Evans antigen: A new hybrid structure occurring on background of D.. and D-- Rh complexes

被引:6
作者
Cheng, GJ
Chen, Y
Reid, ME
Huang, CH
机构
[1] New York Blood Ctr, Lindsley F Kimball Res Inst, Lab Biochem & Mol Genet, New York, NY 10021 USA
[2] New York Blood Ctr, Lindsley F Kimball Res Inst, Lab Immunochem, New York, NY 10021 USA
关键词
D O I
10.1046/j.1423-0410.2000.7810044.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background and Objectives: Previously, the Evans antigen (RH37) of the Ph blood group system was shown to be specified by a novel CE-D-CE hybrid gene. We studied further the heterogeneity of Evans and report here its new molecular type resulting from a novel intraexon fusion event on the background of D.. and D-- complexes. Materials and Methods: A white family with 2 Evans+ and 2 Evans- members was analyzed by serological methods and molecular techniques. Results: The Evans+ proband (JD) typed D+C-c-E-e- and showed a partial loss of RHCE but an increased dose of RHD on DNA blots. On sequencing of Ph cDNAs, a normal D and 3 hybrid transcripts were detected. The D-CE hybrid is characterized by a single breakpoint located in exon 6. The CE-D hybrid derived its exon 1 (or 1 and 2) from RHCE and exons 2-10 (or 3-10) from RHD. The CE-D-CE hybrid had its internal exons 2-7 (or 3-7) from RHD. Family studies showed that the D-CE and CE-D hybrids were linked and cotransmitted from JD to his son, whereas RHD and CE-D-CE hyrbid were transmitted from JD to his daugther. Conclusion: In this family, Evans is specified by the novel D-CE intraexon fusion gene which occurs in cis to CE-D and trans to CE-D-CE interexon fusion genes. The observed large duplication of RHD reflects a convergent mosaicism underlying the enhancement of D and ablation of CcEe antigens. Copyright (C) 2000 S. Karger AG, Basel.
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页码:44 / 51
页数:8
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