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遗传性CisAB血型的血清学和基因型特征研究——附一例家系报告

Study on serological and genetic characteristics of inherited CisAB blood group:a case report of CisAB family

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【作者】 赵晖姜悦闫芳苗天红何喜友崔衢刘元波

【Author】 ZHAO Hui;JIANG Yue;YAN Fang;MIAO Tianhong;HE Xiyou;CUI Qu;LIU Yuanbo;Department of Blood Transfusion,Beijing Tiantan Hospital,Capital Medical University;Department of Blood Transfusion,Beijing Tsinghua Changgeng Hospital Medical Center;Department of Medical Administration,Beijing Tiantan Hospital,Capital Medical University;Department of Blood Grouping,Beijing Red Cross Blood Center;Department of Hematology,Beijing Tiantan Hospital,Capital Medical University;

【机构】 首都医科大学附属北京天坛医院输血科北京清华长庚医院清华大学医学中心首都医科大学附属北京天坛医院医务处北京市红十字血液中心首都医科大学附属北京天坛医院血液科

【摘要】 目的研究1名cis AB血型患者及其家系的血型血清学及基因型特征。方法采用试管正反定型法筛查该家系3代共10例标本的血型;对于正反定型结果不一致的标本以PCR-SSP法作基因分型;采用直接测序法作DNA序列分析。结果血型血清学检测发现10名家系成员中,正反定型不相符4例:2例表型为A2B3、2例为A2B;基因型分型分别为:cis AB01/O02、CisAB01/B101。DNA序列分析:cis AB01/O02第6外显子261缺失G,第7外显子297A>G、467C>T、646T>A、681A>A、771C>T、803G>C和829G>C;CisAB01/B101第6外显子297A>G,第7外显子467C>T、803G>C、526C>G、657C>T、703G>A、796C>A、930G>A。结论确定了1个遗传性cis AB血型家系;发现具有cis AB01等位基因的标本其血清学表型检测结果不一致,考虑由cis AB杂合的等位基因差别所致。

【Abstract】 Objective To study serologic and genetic features of a patient family with four CisAB members.Methods The blood groups of ten members in three generations of a patient family were screened.Forward and reverse mismatched blood grouping in the samples were further tested serologically and genetically by PCR-SSP and DNA sequencing.Results Four members showed forward and reverse mismatched blood grouping,with two A2B3 phenotypes and two A2 B.Two different genotypes were confirmed:CisAB01 / O02 in A2B3 and CisAB01 / B101 in A2 B.A sequencing analysis showed a deleted G(261) at the 6th exon,297 A > G,467 C > T,646 T > A,681 A > A,771 C > T,803 G > C and 829 G > C in the 7th exon of CisAB01 / O02.A 297 A > G occurred at the 6th exon,467 C > T,803 G > C,526 C > G,657 C > T,703 G > A,796 C > A,930 G > A at the 7th exon of CisAB01 / B101.Conclusion An inherited CisAB blood group family with 4 /10 CisAB members in three generations was verified.Two genotypes of CisAB were identified as CisAB01 / O02 and CisAB01 / B101.CisAB heterozygous alleles contributed to the differential phenotypes.

【基金】 国家自然科学基金面上项目(81272842);中国博士后科学基金(2012M520202)
  • 【文献出处】 中国输血杂志 ,Chinese Journal of Blood Transfusion , 编辑部邮箱 ,2015年01期
  • 【分类号】R457.11
  • 【被引频次】2
  • 【下载频次】220
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