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An update on the Knops blood group system
1Immunohematology Consultant.
Insights
The Knops (KN) blood group system, with nine antigens, has identified the molecular basis of the York antigen (KN5 or Yka). This polymorphism is of significant interest to malaria researchers.
Area of Science:
- Immunology
- Genetics
- Hematology
Background:
- The Knops blood group system (ISBT system 22) comprises nine antigens.
- Previous understanding of the Knops system was detailed in a 2010 review.
- The clinical significance in transfusion medicine has been limited.
Purpose of the Study:
- To provide an update on the Knops blood group system.
- To identify the molecular basis of the York antigen (KN5/Yka).
- To highlight research interest in the Knops polymorphism.
Main Methods:
- Review of existing literature on the Knops blood group system.
- Genetic analysis to identify the molecular basis of specific antigens.
- Documentation of research trends and findings.
Main Results:
- No new antigens have been added to the Knops blood group system.
- The molecular basis of York, KN5, or Yka has been identified as c.4223C>T.
- This specific genetic variation is designated KN*01.-05.
Conclusions:
- The Knops blood group system remains at nine antigens.
- The identification of the molecular basis for KN*01.-05 provides a genetic marker.
- The Knops polymorphism holds significant interest for researchers studying malaria, as evidenced by numerous recent studies.
Conclusions:
This update of the Knops (KN) blood group system (Moulds JM. The Knops blood group system. Immunohematology 2010;26:2-7) adds no new antigens to this system (International Society of Blood Transfusion system 22), which currently has nine antigens. However, the molecular basis of York, KN5, or Yka has been identified as c.4223C>T and designated KN*01.-05. Although not considered clinically significant in the field of transfusion medicine, there has been great interest in the Knops polymorphism by investigators working on malaria documented by numerous studies over the past 8 years.
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