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[微芯片毛细管电泳法检测达菲血型基因分型]

[Genotyping of Duffy Blood Group by Microchip Capillary Electrophoresis].

作者信息

Wu Fan, Liang Shuang, Zhuang Nai-Bao, Liang Yan-Lian, Su Yu-Qing, Hong Wen-Xu

机构信息

Shenzhen Blood Center, Shenzhen 518035, Guangdong Province, China.

Shenzhen Blood Center, Shenzhen 518035, Guangdong Province, China,E-mail:

出版信息

Zhongguo Shi Yan Xue Ye Xue Za Zhi. 2020 Oct;28(5):1733-1739. doi: 10.19746/j.cnki.issn.1009-2137.2020.05.050.

Abstract

OBJECTIVE

To explore a method for rapidly screening the Duffy blood group genotypes and to establish an information bank of rare blood type donors.

METHODS

The microfluidic capillary electrophoresis system and PCR-SSP method were used to analyze the Duffy genotype of 3 936 unrelated O-type blood donors in our center from December 2014 to September 2018. The serologic identification and typing of other blood type system phenotypes for FY-negative specimen were performed. The Fy (a-b-) specimen was sequenced for genotyping.

RESULTS

The phenotypes of FY-negative specimens were consistent with the genotyping results of the microfluidic capillary electrophoresis system. The results of Duffy phenotyping in 3 936 specimens were follows: Fy (a+b-) 3 564 (90.54%), Fy(a+b+) 353 (8.97%), Fy(a-b+) 18 (0.46%), Fy (a-b-) 1 (0.03%). The gene frequency was FYA (95.03%), FYB (4.94%), and FY*Null (0.03%). The bank of rare blood types of 19 FY-negative specimens was established.

CONCLUSION

Microfluidic capillary electrophoresis system is suitable for Duffy blood group genotyping screening. It can be used to establish a bank of rare blood type, so as to solve the problem of urgent blood transfusion in patients with rare blood type, and to improve blood transfusion safety.

摘要

目的

探索快速筛查达菲血型基因型的方法并建立稀有血型献血者信息库。

方法

采用微流控毛细管电泳系统及聚合酶链反应-序列特异性引物(PCR-SSP)方法,对2014年12月至2018年9月本中心3936名无血缘关系的O型献血者的达菲基因型进行分析。对FY阴性标本进行其他血型系统表型的血清学鉴定及分型。对Fy(a-b-)标本进行测序以确定基因型。

结果

FY阴性标本的表型与微流控毛细管电泳系统的基因分型结果一致。3936份标本的达菲血型分型结果如下:Fy(a+b-)3564例(90.54%),Fy(a+b+)353例(8.97%),Fy(a-b+)18例(0.46%),Fy(a-b-)1例(0.03%)。基因频率为FYA(95.03%),FYB(4.94%),FY*Null(0.03%)。建立了19份FY阴性标本的稀有血型库。

结论

微流控毛细管电泳系统适用于达菲血型基因分型筛查。可用于建立稀有血型库,以解决稀有血型患者紧急输血问题,提高输血安全性。

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