Identification of the RHD novel allele c. 801+2T>G and study of its effect on RhD phenotype in vitro

[Objective] To further identify the RhD phenotype and RHD genotype in the individual who have RhD negative phenotype in the primary screening, and to analyze the effect of c. 801+2T>G mutation on RhD phenotype by minigene splicing assay. [Methods] The serologic test was performed for RhD phenotyp...

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Main Authors: JIA Shuangshuang, WEN Jizhi, WEI Ling, ZHANG Runqing, LUO Guangping, JI Yanli
Format: Article
Language:zho
Published: Institute of Blood Transfusion of Chinese Academy of Medical Sciences 2024-12-01
Series:Zhongguo shuxue zazhi
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Online Access:https://www.cjbt.cn/thesisDetails#10.13303/j.cjbt.issn.1004-549x.2024.12.015&lang=en
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author JIA Shuangshuang
WEN Jizhi
WEI Ling
ZHANG Runqing
LUO Guangping
JI Yanli
author_facet JIA Shuangshuang
WEN Jizhi
WEI Ling
ZHANG Runqing
LUO Guangping
JI Yanli
author_sort JIA Shuangshuang
collection DOAJ
description [Objective] To further identify the RhD phenotype and RHD genotype in the individual who have RhD negative phenotype in the primary screening, and to analyze the effect of c. 801+2T>G mutation on RhD phenotype by minigene splicing assay. [Methods] The serologic test was performed for RhD phenotype identification and absorption-elution test was performed by using monoclonal anti-D. Sanger sequencing was used to analyze the sequence of RHD genes and the newly identified splicing site mutations of RHD genes were used to construct pSplicePOLR2G micro gene expression plasmids. By using an in vitro micro gene splicing system, the mRNA splicing results were detected and analyzed using agarose and capillary electrophoresis to predict their impact on RhD phenotype. [Results] The serological test results showed that the patient's blood type was RhD-negative, but the anti-D absorption-elution test was positive, indicating a Del phenotype. The rare genotype RHD*(1227A/801+2G) was identified in this individual. The c. 801+2T>G was a novel mutation at 5'-splice site of intron 5. The minigene splicing assay showed that c. 801+2T>G resulted in a complete skipping of RHD exon 5 in the mature transcript, forming a transcript without exon 5. [Conclusion] An individual carrying a novel mutation c. 801+2T>G in the RHD gene was found to exhibit a Del phenotype, but also carry the Asian Del allele c. 1227G>A. It was speculated that the c. 801+2T>G mutation caused RhD negative or Del phenotype based on the results of minigene splicing assay in vitro.
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issn 1004-549X
language zho
publishDate 2024-12-01
publisher Institute of Blood Transfusion of Chinese Academy of Medical Sciences
record_format Article
series Zhongguo shuxue zazhi
spelling doaj-art-4d1156d95ea244c88366a27b6bf3cb672025-01-06T09:43:02ZzhoInstitute of Blood Transfusion of Chinese Academy of Medical SciencesZhongguo shuxue zazhi1004-549X2024-12-0137121427143110.13303/j.cjbt.issn.1004-549x.2024.12.0151004-549X(2024)12-1427-05Identification of the RHD novel allele c. 801+2T>G and study of its effect on RhD phenotype in vitroJIA Shuangshuang0WEN Jizhi1WEI Ling2ZHANG Runqing3LUO Guangping4JI Yanli5The Key Medical Laboratory of Guangzhou, Institute of Blood Transfusion and Hematology, Guangzhou Medical University, Guangzhou Blood Center, Guangzhou 510095, ChinaThe Key Medical Laboratory of Guangzhou, Institute of Blood Transfusion and Hematology, Guangzhou Medical University, Guangzhou Blood Center, Guangzhou 510095, ChinaThe Key Medical Laboratory of Guangzhou, Institute of Blood Transfusion and Hematology, Guangzhou Medical University, Guangzhou Blood Center, Guangzhou 510095, ChinaThe Key Medical Laboratory of Guangzhou, Institute of Blood Transfusion and Hematology, Guangzhou Medical University, Guangzhou Blood Center, Guangzhou 510095, ChinaThe Key Medical Laboratory of Guangzhou, Institute of Blood Transfusion and Hematology, Guangzhou Medical University, Guangzhou Blood Center, Guangzhou 510095, ChinaThe Key Medical Laboratory of Guangzhou, Institute of Blood Transfusion and Hematology, Guangzhou Medical University, Guangzhou Blood Center, Guangzhou 510095, China[Objective] To further identify the RhD phenotype and RHD genotype in the individual who have RhD negative phenotype in the primary screening, and to analyze the effect of c. 801+2T>G mutation on RhD phenotype by minigene splicing assay. [Methods] The serologic test was performed for RhD phenotype identification and absorption-elution test was performed by using monoclonal anti-D. Sanger sequencing was used to analyze the sequence of RHD genes and the newly identified splicing site mutations of RHD genes were used to construct pSplicePOLR2G micro gene expression plasmids. By using an in vitro micro gene splicing system, the mRNA splicing results were detected and analyzed using agarose and capillary electrophoresis to predict their impact on RhD phenotype. [Results] The serological test results showed that the patient's blood type was RhD-negative, but the anti-D absorption-elution test was positive, indicating a Del phenotype. The rare genotype RHD*(1227A/801+2G) was identified in this individual. The c. 801+2T>G was a novel mutation at 5'-splice site of intron 5. The minigene splicing assay showed that c. 801+2T>G resulted in a complete skipping of RHD exon 5 in the mature transcript, forming a transcript without exon 5. [Conclusion] An individual carrying a novel mutation c. 801+2T>G in the RHD gene was found to exhibit a Del phenotype, but also carry the Asian Del allele c. 1227G>A. It was speculated that the c. 801+2T>G mutation caused RhD negative or Del phenotype based on the results of minigene splicing assay in vitro.https://www.cjbt.cn/thesisDetails#10.13303/j.cjbt.issn.1004-549x.2024.12.015&lang=enrhd phenotyperhd novel allelec. 801+2t>g mutationminigene splicing assay
spellingShingle JIA Shuangshuang
WEN Jizhi
WEI Ling
ZHANG Runqing
LUO Guangping
JI Yanli
Identification of the RHD novel allele c. 801+2T>G and study of its effect on RhD phenotype in vitro
Zhongguo shuxue zazhi
rhd phenotype
rhd novel allele
c. 801+2t>g mutation
minigene splicing assay
title Identification of the RHD novel allele c. 801+2T>G and study of its effect on RhD phenotype in vitro
title_full Identification of the RHD novel allele c. 801+2T>G and study of its effect on RhD phenotype in vitro
title_fullStr Identification of the RHD novel allele c. 801+2T>G and study of its effect on RhD phenotype in vitro
title_full_unstemmed Identification of the RHD novel allele c. 801+2T>G and study of its effect on RhD phenotype in vitro
title_short Identification of the RHD novel allele c. 801+2T>G and study of its effect on RhD phenotype in vitro
title_sort identification of the rhd novel allele c 801 2t g and study of its effect on rhd phenotype in vitro
topic rhd phenotype
rhd novel allele
c. 801+2t>g mutation
minigene splicing assay
url https://www.cjbt.cn/thesisDetails#10.13303/j.cjbt.issn.1004-549x.2024.12.015&lang=en
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AT zhangrunqing identificationoftherhdnovelallelec8012tgandstudyofitseffectonrhdphenotypeinvitro
AT luoguangping identificationoftherhdnovelallelec8012tgandstudyofitseffectonrhdphenotypeinvitro
AT jiyanli identificationoftherhdnovelallelec8012tgandstudyofitseffectonrhdphenotypeinvitro