RhD-negative blood donors: genetic polymorphisms and testing strategies

[Objective] To investigate the genetic basis of RhD-negative phenotype in the blood donor population of Nantong City. [Methods] RHD genotyping was performed on 386 randomly selected RhD-negative donor samples (from a total of 676 RhD-negative donors identified between January 20, 2023, and June 28,...

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Main Authors: WANG Kecheng, WANG Xiaoqin, DING Yingzhou, ZHANG Tingting, LIU Ming, XU Cheng
Format: Article
Language:zho
Published: Institute of Blood Transfusion of Chinese Academy of Medical Sciences 2025-07-01
Series:Zhongguo shuxue zazhi
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Online Access:https://www.cjbt.cn/thesisDetails#10.13303/j.cjbt.issn.1004-549x.2025.07.011&lang=en
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author WANG Kecheng
WANG Xiaoqin
DING Yingzhou
ZHANG Tingting
LIU Ming
XU Cheng
author_facet WANG Kecheng
WANG Xiaoqin
DING Yingzhou
ZHANG Tingting
LIU Ming
XU Cheng
author_sort WANG Kecheng
collection DOAJ
description [Objective] To investigate the genetic basis of RhD-negative phenotype in the blood donor population of Nantong City. [Methods] RHD genotyping was performed on 386 randomly selected RhD-negative donor samples (from a total of 676 RhD-negative donors identified between January 20, 2023, and June 28, 2024) using polymerase chain reaction (PCR), and the inconclusive results were confirmed by nucleotide sequencing. [Results] Ten RHD allele types were identified: The complete deletion variant RHD* 01N.01 was predominant (64.25%, 248/386); followed by RHD* 01EL.01 (19.69%, 76/386). RHD* 01N.03, RHD* 01N.04, RHD* 01N.16 and RHD* 01EL.32 were frequently observed., RHD* 01EL.02, RHD* 01EL.08, RHD* 01EL.37 and RHD* 01N.25 were rare, and two exon deletion variants remained uncharacterized. The phenotypic distribution of RhD-negative blood donors was ccee (55.44%)>Ccee(31.09%)>ccEe(5.96%)>CCee(5.44%)>CcEe(1.81%)>CcEE(0.26%), and the antigen distribution trend was e(99.74%)>c(94.56%)>C(38.60%)>E(8.03%). A correlation was observed between RHD genotypes and RhCE phenotypes. [Conclusion] The Nantong blood donor population exhibits unique RHD gene polymorphisms. Integrating RhCE serological phenotyping with RHD genotyping is essential for ensuring transfusion safety.
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spelling doaj-art-2d9dc18337454dc5bb18ca1bfe72d5f22025-08-20T03:23:16ZzhoInstitute of Blood Transfusion of Chinese Academy of Medical SciencesZhongguo shuxue zazhi1004-549X2025-07-0138793494010.13303/j.cjbt.issn.1004-549x.2025.07.0111004-549X(2025)7-0934-07RhD-negative blood donors: genetic polymorphisms and testing strategiesWANG Kecheng0WANG Xiaoqin1DING Yingzhou2ZHANG Tingting3LIU Ming4XU Cheng5Nantong Blood Center, Nantong 226014, ChinaNantong Blood Center, Nantong 226014, ChinaNantong Blood Center, Nantong 226014, ChinaWeihe Biotechnology Inc, Taizhou 225300, ChinaWeihe Biotechnology Inc, Taizhou 225300, ChinaNantong Blood Center, Nantong 226014, China[Objective] To investigate the genetic basis of RhD-negative phenotype in the blood donor population of Nantong City. [Methods] RHD genotyping was performed on 386 randomly selected RhD-negative donor samples (from a total of 676 RhD-negative donors identified between January 20, 2023, and June 28, 2024) using polymerase chain reaction (PCR), and the inconclusive results were confirmed by nucleotide sequencing. [Results] Ten RHD allele types were identified: The complete deletion variant RHD* 01N.01 was predominant (64.25%, 248/386); followed by RHD* 01EL.01 (19.69%, 76/386). RHD* 01N.03, RHD* 01N.04, RHD* 01N.16 and RHD* 01EL.32 were frequently observed., RHD* 01EL.02, RHD* 01EL.08, RHD* 01EL.37 and RHD* 01N.25 were rare, and two exon deletion variants remained uncharacterized. The phenotypic distribution of RhD-negative blood donors was ccee (55.44%)>Ccee(31.09%)>ccEe(5.96%)>CCee(5.44%)>CcEe(1.81%)>CcEE(0.26%), and the antigen distribution trend was e(99.74%)>c(94.56%)>C(38.60%)>E(8.03%). A correlation was observed between RHD genotypes and RhCE phenotypes. [Conclusion] The Nantong blood donor population exhibits unique RHD gene polymorphisms. Integrating RhCE serological phenotyping with RHD genotyping is essential for ensuring transfusion safety.https://www.cjbt.cn/thesisDetails#10.13303/j.cjbt.issn.1004-549x.2025.07.011&lang=enrh blood groupphenotypegenotyperhd negativedelrhd variantsgenetic basis
spellingShingle WANG Kecheng
WANG Xiaoqin
DING Yingzhou
ZHANG Tingting
LIU Ming
XU Cheng
RhD-negative blood donors: genetic polymorphisms and testing strategies
Zhongguo shuxue zazhi
rh blood group
phenotype
genotype
rhd negative
del
rhd variants
genetic basis
title RhD-negative blood donors: genetic polymorphisms and testing strategies
title_full RhD-negative blood donors: genetic polymorphisms and testing strategies
title_fullStr RhD-negative blood donors: genetic polymorphisms and testing strategies
title_full_unstemmed RhD-negative blood donors: genetic polymorphisms and testing strategies
title_short RhD-negative blood donors: genetic polymorphisms and testing strategies
title_sort rhd negative blood donors genetic polymorphisms and testing strategies
topic rh blood group
phenotype
genotype
rhd negative
del
rhd variants
genetic basis
url https://www.cjbt.cn/thesisDetails#10.13303/j.cjbt.issn.1004-549x.2025.07.011&lang=en
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AT wangxiaoqin rhdnegativeblooddonorsgeneticpolymorphismsandtestingstrategies
AT dingyingzhou rhdnegativeblooddonorsgeneticpolymorphismsandtestingstrategies
AT zhangtingting rhdnegativeblooddonorsgeneticpolymorphismsandtestingstrategies
AT liuming rhdnegativeblooddonorsgeneticpolymorphismsandtestingstrategies
AT xucheng rhdnegativeblooddonorsgeneticpolymorphismsandtestingstrategies