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Updated: Aug 18, 2026

Targeted Next-generation Sequencing and Bioinformatics Pipeline to Evaluate Genetic Determinants of Constitutional Disease
Published on: April 4, 2018
Low-incidence MNS antigens associated with single amino acid changes and their susceptibility to enzyme treatment
1Immunohematology Laboratory, New York Blood Center, 310 East 67th Street, New York, NY 10021, USA.
Abstract:
MNS antigens are carried on glycophorin A (GPA), glycophorin B (GPB), or their variants. Antigens at the N-terminus of GPA are sensitive to cleavage by ficin, papain, and trypsin but are resistant to alpha-chymotrypsin. Antigens at the N-terminus of GPB are sensitive to cleavage by ficin, papain, and alpha-chymotrypsin but are resistant to trypsin treatment. These characteristics have been used to aid in the identification of blood group alloantibodies. Recent molecular analyses have identified changes in amino acids that are associated with several low-incidence antigens in the MNS blood group system. This review relates the molecular studies with the susceptibility or resistance of these antigens to treatment of intact red blood cells by proteolytic enzymes.
Insights
The MNS blood group system antigens on glycophorin A and B exhibit differential sensitivity to proteolytic enzymes. Molecular studies correlate amino acid changes with antigen behavior, aiding in blood group alloantibody identification.
Area of Science:
- Immunology
- Biochemistry
- Genetics
Background:
- The MNS blood group system is defined by antigens on glycophorin A (GPA) and glycophorin B (GPB).
- Differential enzymatic cleavage of GPA and GPB antigens has historically aided in blood group alloantibody identification.
- Recent advances in molecular analysis have revealed amino acid variations linked to low-incidence MNS antigens.
Purpose of the Study:
- To review the relationship between molecular variations in MNS blood group antigens and their susceptibility to proteolytic enzymes.
- To connect recent molecular findings with established enzymatic properties of MNS antigens.
Main Methods:
- Review of existing literature on MNS blood group system molecular genetics.
- Analysis of studies detailing the effects of proteolytic enzymes (ficin, papain, trypsin, alpha-chymotrypsin) on red blood cells.
- Correlation of molecular data with enzymatic cleavage patterns.
Main Results:
- GPA N-terminus antigens are cleaved by ficin, papain, and trypsin but resistant to alpha-chymotrypsin.
- GPB N-terminus antigens are cleaved by ficin, papain, and alpha-chymotrypsin but resistant to trypsin.
- Specific amino acid changes are associated with altered enzymatic susceptibility of MNS antigens.
Conclusions:
- Molecular insights provide a deeper understanding of MNS antigen behavior.
- Enzymatic profiles of MNS antigens are directly influenced by their underlying molecular structure.
- This knowledge enhances the characterization of blood group alloantibodies and MNS antigen variations.
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