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[ABO血型系统的既往及当前研究]

[Past and present studies on ABO blood group system].

作者信息

Takizawa H

机构信息

Department of Legal Medicine, Toyama Medical and Pharmaceutical University, Japan.

出版信息

Nihon Hoigaku Zasshi. 1998 Oct;52(5):265-76.

Abstract

The author engaged himself in the studies of ABO blood group system for the last three decades, and reviewed the progresses in this period, which were classified into following 5 items. 1. H-, A- and B-active oligosaccharides were isolated from the globoside fractions from human erythrocytes by ozonolysis. One of the H-active oligosaccharide with short carbohydrate chain is a pentasaccharide: Fuc(alpha 1-->2)Gal(beta 1-->4)GlcNAc(beta 1-->3)Gal(beta 1-->4)Glc, and the other with long carbohydrate chain is a heptasaccharide: Fuc(alpha 1-->2)Gal(beta 1-->4)GlcNAc(beta 1-->3)Gal(beta 1-->4)GlcNAc(beta 1-->3)Gal(beta 1-->4)Glc. Hexa- or octasaccharides with blood group A- or B-activity have an additional alpha-N-acetylgalactosaminyl residue or alpha-galactosyl residue, which joints with alpha 1-->3 linkage to subterminal beta-galactose of the both of H-active oligosaccharides, respectively. 2. A blood group A-gene specified alpha-N-acetyl-galactosaminyltransferase (A-enzyme) catalyzes the transfer of N-acetylgalactosamine from the UDP-sugar to the subterminal beta-galactosyl residue of blood group H-active carbohydrate chain, and a blood group B-gene specified alpha-galactosyltransferase (B-enzyme) catalyzes the transfer of galactose from the UDP-sugar to the subterminal beta-galactosyl residue of blood group H-active carbohydrate chain, respectively. Either the A- or B-enzyme can not transfer the substrate sugar to the carbohydrate chain lacking alpha-fucosyl residue of H-determinant, and it is the reason why the synthesis of blood group A- or B-antigenic structure in inhibited in the tissues of Bombay phenotype and in the secretory glands of the nonsecretor. 3. Specific antibody either to the A- or B-enzyme can be introduced in the serum of the rabbit which was immunized with the A- or B-enzyme preparation, respectively. And immunological cross reaction is also present between the A- and B-enzyme, but the immunologically cross reactive material can not be found in the blood group O individual. The absence of immunologically cross reactive material in the blood group O individual is supported by a fact that the cross reactive antibody similar to the antibody in rabbit serum was present in the serum of the chronic myeloid leukemia patient, who was belonged to blood group B and treated with blood group incompatible bone marrow transplantation from blood group O donor, because it is acceptable to speculate that the grafted lymphocytes react to the B-enzyme in the recipient and produce the anti-enzyme antibody. 4. The immunological profiles described above are compatible with the cDNA structures of human blood group ABO alleles presented by Yamamoto F. et al. Their gene model is that the cDNAs of blood group ABO alleles are highly homologous, but the cDNA of common O allele is non-functional due to a single nucleotide deletion close to the 5'end of the coding sequence, which causes a frame shift of the codon, and results in truncated peptide. 5. Transcription of the human blood group ABO gene can be enhanced by a CBF/NF-Y which binds the minisatellite on the 5'-upstream sequence of the gene.

摘要

在过去三十年里,作者一直致力于ABO血型系统的研究,并回顾了这一时期取得的进展,这些进展分为以下五项。1. 通过臭氧分解从人红细胞的糖苷脂部分分离出H、A和B活性寡糖。其中一种具有短碳水化合物链的H活性寡糖是一种五糖:岩藻糖(α1→2)半乳糖(β1→4)N-乙酰葡糖胺(β1→3)半乳糖(β1→4)葡萄糖,另一种具有长碳水化合物链的是一种七糖:岩藻糖(α1→2)半乳糖(β1→4)N-乙酰葡糖胺(β1→3)半乳糖(β1→4)N-乙酰葡糖胺(β1→3)半乳糖(β1→4)葡萄糖。具有A或B血型活性的六糖或八糖分别有一个额外的α-N-乙酰半乳糖胺残基或α-半乳糖基残基,它们以α1→3连接分别连接到两种H活性寡糖亚末端β-半乳糖的位置。2. A血型基因指定的α-N-乙酰半乳糖胺基转移酶(A酶)催化将N-乙酰半乳糖胺从UDP-糖转移到H血型活性碳水化合物链的亚末端β-半乳糖基残基上,B血型基因指定的α-半乳糖基转移酶(B酶)分别催化将半乳糖从UDP-糖转移到H血型活性碳水化合物链的亚末端β-半乳糖基残基上。A酶或B酶都不能将底物糖转移到缺乏H决定簇α-岩藻糖基残基的碳水化合物链上,这就是孟买表型组织和非分泌者分泌腺中A或B血型抗原结构合成受到抑制的原因。3. 分别用A酶制剂或B酶制剂免疫的兔血清中可产生针对A酶或B酶的特异性抗体。并且A酶和B酶之间也存在免疫交叉反应,但在O型血个体中未发现免疫交叉反应物质。慢性髓性白血病患者(血型为B型,接受了来自O型血供体的血型不相容骨髓移植)的血清中存在类似于兔血清中抗体的交叉反应抗体,这一事实支持了O型血个体中不存在免疫交叉反应物质,因为可以推测移植的淋巴细胞对受体中的B酶产生反应并产生抗酶抗体。4. 上述免疫特征与山本F等人提出的人类ABO血型等位基因的cDNA结构相符。他们的基因模型是,ABO血型等位基因的cDNA高度同源,但常见O等位基因的cDNA由于编码序列5'端附近的单个核苷酸缺失而无功能,这导致密码子移码,从而产生截短的肽。5. 人ABO血型基因的转录可被结合在基因5'上游序列小卫星上的CBF/NF-Y增强。

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