The existence of a complement receptor on erythrocytes of primates and on platelets of other vertebrates has been a scientific curiosity for many years. The attention of investigators studying the pathophysiology of diseases mediated by immune complexes (ICs) has recently been drawn to this receptor, complement receptor type 1 (CRI), by a number of studies that have characterized some of the probable physiologic activities of CRI.Binding reactions of microorganisms to platelets were first observed by Bull in 1915 (1) and by Rieckenberg in 1917 (2). Rieckenberg observed that the sera of rats that had recovered from infection with Trypanosoma brucei would cause blood platelets to adhere to T brucei in vitro. The role of complement in mediating these binding reactions was initially suggested by Kritschewsky and Tscherikower (3) A similar binding reactivity was first recognized on primate erythrocytes by workers studying the serologic reactivities of trypanosomes. These would adhere to human erythrocytes in the presence of typespecific antiserum and complement (8). This specific adherence reaction provided a simple technique for serotyping trypanosomes. Variation in the ability of erythrocytes from dieerent donors to support immune adherence was noted by Brown and Broom (7). Brown's own erythrocytes consistently failed to show any binding to opsonized trypanosomes, whereas Broom's erythrocytes showed strong adherence. This phenotypic difference was stable for more than 2 years. They also compared 52 samples of red blood cells from patients with various diseases with samples from 26 normal subjects. Although no overall difference was noted between the 2 groups in the prevalence of nonadherent erythrocytes, it is interesting to note that specimens from 2 patients with tuberculosis and 1 patient with "subacute rheumatism" showed no adherence. These early observations were published mainly in French and German, and in British journals of tropical medicine, and were overlooked between the late 1930s and early 1950s.In 1953, R. A. Nelson (9) initiated the next phase of CRl research when he re-described binding reactions between human erythrocytes and specifically opsonized treponemes and pneumococci, and coined the term "immune adherence" to describe the reaction. The detailed biochemical characterization of