A Novel c.796 A>C Mutation in the ABO*B.01 Allele Responsible for CisAB Phenotype

Xiaofei Li1,2, Huiwen Bi3, Liping Sun1

  • 1Department of Blood Transfusion, Chinese PLA General Hospital, Beijing, China.

Insights

A rare CisAB blood group phenotype was identified in a Chinese family. Genetic analysis revealed a novel CisAB allele (c.796A>C) in the ABO gene, marking the first discovery of this type in China.

Area of Science:

  • Genetics
  • Immunology
  • Blood Group Serology

Background:

  • The CisAB phenotype is a rare blood group characterized by the co-expression of A and B antigens.
  • Individuals with this phenotype are infrequently observed in Asian populations, particularly in China.

Purpose of the Study:

  • To investigate the genetic basis of a suspected CisAB phenotype in a Chinese newborn and their family.
  • To identify the specific genetic mutation responsible for the CisAB phenotype in this cohort.

Main Methods:

  • Conventional serological tests were employed to determine the ABO blood group phenotype.
  • Polymerase chain reaction (PCR) amplification and sequencing of the ABO gene's coding regions (exons 1-7).
  • Allele-specific primer sequencing was utilized for ABO haplotype determination.

Main Results:

  • Serological tests and family investigations confirmed the CisAB phenotype in the proband, his father, and grandfather.
  • A novel CisAB allele, characterized by a single nucleotide change (c.796A>C) compared to the ABO*B.01 allele, was identified in affected family members.

Conclusions:

  • The study identified a novel CisAB allele, designated as c.796A>C in ABO*B.01.
  • This represents the first documented instance of this specific CisAB allele within the Chinese population.
Abstract

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