Liu Bing-Xian, Gao Guang-Ping, Wang Dan, Zhang Yan, Yu Xiu-Qing, Xia Dong-Mei, Zhou Rui-Hua, Zhang Hua, Ma Qiang, Liu Jie
Department of Clinical Laboratory Examination, Mudanjiang Municipal blood Center, Mudanjiang, Heilongjiang Province, China.
Zhongguo Shi Yan Xue Ye Xue Za Zhi. 2012 Jun;20(3):757-61.
This study was aimed to explore the distribution characteristics of the human platelet antigen (HPA) gene of human platelet donors and its polymorphism in Mudanjiang area of Heilongjiang Province in China, to determine platelet antigen system with clinical significance by judging the rate of incompatibility of HPA, as well as to establish a database of donors' HPA. The genotyping of 154 unrelated platelet donors was performed by means of PCR-SSP. The frequencies of gene and genotype were calculated and compared with that in other areas. The results showed that the genes 1a-17a of HPA-a were all expressed in the 154 healthy and unrelated platelet donors. Only genes 1b, 2b, 3b, 5b, 6b and 15b of HPA-b were expressed while genes 4b, 7b-14b, 16b were not expressed. Among the genotypes, aa homozygosity was predominant and HPA15 had the greatest heterozygosity, while HPA3 had lower heterozygosity. There were 23 combined types of HPA, 5 of them had a rate higher than 10%, and the frequencies of the other 18 were lower than 8%. HPA genotype frequencies showed a good consistency to Hardy-Weinberg equilibrium. It is concluded that the distribution of the allele polymorphism of HPA1-HPA17 in Mudanjiang area has its own characteristics, compared with other areas and some countries, the local HPA genotype database of platelet donors is established in Mudanjiang area, which can provide the matching donors for clinical use with immunological significance.
本研究旨在探讨中国黑龙江省牡丹江市地区人类血小板捐献者人类血小板抗原(HPA)基因的分布特征及其多态性,通过判断HPA不相合率确定具有临床意义的血小板抗原系统,并建立捐献者HPA数据库。采用PCR-SSP方法对154名无关血小板捐献者进行基因分型。计算基因和基因型频率,并与其他地区进行比较。结果显示,HPA-a的1a-17a基因在154名健康无关血小板捐献者中均有表达。HPA-b仅表达1b、2b、3b、5b、6b和15b基因,而4b、7b-14b、16b基因未表达。在基因型中,aa纯合子占主导,HPA15杂合度最高,而HPA3杂合度较低。HPA有23种组合类型,其中5种组合类型的发生率高于10%,其他18种组合类型的频率低于8%。HPA基因型频率符合Hardy-Weinberg平衡。结论是牡丹江市地区HPA1-HPA17等位基因多态性分布有其自身特点,与其他地区及一些国家相比,牡丹江市地区建立了当地血小板捐献者HPA基因型数据库,可为临床提供具有免疫意义的匹配供者。