Spontaneously arising red cells with a McLeod-like phenotype in normal donors
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Updated: Jun 18, 2026

Detection of Residual Donor Erythroid Progenitor Cells after Hematopoietic Stem Cell Transplantation for Patients with Hemoglobinopathies
Published on: September 6, 2017
David J Araten1, Katie J Sanders, Jeffrey Pu
1Division of Hematology, Department of Medicine, NYU School of Medicine, New York, NY, United States. David.Araten@nyumc.org
Abstract:
Very few human genes can be used to identify spontaneous inactivating somatic mutations. We hypothesized that because the XK gene is X-linked, it would be easy to identify spontaneously arising red cells with a phenotype resembling the McLeod syndrome, which results from inherited XK mutations. Here, by flow cytometry, we detect such phenotypic variants at a median frequency of 9 x 10(-6) in neonatal cord blood samples and 39 x 10(-6) in healthy adults (p=0.004). It may be possible to further investigate the relationship between aging, mutations, and cancer using this approach.
Insights
Researchers identified rare red blood cells with inactivating mutations in the XK gene. This method may help study aging, mutations, and cancer development.
Area of Science:
- Genetics
- Hematology
- Cell Biology
Background:
- Identifying spontaneous inactivating somatic mutations in human genes is challenging.
- The XK gene, located on the X chromosome, is associated with McLeod syndrome when mutated.
- X-linked genes offer a potential avenue for studying spontaneous mutations due to their inheritance pattern.
Purpose of the Study:
- To investigate the feasibility of detecting spontaneous inactivating somatic mutations using the X-linked XK gene.
- To establish a method for identifying red blood cells with phenotypes similar to McLeod syndrome.
- To determine the frequency of such variants in neonatal and adult populations.
Main Methods:
- Utilized flow cytometry to detect red blood cells exhibiting a specific phenotype.
- Focused on identifying variants related to the XK gene, known for its role in McLeod syndrome.
- Analyzed neonatal cord blood and adult blood samples.
Main Results:
- Phenotypic variants resulting from spontaneous XK gene mutations were detected.
- Median frequencies were 9 x 10^-6 in neonatal cord blood and 39 x 10^-6 in healthy adults.
- A statistically significant difference in frequency was observed between neonatal and adult samples (p=0.004).
Conclusions:
- The study successfully identified a method to detect spontaneous inactivating somatic mutations in the XK gene.
- The findings suggest that X-linked genes can serve as markers for spontaneous mutations.
- This approach holds potential for future research into the links between aging, mutation accumulation, and cancer.
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