Wu Xiaoying, Wu Dazhou, Wang Manni, Shao Chaopeng, Xu Hua
Shenzhen Blood Center, Shenzhen, Guangdong 518035, P. R.
Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2014 Dec;31(6):793-6. doi: 10.3760/cma.j.issn.1003-9406.2014.06.026.
To determine the frequency of RHD1227A allele in Chinese Hans.
For a total of 890403 ethnic Han blood donors, the D antigen was determined with a saline method and indirect antiglobulin test. The RHD1227A allele and number and type of zygosity of RHD gene were determined with PCR sequence specific primer (PCR-SSP). Allelic frequency was calculated through statistics.
In total 2385 donors were found to be Rh-negative, 108 individuals were found to be weakly positive for D antigen (including weak D and partial D phenotypes). The remaining 887 910 individuals were Rh-positive. Among the Rh-negative individuals, 516 were found with RHD1227A. Among these, 467 were RHD1227A/d and 49 were RHD1227A/RHD1227A. Two of 108 D antigen weak-positive individuals were found as RHD1227A/RHD+. In addition, 8 of 1073 random Rh-positive samples were found to be RHD1227A/RHD+. The allele frequency of RHD1227A in the population was calculated as 0.004 036. The figure should be 0.006 682 if calculated based on the detected rate of the allele in Rh-negative individuals, and 0.007 884 if calculated based on the reported average phenotype rate of DEL in Rh-negative individuals.
By taking main influencing factors such as the RHD zygosity, the rate of RHD1227A and DEL phenotype may be determined. The allele frequency of RHD1227A in Chinese Hans is between 0.004 036 and 0.007 884.
确定中国汉族人群中RHD1227A等位基因的频率。
对总共890403名汉族献血者,采用盐水法和间接抗球蛋白试验检测D抗原。采用聚合酶链反应序列特异性引物(PCR-SSP)法检测RHD1227A等位基因以及RHD基因的合子型数量和类型。通过统计学方法计算等位基因频率。
共发现2385名献血者为Rh阴性,108名个体D抗原弱阳性(包括弱D和部分D表型)。其余887910名个体为Rh阳性。在Rh阴性个体中,发现516例携带RHD1227A。其中,467例为RHD1227A/d,49例为RHD1227A/RHD1227A。108例D抗原弱阳性个体中有2例为RHD1227A/RHD+。此外,在1073例随机Rh阳性样本中有8例为RHD1227A/RHD+。该人群中RHD1227A等位基因频率计算为0.004036。若根据Rh阴性个体中等位基因的检出率计算,该数字应为0.006682;若根据Rh阴性个体中DEL表型的报告平均表型率计算,则为0.007884。
考虑RHD合子型等主要影响因素,可确定RHD1227A和DEL表型的发生率。中国汉族人群中RHD1227A等位基因频率在0.004036至0.007884之间。