Gong Tian-Xiang, Hong Ying, Zhou Chan-Ghua
Blood Research Laboratory, Chengdu Blood Center, Chengdu, Sichuan Province, China.
Zhongguo Shi Yan Xue Ye Xue Za Zhi. 2012 Aug;20(4):1005-9.
The purpose of this study was to find the rare individual JK(a-b-) phenotype of proband family and explore its molecular mechanism and the genetic background, in order to provide base for searching compatible donor to blood transfusion of the individuals with rare JK(a-b-) phenotype. Urea lysis test was used to screen the JK(a-b-) phenotype and results were confirmed with serological method. The genotypes were detected with PCR-SSP. The 4-11 exons and their flanking intron regions of JK gene were amplified and sequenced. The results showed that her elder brother has a same phenotype JK(a-b-) and genotypes JK(a)/JK(b) with proband. The phenotype and genotypes of their parent is JK (a+b-) and JK(a)/JK(b), respectively; and the younger sister's is JK (a+b-) and JK(a)/JK(a). Acceptor site of intron 5 3' g > a mutation was detected in proband and her elder brother, which may cause the JK(a-b-) phenotype of proband and her elder brother. There is g/a and a at this site in their parent and younger sister, respectively. Additionally, the SNP (ncbi:rs8090908) a > g at nt-99 in intron 3 was found in proband and her elder brother, it needs to be explored whether the SNP is related to JK(a-b-) phenotype. This SNP was not found in their parent and younger sister. This JK(a-b-) phenotype abides by the rule of dominant inheritance in the family, suggesting that there is higher probability to find homology phenotype and genotype by investigating in their family, especially in their siblings.
本研究旨在探寻先证者家族中罕见的个体JK(a-b-)血型表型,探索其分子机制及遗传背景,为罕见JK(a-b-)血型个体寻找输血相容供者提供依据。采用尿素溶解试验筛选JK(a-b-)血型表型,并通过血清学方法进行结果确认。采用聚合酶链反应-序列特异性引物法(PCR-SSP)检测基因型。扩增并测序JK基因的4-11外显子及其侧翼内含子区域。结果显示,其哥哥与先证者具有相同的JK(a-b-)血型表型和JK(a)/JK(b)基因型。其父母的血型表型和基因型分别为JK (a+b-)和JK(a)/JK(b);妹妹的血型表型和基因型分别为JK (a+b-)和JK(a)/JK(a)。在先证者及其哥哥中检测到内含子5 3' g > a突变的剪接受体位点,这可能导致先证者及其哥哥的JK(a-b-)血型表型。其父母和妹妹在该位点分别为g/a和a。此外,在先证者及其哥哥中发现内含子3 nt-99处的单核苷酸多态性(ncbi:rs8090908)a > g,该单核苷酸多态性是否与JK(a-b-)血型表型相关有待探索。其父母和妹妹未发现该单核苷酸多态性。该JK(a-b-)血型表型在家族中遵循显性遗传规律,提示通过对其家族尤其是其兄弟姐妹进行调查,有较高概率找到同源的血型表型和基因型。