“…The use of enzymes in enhancing the serological reactivity of red cells, long an integral part of routine blood typing technique, has been recently joined by the introduction of enzyme methods for histocompatibility testing in which cells show increased reactivity with cytotoxic antibodies [19,28], or enhanced stimulation in mixed leukocyte cultures [7,15]. Further interest in enzyme-treated cells has been stimulated by the report of their effectiveness in stimulating the immune rejection of experimental tumors [26,28], In the case of the RBC, proteolytic enzymes [27] as well as neuraminidase [4,6] reduce the red cell surface electrostatic charge by removing free or glycopeptide-bound sialic acid, the principal charged component of the membrane.…”