[Cold auto- and alloantibodies considered "benign"--do they have some pathological significance?]

In our Blood Bank the screening for irregular antibodies is performed on blood bags and patient's serum and is done at 37 degrees C as well as 22 degrees C even when we are conscious that the test at 22 degrees C is devoid of any practical value as far as transfusional haemolytic reactions are concerned. A total of 23,021 patients and 91,021 blood bags have been studied in the last 10 years. The results have been analyzed in order to find out any possible association of cold autoanti-I antibodies, or cold alloantibodies, mainly anti-P1, anti-Leb, anti-Lea and anti-Lex, with certain diseases. The cold antibodies looked for in the present study are neither "natural" antibodies reactive only at 4-10 degrees C, since they were not investigated at such low temperatures, nor pathological antibodies, reactive up to 37 degrees C and/or endowed with haemolytic activity. They are instead antibodies, reactive at 22 degrees C, that interfere with compatibility tests and with screening for irregular antibodies, when the assay is performed at room temperature. In our experience, by far the most prominent antibody in this category is auto-anti-I, amounting to over two thirds of the positive findings. This autoantibodies, as well as allo-anti-P1, appear much more frequently in patients that in donors, whereas significant differences are not found with anti-Lewis antibodies.(ABSTRACT TRUNCATED AT 250 WORDS)