K. Ritter et al., HEMOLYSIS AND AUTOANTIBODIES TO TRIOSEPHOSPHATE ISOMERASE IN A PATIENT WITH ACUTE HEPATITIS-A VIRUS-INFECTION, Scandinavian journal of infectious diseases, 26(4), 1994, pp. 379-382
Having returned from a holiday in Southeast Europe, a 30-year-old Germ
an woman developed acute hepatitis. Hepatitis A virus (HAV) infection
was diagnosed serologically. During the course of the infection, hemol
ysis was found. IgM antibodies against triosephosphate isomerase (IgM
anti-TPI) were detected in the patient's serum from the acute phase of
the HAV infection. Affinity purified IgM anti-TPI from the serum redu
ced the enzyme activity in vitro and caused an increased Cr-51 release
from erythrocytes. IgM anti-TPI is assumed to be one of the causative
agents of hemolysis in HAV infection.