Diverse and novel RHD variants in Australian blood donors with a weak D phenotype: implication for transfusion management

Background and Objectives Variant RHD genes associated with the weak D phenotype can result in complete or partial D‐epitope expression on the red cell. This study examines the genetic classification in Australian blood donors with a weak D phenotype and correlates RHD variants associated with the w...

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Veröffentlicht in:Vox sanguinis 2017-04, Vol.112 (3), p.279-287
Hauptverfasser: McGowan, E. C., Lopez, G. H., Knauth, C. M., Liew, Y.‐W., Condon, J. A., Ramadi, L., Parsons, K., Turner, E. M., Flower, R. L., Hyland, C. A.
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container_end_page 287
container_issue 3
container_start_page 279
container_title Vox sanguinis
container_volume 112
creator McGowan, E. C.
Lopez, G. H.
Knauth, C. M.
Liew, Y.‐W.
Condon, J. A.
Ramadi, L.
Parsons, K.
Turner, E. M.
Flower, R. L.
Hyland, C. A.
description Background and Objectives Variant RHD genes associated with the weak D phenotype can result in complete or partial D‐epitope expression on the red cell. This study examines the genetic classification in Australian blood donors with a weak D phenotype and correlates RHD variants associated with the weak D phenotype against D‐epitope profile. Materials and Methods Following automated and manual serology, blood samples from donors reported as ‘weak D’ (n = 100) were RHD genotyped by a commercial SNP‐typing platform and Sanger sequencing. Two commercial anti‐D antibody kits were used for extended serological testing for D‐epitope profiles. Results Three samples had wild‐type RHD exonic sequences, and 97 samples had RHD variants. RHD*weak D type 1, RHD*weak D type 2 or RHD*weak D type 3 was detected in 75 donors. The remaining 22 samples exhibited 17 different RHD variants. One donor exhibited a novel RHD*c.939+3A>C lacking one D‐epitope. Weak D types 1·1, 5, 15, 17 and 90 showed a partial D‐epitope profile. Conclusion The array of RHD variants detected in this study indicated diversity in the Australian donor population that needs to be accommodated for in future genotyping strategies.
doi_str_mv 10.1111/vox.12488
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C. ; Lopez, G. H. ; Knauth, C. M. ; Liew, Y.‐W. ; Condon, J. A. ; Ramadi, L. ; Parsons, K. ; Turner, E. M. ; Flower, R. L. ; Hyland, C. A.</creator><creatorcontrib>McGowan, E. C. ; Lopez, G. H. ; Knauth, C. M. ; Liew, Y.‐W. ; Condon, J. A. ; Ramadi, L. ; Parsons, K. ; Turner, E. M. ; Flower, R. L. ; Hyland, C. A.</creatorcontrib><description>Background and Objectives Variant RHD genes associated with the weak D phenotype can result in complete or partial D‐epitope expression on the red cell. This study examines the genetic classification in Australian blood donors with a weak D phenotype and correlates RHD variants associated with the weak D phenotype against D‐epitope profile. Materials and Methods Following automated and manual serology, blood samples from donors reported as ‘weak D’ (n = 100) were RHD genotyped by a commercial SNP‐typing platform and Sanger sequencing. Two commercial anti‐D antibody kits were used for extended serological testing for D‐epitope profiles. Results Three samples had wild‐type RHD exonic sequences, and 97 samples had RHD variants. RHD*weak D type 1, RHD*weak D type 2 or RHD*weak D type 3 was detected in 75 donors. The remaining 22 samples exhibited 17 different RHD variants. One donor exhibited a novel RHD*c.939+3A&gt;C lacking one D‐epitope. Weak D types 1·1, 5, 15, 17 and 90 showed a partial D‐epitope profile. Conclusion The array of RHD variants detected in this study indicated diversity in the Australian donor population that needs to be accommodated for in future genotyping strategies.</description><identifier>ISSN: 0042-9007</identifier><identifier>EISSN: 1423-0410</identifier><identifier>DOI: 10.1111/vox.12488</identifier><identifier>PMID: 28220510</identifier><identifier>CODEN: VOSAAD</identifier><language>eng</language><publisher>England: S. Karger AG</publisher><subject>Alleles ; Australia ; Base Sequence ; Blood Donors - statistics &amp; numerical data ; Blood Transfusion ; DNA - chemistry ; DNA - isolation &amp; purification ; DNA - metabolism ; Epitopes - immunology ; Epitopes - metabolism ; Exons ; frequency distribution ; Gene Frequency ; Genotype ; Humans ; Isoantibodies - blood ; Phenotype ; Polymorphism, Single Nucleotide ; Rh-Hr Blood-Group System - genetics ; RHD genotyping ; Rho(D) Immune Globulin - blood ; Sequence Analysis, DNA ; Serologic Tests ; weak D</subject><ispartof>Vox sanguinis, 2017-04, Vol.112 (3), p.279-287</ispartof><rights>2017 International Society of Blood Transfusion</rights><rights>2017 International Society of Blood Transfusion.</rights><rights>Copyright © 2017 International Society of Blood Transfusion</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3868-2331ea533ff87ff980e6c1ab8f9fcd924b23efaa1cce73d19238d497c08b019e3</citedby><cites>FETCH-LOGICAL-c3868-2331ea533ff87ff980e6c1ab8f9fcd924b23efaa1cce73d19238d497c08b019e3</cites><orcidid>0000-0001-8568-0604</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fvox.12488$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fvox.12488$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,781,785,1418,27925,27926,45575,45576</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28220510$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>McGowan, E. C.</creatorcontrib><creatorcontrib>Lopez, G. H.</creatorcontrib><creatorcontrib>Knauth, C. M.</creatorcontrib><creatorcontrib>Liew, Y.‐W.</creatorcontrib><creatorcontrib>Condon, J. A.</creatorcontrib><creatorcontrib>Ramadi, L.</creatorcontrib><creatorcontrib>Parsons, K.</creatorcontrib><creatorcontrib>Turner, E. M.</creatorcontrib><creatorcontrib>Flower, R. L.</creatorcontrib><creatorcontrib>Hyland, C. A.</creatorcontrib><title>Diverse and novel RHD variants in Australian blood donors with a weak D phenotype: implication for transfusion management</title><title>Vox sanguinis</title><addtitle>Vox Sang</addtitle><description>Background and Objectives Variant RHD genes associated with the weak D phenotype can result in complete or partial D‐epitope expression on the red cell. This study examines the genetic classification in Australian blood donors with a weak D phenotype and correlates RHD variants associated with the weak D phenotype against D‐epitope profile. Materials and Methods Following automated and manual serology, blood samples from donors reported as ‘weak D’ (n = 100) were RHD genotyped by a commercial SNP‐typing platform and Sanger sequencing. Two commercial anti‐D antibody kits were used for extended serological testing for D‐epitope profiles. Results Three samples had wild‐type RHD exonic sequences, and 97 samples had RHD variants. RHD*weak D type 1, RHD*weak D type 2 or RHD*weak D type 3 was detected in 75 donors. The remaining 22 samples exhibited 17 different RHD variants. One donor exhibited a novel RHD*c.939+3A&gt;C lacking one D‐epitope. Weak D types 1·1, 5, 15, 17 and 90 showed a partial D‐epitope profile. 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M.</au><au>Liew, Y.‐W.</au><au>Condon, J. A.</au><au>Ramadi, L.</au><au>Parsons, K.</au><au>Turner, E. M.</au><au>Flower, R. L.</au><au>Hyland, C. A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diverse and novel RHD variants in Australian blood donors with a weak D phenotype: implication for transfusion management</atitle><jtitle>Vox sanguinis</jtitle><addtitle>Vox Sang</addtitle><date>2017-04</date><risdate>2017</risdate><volume>112</volume><issue>3</issue><spage>279</spage><epage>287</epage><pages>279-287</pages><issn>0042-9007</issn><eissn>1423-0410</eissn><coden>VOSAAD</coden><abstract>Background and Objectives Variant RHD genes associated with the weak D phenotype can result in complete or partial D‐epitope expression on the red cell. This study examines the genetic classification in Australian blood donors with a weak D phenotype and correlates RHD variants associated with the weak D phenotype against D‐epitope profile. Materials and Methods Following automated and manual serology, blood samples from donors reported as ‘weak D’ (n = 100) were RHD genotyped by a commercial SNP‐typing platform and Sanger sequencing. Two commercial anti‐D antibody kits were used for extended serological testing for D‐epitope profiles. Results Three samples had wild‐type RHD exonic sequences, and 97 samples had RHD variants. RHD*weak D type 1, RHD*weak D type 2 or RHD*weak D type 3 was detected in 75 donors. The remaining 22 samples exhibited 17 different RHD variants. One donor exhibited a novel RHD*c.939+3A&gt;C lacking one D‐epitope. Weak D types 1·1, 5, 15, 17 and 90 showed a partial D‐epitope profile. Conclusion The array of RHD variants detected in this study indicated diversity in the Australian donor population that needs to be accommodated for in future genotyping strategies.</abstract><cop>England</cop><pub>S. 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source MEDLINE; Access via Wiley Online Library
subjects Alleles
Australia
Base Sequence
Blood Donors - statistics & numerical data
Blood Transfusion
DNA - chemistry
DNA - isolation & purification
DNA - metabolism
Epitopes - immunology
Epitopes - metabolism
Exons
frequency distribution
Gene Frequency
Genotype
Humans
Isoantibodies - blood
Phenotype
Polymorphism, Single Nucleotide
Rh-Hr Blood-Group System - genetics
RHD genotyping
Rho(D) Immune Globulin - blood
Sequence Analysis, DNA
Serologic Tests
weak D
title Diverse and novel RHD variants in Australian blood donors with a weak D phenotype: implication for transfusion management
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