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We used the technique of double diffusion in agar gel to see whether precipitating antibodies had formed in the transfused patients which might react with constituents present in the serums of normal persons.

After testing serums from 13 transfused patients (defined as a person who had received 25 units of blood or more), we found a serum that contained a precipitating antibody. It was a very exciting experience to see these precipitin bands and realize that our predictions had been fulfilled. The antibody developed in the blood of a patient (C. de B.) who had received many transfusions for the treatment of obscure anemia. During the course of the next few months we found that the antibody in C. de B.’s blood reacted with inherited antigenic specificities on the low density lipoproteins. We termed this the Ag system; and it has subsequently been the subject of genetic, clinical, and forensic studies.