title: The genetic basis of a new partial D antigen: DDBT.
abstract: The Rh system, the most polymorphic system on red cells, is genetically controlled by two different but highly homologous genes on chromosome 1. The RHCE gene encodes different RhCcEe polypeptides and the RHD gene encodes D antigens. It is well established that in D negative individuals the RHD gene is either absent or grossly deleted. The D antigen comprises at least nine serologically defined D epitopes. The D antigen can be divided into different partial D categories, reflecting a different pattern of specific D epitopes. In this study a newly defined partial D antigen, DDBT, was studied. D epitope mapping revealed the presence of D epitopes 6/7 and 8 and the absence of the other D epitopes. The molecular basis of this phenotype was studied by Southern blotting, by RHD typing using the polymerase chain reaction (RHD-PCR) and by sequence analysis of Rh transcripts. The DBT phenotype appeared to be encoded by a hybrid RHD gene, in which exons 5, 6 and 7 (and possibly the identical exon 8) were replaced by the corresponding exons of the RHCE gene. From this study it may be concluded that D epitopes 1, 2, 3, 4, 5 and 9 are dependent on the presence of RHD exons 5, 6, and 7.
authors.affiliation: Red Cross Blood Bank Rotterdam, The Netherlands.
authors.forename: E A
authors.initials: EA
authors.lastname: Beckers
authors.forename: B H
authors.initials: BH
authors.lastname: Faas
authors.forename: S
authors.initials: S
authors.lastname: Simsek
authors.forename: M A
authors.initials: MA
authors.lastname: Overbeeke
authors.forename: D J
authors.initials: DJ
authors.lastname: van Rhenen
authors.forename: M
authors.initials: M
authors.lastname: Wallace
authors.forename: A E
authors.initials: AE
authors.lastname: von dem Borne
authors.forename: C E
authors.initials: CE
authors.lastname: van der Schoot
mesh_terms: D001483:Base Sequence; D015139:Blotting, Southern; D003434:Crossing Over, Genetic; D000939:Epitopes / Q000235:genetics; D006801:Humans; D008969:Molecular Sequence Data; D010375:Pedigree; D010641:Phenotype; D016133:Polymerase Chain Reaction; D012204:Rh-Hr Blood-Group System / Q000235:genetics*; D018029:Rho(D) Immune Globulin / Q000235:genetics*
chemical_list: D000939:Epitopes; D012204:Rh-Hr Blood-Group System; D018029:Rho(D) Immune Globulin