Department of Transfusion Research, DongGuang Blood Center, DongGuan City, China.
Transfus Med Hemother. 2014 Oct;41(5):375-9. doi: 10.1159/000366235. Epub 2014 Aug 17.
Abnormal α1,2-fucosyltransferase activity due to gene mutation results in decreased synthesis of H antigen and leads to an H-deficient phenotype. Here we studied the underlying molecular mechanisms in 7 Chinese blood donors with the H-deficient phenotype.
Red blood cell typing was performed using standard serologic tests, and ABO genotype was analyzed using ABO polymerase chain reaction with sequence-specific primer tests. The coding sequence of the FUT1 gene was amplified using the specific primers. The FUT1 alleles were identified by a pCRII-TOPO carrier for TOPO TA cloning sequencing.
The H-deficient phenotype frequency was estimated to be approximately 1/30,000 (6/159,515) in the Chinese Han population. The FUT1 gene mutation was demonstrated in 6 Chinese blood donors with the H-deficient phenotype. In only 1 case, no mutation was detected. Novel FUT1 alleles were found in 1 donor. One of these novel FUT1 alleles showed nucleotide 35C>T and 748C>T site mutations that resulted in amino acid substitution of Ala to Val and Trp to Arg at positions 11 and 250, respectively. Another novel FUT1 allele had a nucleotide 655G>C site mutation, causing amino acid substitution of Leu to Val at position 219.
Two novel FUT1 alleles, 35T+748T and 655C, were identified that may greatly diminish the activity of α1,2-fucosyltransferase and result in the H-deficient phenotype.
由于基因突变导致异常的α1,2-岩藻糖基转移酶活性,导致 H 抗原合成减少,从而导致 H 缺乏表型。在这里,我们研究了 7 名具有 H 缺乏表型的中国献血者的潜在分子机制。
使用标准血清学试验进行红细胞定型,并使用 ABO 聚合酶链反应与序列特异性引物试验分析 ABO 基因型。使用特异性引物扩增 FUT1 基因的编码序列。通过 pCRII-TOPO 载体进行 TOPO TA 克隆测序来鉴定 FUT1 等位基因。
在汉族人群中,H 缺乏表型的频率估计约为 1/30000(6/159515)。在 6 名具有 H 缺乏表型的中国献血者中证实了 FUT1 基因突变。仅在 1 例中未检测到突变。在 1 名供体中发现了新的 FUT1 等位基因。这些新的 FUT1 等位基因之一显示核苷酸 35C>T 和 748C>T 位点突变,导致氨基酸分别在位置 11 和 250 处由丙氨酸取代缬氨酸和色氨酸取代精氨酸。另一个新的 FUT1 等位基因具有核苷酸 655G>C 位点突变,导致氨基酸在位置 219 处由亮氨酸取代缬氨酸。
鉴定出两个新的 FUT1 等位基因 35T+748T 和 655C,它们可能大大降低α1,2-岩藻糖基转移酶的活性,并导致 H 缺乏表型。