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Updated: Feb 28, 2026

A Precision Medicine Tool for Measurement and Monitoring of Hemoglobin S in Sickle Cell Disease Patients Receiving Transfusion Therapy
Molecular Testing Expansion and Utilization in Transfusion Medicine.
HyoJeong Han1, Zaina Inam2, Jennifer Webb1
1Division of Hematology, Center for Cancer and Blood Disorders, Children's National Hospital; Division of Pathology & Laboratory Medicine, Children's National Hospital, 111 Michigan Avenue NW, WW-4, Suite 600, Washington, DC 20010, USA; Department of Pediatrics, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Molecular testing precisely identifies blood antigens in patients and donors, improving transfusion safety and reducing alloimmunization. This rapid technique also enables prenatal testing using cell-free fetal DNA.
Area of Science:
- Transfusion Medicine
- Genetics
- Immunology
Background:
- Accurate blood antigen typing is crucial for safe transfusions.
- Alloimmunization remains a significant risk in transfusion recipients.
- Traditional antigen testing methods can be time-consuming.
Purpose of the Study:
- To evaluate the utility of molecular testing for blood antigen prediction.
- To assess the efficiency and applicability of molecular assays in transfusion medicine.
- To explore the use of molecular techniques in prenatal diagnostics.
Main Methods:
- Utilized molecular assays to identify genetic variants.
- Applied assays to both patient and donor samples.
- Analyzed turnaround time and sample processing capacity.
Main Results:
- Molecular testing accurately predicted red blood cell and platelet antigens.
- Assays demonstrated high throughput and rapid turnaround times.
- Successful application in identifying recipient and donor antigens for matching.
Conclusions:
- Molecular testing offers a precise and efficient method for blood antigen profiling.
- This technology enhances transfusion safety by minimizing alloimmunization risk.
- Molecular assays have potential applications in prenatal testing of cell-free fetal DNA.
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