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Published on: May 29, 2020
DIII Type 7 is likely the original serologically defined DIIIb.
Christine Lomas-Francis1, Christine Halter Hipsky, Randall W Velliquette
1Laboratory of Immunohematology, New York Blood Center, New York, New York 10065, USA.
A rare DIII Type 7 partial D antigen, identified in a South African donor, likely represents the original DIIIb category. This finding aids in understanding RhD variant alleles and partial D phenotypes.
Area of Science:
- Immunogenetics
- Blood Group Serology
Background:
- The RHD and RHCE genes can undergo nucleotide exchange, creating variant alleles that result in partial D phenotypes.
- The DIII partial D category is complex, with existing subdivisions including DIIIa, DIIIb, DIIIc, DIII Type 4, DIII Type 6, and DIII Type 7.
Purpose of the Study:
- To characterize a second identified case of the DIII Type 7 partial D antigen.
- To investigate the serological and molecular basis of this variant and its relationship to the DIIIb category.
Main Methods:
- Standard hemagglutination testing was performed on red blood cells from the DIII Type 7 donor.
- DNA testing was conducted to analyze the RHD allele sequence.
Main Results:
- The DIII Type 7 donor exhibited a D+C-E-c+e+G- phenotype and DAK+.
- Red blood cells did not react with anti-D antibodies from individuals with the DIII phenotype.
- The identified allele was RHD*DIII 150C, 178C, 201A, 203A, 307C, 410T, 455C, 602G, 667G.
Conclusions:
- The identified DIII Type 7 allele in a black African donor is likely the originally defined DIIIb category.
- This finding contributes to the understanding of RhD partial phenotypes and their genetic underpinnings.
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