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一个具有 DEL 表型的中国人,由一个新的 RHD 等位基因引起。

A Chinese individual with DEL phenotype caused by a novel RHD allele.

机构信息

Shenzhen Blood Center, Shenzhen 518040, China.

Shenzhen University, Shenzhen 518060, China.

出版信息

Transfus Apher Sci. 2024 Oct;63(5):103973. doi: 10.1016/j.transci.2024.103973. Epub 2024 Jul 23.

Abstract

BACKGROUND

RhD variants are categorized into partial D, weak D, and DEL. The detection of DEL can only be achieved through the adsorption and elution method or molecular techniques. Here, we report a case of DEL phenotypes associated with a novel allele in a Chinese individual.

STUDY DESIGN AND METHODS

We used serological methods such as saline, indirect anti-human globulin, and adsorption-elution. The RHD genotype was determined by the PCR-sequence specific primer (PCR-SSP) method as well as the Sanger dideoxy sequencing.

RESULTS

RBCs of the sample were found to be DEL phenotype by serological testing, with negative reactions in the saline and indirect anti-human globulin tests while positive reactions by the absorption-elution method. The genotyping results revealed a hemizygous (RHD/RHD-). The novel allele sequence has been submitted to GenBank (Accession number: OR608456).

CONCLUSION

Our study demonstrates a case of a Chinese individual with DEL phenotype caused by a novel allele RHD c .1127 T > G. It expands the database of the DEL variant.

摘要

背景

RhD 变异体分为部分 D、弱 D 和 DEL。DEL 的检测只能通过吸附洗脱法或分子技术来实现。在这里,我们报告了一例与中国人中一种新等位基因相关的 DEL 表型。

研究设计和方法

我们使用盐水、间接抗人球蛋白和吸附洗脱等血清学方法。RHD 基因型通过 PCR-序列特异性引物(PCR-SSP)方法以及 Sanger 双脱氧测序法确定。

结果

样本的 RBC 通过血清学检测显示 DEL 表型,盐水和间接抗人球蛋白试验呈阴性反应,而吸收洗脱法呈阳性反应。基因分型结果显示为半合子(RHD/RHD-)。新等位基因序列已提交 GenBank(登录号:OR608456)。

结论

我们的研究表明一例中国人 DEL 表型由新等位基因 RHD c.1127T > G 引起。它扩展了 DEL 变体的数据库。

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