Review: molecular basis of MNS blood group variants
1Department of Clinical Microbiology, Faculty of Medical Technology, Mahidol University, Bangkok, Thailand.
Abstract:
The MNS blood group antigens are expressed in the RBC membrane on glycophorin A (GPA), glycophorin B (GPB), or combinations of both. GPA expresses the M or N antigen, whereas GPB expresses the S or s antigen and the N antigen ('N'). Both glycophorin genes (GYPA and GYPB) are located on the long arm of chromosome 4 and share 95 percent sequence identity. This high degree of sequence identity, together with the rare involvement of a third homologous gene (GYPE), provides an increased chance of recombination, resulting in hybrid molecules that often carry one or more novel antigens. Some of the antigens in the MNS system result from a single nucleotide substitution. The MNS blood group system now consists of more than 40 distinct antigens. This review summarizes the molecular basis associated with some of the antigens in the MNS blood group system.
Insights
The MNS blood group system involves antigens on red blood cells (RBCs) expressed by glycophorin A (GPA) and glycophorin B (GPB). Genetic recombination between these genes explains the diversity of MNS blood group antigens.
Area of Science:
- Genetics
- Immunology
- Molecular Biology
Background:
- The MNS blood group system antigens are expressed on red blood cell (RBC) membranes via glycophorin A (GPA) and glycophorin B (GPB).
- GPA carries M/N antigens, while GPB carries S/s and N ('N') antigens.
- The GYPA and GYPB genes on chromosome 4 share high sequence identity, facilitating recombination.
Purpose of the Study:
- To review the molecular basis of MNS blood group antigens.
- To explain the genetic mechanisms leading to novel MNS antigens.
Main Methods:
- Review of scientific literature on MNS blood group genetics and molecular basis.
- Analysis of gene structure and sequence identity of GYPA, GYPB, and GYPE.
Main Results:
- Recombination between GYPA and GYPB, influenced by GYPE, generates hybrid glycophorins.
- Novel MNS antigens arise from these recombination events or single nucleotide substitutions.
- The MNS system comprises over 40 distinct antigens.
Conclusions:
- The high sequence identity of glycophorin genes leads to genetic recombination, creating diverse MNS blood group antigens.
- Understanding the molecular basis of MNS antigens is crucial for transfusion medicine and genetic studies.
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