Medical University, Dalian 116044, ChinaBackground: RBC-bound IgG antibody-mediated agglutination occurs when red blood cells (RBCs) cluster together due to the presence of antibodies or other contributing factors. This process could be favorable in the elderly population. Not only is it critical for blood typing procedures, but also plays a significant role in autoimmune hemolytic anemia, a condition characterized by escalated destruction of RBCs. Understanding these mechanisms are essential for precise diagnoses, ensuring the safety of blood transfusions, and facilitating laboratory testing protocols in clinical settings. Objective: This study explores to detect RBC-bound IgG antibodies in various age groups using flow cytometry method. Materials and methods: A total of 120 Serum samples were taken from different age groups of healthy individuals. In addation, 30 samples were obtained from individuals with autoimmune diseases, and another 30 samples were collected from healthy elderly individuals of the same ages. Serum (100 μL) were added in eppendorf tube containing equal amount of normal saline and 50 μL of 2 % RBC, mixed well and then kept in water bath at 37 °C for 30 min. After incubation, antihuman globulin (AHG) was added and checked for the index of agglutination (IAG) using flow cytometry method. A control sample was also analyzed using the same method. Results: Flow cytometry analysis revealed significant differences in IAG between younger individuals and the elderly (P-value 0.003), demonstrating a positive linear relationship. Interestingly, no agglutination was observed in the younger group, whereas elderly healthy individuals exhibited agglutination. Furthermore, significant differences were found between autoimmune disease patients and elderly healthy individuals of the same age groups (P-value 0.0001), with strong IAG in autoimmune patients compared to relatively less agglutination in the elderly population. Conclusion: Our study has successfully detected RBC-bound IgG antibodies in various age groups. Young age groups showed negative IAG while elderly individuals and patients with autoimmune diseases exhibited the presence of RBC-bound IgG antibodies.http://www.sciencedirect.com/science/article/pii/S0171298525000300Flow cytometryRed blood cellsAgglutinationSerumAutoantibodies
spellingShingle Anwar Ullah
Lina Liu
Xia Qi
Hui Liu
A Flow Cytometric Approach to Assess RBC-Bound IgG Antibodies in Different Age Populations
Immunobiology
Flow cytometry
Red blood cells
Agglutination
Serum
Autoantibodies
title A Flow Cytometric Approach to Assess RBC-Bound IgG Antibodies in Different Age Populations
title_full A Flow Cytometric Approach to Assess RBC-Bound IgG Antibodies in Different Age Populations
title_fullStr A Flow Cytometric Approach to Assess RBC-Bound IgG Antibodies in Different Age Populations
title_full_unstemmed A Flow Cytometric Approach to Assess RBC-Bound IgG Antibodies in Different Age Populations
title_short A Flow Cytometric Approach to Assess RBC-Bound IgG Antibodies in Different Age Populations
title_sort flow cytometric approach to assess rbc bound igg antibodies in different age populations
topic Flow cytometry
Red blood cells
Agglutination
Serum
Autoantibodies
url http://www.sciencedirect.com/science/article/pii/S0171298525000300
work_keys_str_mv AT anwarullah aflowcytometricapproachtoassessrbcboundiggantibodiesindifferentagepopulations
AT linaliu aflowcytometricapproachtoassessrbcboundiggantibodiesindifferentagepopulations
AT xiaqi aflowcytometricapproachtoassessrbcboundiggantibodiesindifferentagepopulations
AT huiliu aflowcytometricapproachtoassessrbcboundiggantibodiesindifferentagepopulations
AT anwarullah flowcytometricapproachtoassessrbcboundiggantibodiesindifferentagepopulations
AT linaliu flowcytometricapproachtoassessrbcboundiggantibodiesindifferentagepopulations
AT xiaqi flowcytometricapproachtoassessrbcboundiggantibodiesindifferentagepopulations
AT huiliu flowcytometricapproachtoassessrbcboundiggantibodiesindifferentagepopulations