Effect of IVIG on anti-β3 integrin IgG levels in immunized β3−/−FcRn+/+ and β3−/−FcRn−/− mice. (A) Platelet counts in pups from β3−/−FcRn+/+ females bred with β3+/+FcRn+/+ males. IVIG (1 g/kg) was injected into pregnant immunized β3−/−FcRn+/+ mice once a week until delivery. Albumin (1 g/kg) was used as a control. n = 11-25 for each group. (B) Circulating anti-β3 integrin and platelet-associated IgG were undetectable in β3−/+FcRn−/− pups delivered from immunized β3−/−FcRn−/− mothers after IVIG treatment, as assessed by flow cytometry. (C) IVIG down-regulated maternal anti-β3 integrin antibodies in β3−/−FcRn−/− mice. Sera from female β3−/−FcRn−/− mice after immunization (black line), during pregnancy (gray line), and after delivery (dotted line) were incubated with 106 β3+/+FcRn−/− platelets at a final dilution of 1:100 for 1 hour. Anti-β3 integrin IgG was detected via flow cytometry. This result is representative of at least 3 independent experiments. (D) IVIG also down-regulated anti-β3 integrin IgG in nonpregnant β3−/−FcRn−/− mice immunized twice with β3+/+ platelets. IVIG (2 g/kg) was injected into immunized β3−/−FcRn−/− mice. After 1 week, sera were collected, and anti-β3 integrin IgG was detected via flow cytometric analysis. Human albumin (2 g/kg) was used as a control. MFI of anti-β3 integrin IgG before injection with IVIG or albumin was set as 100%. n = 3 for each group.