Abstract

Objective To explore the molecular mechanisms for one case of ABw07 phenotype in ABO blood group system. Methods On 12th March 2014, a case of voluntary blood donor who donated blood in Qingdao Blood Center, and whose blood type was unconformity of positive and reverse ABO blood typing was chosen as a research object. Phenotype of blood sample from this donor was detected with traditional serological method. PCR-sequence specific primer (SSP) and direct sequencing methods were carried out to identify the genotypes of the sample. The exon 6 and 7 in the ABO genes were cloning sequenced to identify its haplotype. Results ① The serological test results of this donor demonstrated that the positive typing is AB, but the reverse typing is A. ② The direct sequencing of the exon 6 and 7 in the ABO genes showed that there was no deletion in nucleotide 261 and the mutations are c. 297A>G, c. 467C>T, c. 526C>G, c. 657C>T, c. 703G>A, c. 796C>A, c. 803G>C, c. 930G>A and c. 1055G>A. ③ After the cloning sequencing analysis, one nucleotide change of G to A was found, which resulted in an amino acid change from arginine to glutamine at amino acid 352 (p.Arg352Gln), the genotype of the sample was A102/Bw07. Conclusions c. 1055G>A (p.Arg352Gln) mutation of the α-1, 3-galactosyltransferase gene (B gene) is responsible for ABw07 phenotype and the serum of such individual contained anti-B. Key words: ABO blood-group system; Sequence analysis; Genotype; ABw07 phenotype; α-1, 3-galactosyltransferase

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