Chesor Musleeha, Mitundee Supattra, Nathalang Siriporn, Thattanon Phatchira, Intharanut Kamphon, Tobunluepop Pussadee, Nathalang Oytip
1Department of Pathology, Faculty of Medicine, Princess of Naradhiwas University, Naradhiwas, Thailand.
2Regional Blood Centre 12th Songkhla, Thai Red Cross Society, Songkhla, Thailand.
Indian J Hematol Blood Transfus. 2018 Jul;34(3):506-509. doi: 10.1007/s12288-017-0886-9. Epub 2017 Oct 10.
Diego (DI) blood group genotyping is clinically important in Asian populations. Data of Diego blood type among southern Thais is still unknown. This study aimed to report and allele frequencies in southern Thai blood donors and to estimate potential risk of Di incompatibility and alloimmunization in Thai populations. DNA samples obtained from 427 southern Thai blood donors were genotyped for and alleles by polymerase chain reaction with sequence-specific primer. and allele frequencies among southern Thais were 0.0047 and 0.9953. Their frequencies were similar to those among American Native, Italian, Filipino, Alaska Native/Aleut and Hawaiian/Pacific Islander populations; while, the frequencies significantly differed from central and northern Thai, Southeast Asian, Brazilian, Southern Brazilian, Brazilian Japanese descendants, Japanese, Han Chinese, Chinese, and Korean populations ( < 0.05). The Di incompatibility among southern Thais (0.93%) was lower than among central Thais (3.49%), corresponding to a significantly lower probability of Di alloimmunization ( < 0.05). This is the first report of and allele frequencies among southern Thais, which is beneficial for not only creating information for estimating risk of alloimmunization, but also providing antigen-negative red cell donors to prevent both alloimmunization and adverse transfusion reactions.
迭戈(DI)血型基因分型在亚洲人群中具有重要的临床意义。泰国南部人群的迭戈血型数据仍然未知。本研究旨在报告泰国南部献血者的基因和等位基因频率,并估计泰国人群中DI血型不相容和同种免疫的潜在风险。通过聚合酶链反应和序列特异性引物对从427名泰国南部献血者获得的DNA样本进行基因和等位基因分型。泰国南部人群中基因和等位基因频率分别为0.0047和0.9953。它们的频率与美国原住民、意大利人、菲律宾人、阿拉斯加原住民/阿留申人和夏威夷/太平洋岛民人群中的频率相似;然而,这些频率与泰国中部和北部、东南亚、巴西、巴西南部、巴西日裔后代、日本人、汉族、中国人和韩国人群中的频率有显著差异(P<0.05)。泰国南部人群中的DI血型不相容率(0.93%)低于泰国中部人群(3.49%),相应地,DI同种免疫的概率显著更低(P<0.05)。这是关于泰国南部人群中基因和等位基因频率的首次报告,这不仅有利于创建评估同种免疫风险的信息,还能提供抗原阴性红细胞献血者以预防同种免疫和不良输血反应。