Adhesion assays were lightly modified from previously described (Orozco et al., 1983 (link)). Briefly, MDCK cells in suspension were mixed with washed erythrocytes (1:100 ratio). Cell mixture was incubated for 0.5, 1 and 2 h at 37°C, fixed with 2.5% glutaraldehyde for 30 min at 37°C and washed three-times with PBS. Erythrocytes were counterstained with 4.5 mM diaminobenzidine for 30 min at 37°C. Finally, adhered erythrocytes to each MDCK cell in ten random fields from three independent experiments were counted through a Nikon E600 microscope.
For inhibiting cell aggregation and erythrocytes adhesion, before experiments, 2 × 105 MDCK cells were incubated with 10 μg mAbAdh antibody or IgM isotype for 30 min at 37°C.