Gao Huan-huan, He Yun-lei, Ye Lu-yi, Wang Pan, Guo Zhong-hui, Zhu Zi-yan, Zhu Yong-ming
Blood Group Reference Laboratory, Shanghai Institute of Blood Transfusion, Shanghai Blood Center, Shanghai, People's Republic of China.
Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2012 Oct;29(5):547-52. doi: 10.3760/cma.j.issn.1003-9406.2012.05.010.
A reliable method for genotyping blood group antigens Dib, k, Jsb1910 and Jsb2019 was developed. Through screening for rare blood types, the National Rare Blood Bank of China may be enriched.
The controls for allele detection of blood groups Dib, k, Jsb1910 and Jsb2019 were prepared via polymerase chain reaction (PCR)-mediated gene site-directed mutagenesis (SDM) technique. Sequence-specific primers were designed according to known single nucleotide polymorphism (SNP) sites of alleles of blood groups antigens Dib, k, Jsb1910 and Jsb2019, a multiplex PCR system was developed by optimizing PCR reaction system. And 4190 random healthy donors samples were screened for the blood group antigens.
Using SDM technique, controls for alleles in blood group Dib, k, Jsb1910 and Jsb2019 were successfully generated. And a multiplex PCR system for genotyping above blood groups was developed. After verification, the system has performed with good stability and reproducibility. Two Di (b-) samples have been discovered from 4190 samples, no k- and Js(b-) sample was found.
Multiplex PCR features rapid detection, high throughput and low cost, and can be used for screening for donors of rare blood types. Information of donors may be registered in a database, which in turn can help those with rare blood types or require long-term blood transfusion to obtain matched blood, thereby reduce the adverse reactions of blood transfusion.
建立一种可靠的血型抗原Dib、k、Jsb1910和Jsb2019基因分型方法。通过筛查稀有血型,丰富中国国家稀有血型库。
采用聚合酶链反应(PCR)介导的基因定点诱变(SDM)技术制备血型Dib、k、Jsb1910和Jsb2019等位基因检测的对照。根据血型抗原Dib、k、Jsb1910和Jsb2019等位基因已知的单核苷酸多态性(SNP)位点设计序列特异性引物,优化PCR反应体系建立多重PCR系统。对4190名随机健康献血者样本进行血型抗原筛查。
利用SDM技术成功制备了血型Dib、k、Jsb1910和Jsb2019等位基因的对照。并建立了上述血型基因分型的多重PCR系统。经验证,该系统具有良好的稳定性和重复性。在4190份样本中发现2份Di(b-)样本,未发现k-和Js(b-)样本。
多重PCR检测速度快、通量高、成本低,可用于稀有血型献血者的筛查。献血者信息可登记在数据库中,有助于稀有血型或需要长期输血者获得匹配血液,从而减少输血不良反应。