title: [Rh-D genotyping for exon 2, 5 and 7 of German and Japanese blood donors with sequence specific polymerase chain reaction].
abstract: RHD genotyping from fetal cells was applied for the detection of the RHD gene in the fetus of immunized Rh-D-negative women. Additionally, RHD genotyping was applied for the characterization of Rh-D variants. Although 44 nucleotide substitutions are known to code for 35 amino acid differences between the RHCE and the RHD gene, only a few polymorphisms have been investigated yet. We investigated 7 RHD-specific nucleotides on exons 2, 5, and 7 with sequence-specific primers and 1 nucleotide with ligation-based typing. All RHD genotyping results were correlated with serological results and established genotyping methods in 116 German and 98 Japanese blood donors, because different genetic sequences coding for Rh-D polypeptides have been described in different ethnic groups. Sequence-specific amplification of D-specific sequences was concordant with the serological result in all blood donors tested. However, ligation-based typing on exon 5 gave false-negative results in 7 donors. In summary, 5 new sequence-specific PCRs have been evaluated for further characterization of Rh-D variants. Furthermore, the methods described allow nested PCR and thus may help in determination of the fetal RhD status from maternal peripheral blood during pregnancy.
authors.affiliation: Abteilung Transfusionsmedizin, Universität Göttingen, Deutschland.
authors.forename: J H
authors.initials: JH
authors.lastname: Maas
authors.forename: T J
authors.initials: TJ
authors.lastname: Legler
authors.forename: R
authors.initials: R
authors.lastname: Lynen
authors.forename: V
authors.initials: V
authors.lastname: Blaschke
authors.forename: H
authors.initials: H
authors.lastname: Ohto
authors.forename: M
authors.initials: M
authors.lastname: Köhler
mesh_terms: D000888:Antibodies, Anti-Idiotypic / Q000097:blood / Q000235:genetics*; D001483:Base Sequence; D001782:Blood Donors; D001788:Blood Grouping and Crossmatching; D003431:Cross-Cultural Comparison; D005091:Exons; D005260:Female; D005838:Genotype; D005858:Germany; D006801:Humans; D007231:Infant, Newborn; D007564:Japan; D016133:Polymerase Chain Reaction; D011247:Pregnancy; D012203:Rh Isoimmunization / Q000097:blood / Q000175:diagnosis; D012204:Rh-Hr Blood-Group System / Q000097:blood / Q000235:genetics*; D012680:Sensitivity and Specificity; D044465:White People / Q000235:genetics*
chemical_list: D000888:Antibodies, Anti-Idiotypic; D012204:Rh-Hr Blood-Group System; C039951:anti-IgD