The enhanced HLA class I (Bg) on red blood cells (RBC) of many patients with systemic lupus
erythematosus has allowed a significant correlation to be made between their HLA-B types and haemagglutination
reactivity with lymphocytotoxic anti-HLA-B sera stimulated by pregnancy alone. Therefore the class I expression on
these RBC relates to classical, rather than non-classical, class I gene products. Studies of class I expression on RBC by
means of monoclonal antibodies (MAb) to epitopes on the heavy polypeptide chain and β2-microglobulin (β2m) have
suggested that the complete extracellular structure is present. The specific effect of chloroquine in ‘stripping HLA’ from
RBC had been assumed to support the concept that HLA class I was adsorbed from plasma. However, from our data,
we conclude that HLA class I is an intrinsic membrane component. We suggest that the action of chloroquine is to
remove β2m alone, which prevents normal class I expression and also results in conformational changes to the class I
heavy chain, but that it is not capable of removing the membrane-bound heavy chain.