Distribution Of ABO Blood Groups Research Articles

Prevalence of ABO and Rhesus (D) Blood Group and Allelic Frequency at Blood Bank of Nigist Eleni Mohammed Hospital, Ethiopia.

The purpose of this cross-sectional study was to determine the pattern of the ABO and rhesus D (RhD) blood group distribution among voluntary blood donors attending five blood donation centers at Nigist Eleni Mohammed General Hospital in Hossana, Ethiopia. A total of 1,120 participants who fulfilled the "who can give blood" criteria of the World Health Organization were selected randomly. Blood samples were collected, transported to the laboratory, and analyzed for ABO and RhD typing. The data was analyzed using descriptive statistics and chi-square correlation analysis. The study found that the O blood group was the most prevalent (39.0%), followed by A (32.2%), B (22.5%), and AB (6.4%). When considering both the ABO and Rh blood groups together, 92.9% of blood donors were RhD positive, while only 7.1% were RhD negative. The distribution pattern of the ABO blood groups in Gurage Zone, Hadiya Zone, Kembata Zone, and Silte Zone showed that the O blood group was the most prevalent, followed by A, B, and AB, in that order. Conversely, the ABO blood group distribution pattern in Halaba Zone was A > O > B > AB. Civil servants from different occupational statuses were the most dominant voluntary blood donors, accounting for 53.2%, followed by students from different high schools and universities (41.9%), self-employed individuals (4.1%), and others (0.7%). The ABO blood group system had observed allele frequencies significantly different from the expected frequencies (p = 0.007), while the RhD system did not (p = 0.037). Allele frequencies for A, B, and O in the ABO system were 0.3531, 0.2576, and 0.3893, respectively. Observed frequencies for RhD-positive and RhD-negative alleles were 0.9647 and 0.0531, respectively. This study highlights the regional ABO and RhD blood group variations in Ethiopia, noting disparities from expected ABO allele frequencies, and identifies the O blood group predominance among donors with a high RhD-positive prevalence.

Discussion on the recruitment strategy for apheresis platelet donors in Chongqing during a public health emergency.

This study aimed to analyze the population characteristics of apheresis platelet donors in Chongqing Province and provide a scientific basis for the development of precise and efficient recruitment strategies. The ultimate goal is to increase the number of regular platelet donors in preparation for public health emergencies. This study involved 53,089 blood donors who donated apheresis platelets to the Chongqing Blood Center from 2020 to 2022. Data regarding age, sex, blood type, education level, occupation, and frequency of blood donation were collected and analyzed to identify factors influencing platelet donation. Between 2020 and 2022, the majority of apheresis platelet donors in Chongqing were aged 25-35 years, with a male-to-female ratio of 2.6:1. The ABO blood group distribution was O > A > B > AB. The apheresis platelet donors mainly consisted of college students, and the donors who had donated only once accounted for the greatest proportion. Based on the population characteristics of apheresis platelet donors in Chongqing, blood collection and supply organizations must refine emergency blood collection and supply plans during public health emergencies. This study underscores the importance of developing precise and efficient recruitment strategies for apheresis platelet donors and expanding the pool of regular apheresis platelet donors. These measures are essential to ensure the timely, safe, and effective use of clinical blood resources during public health emergencies.

Association of Leukemia With ABO Blood Group Distribution and Discrepancy: A Review Article.

The ABO system is an essential blood group in clinical transfusion medicine implicated in several human diseases. The ABO system has been investigated for over a century, with various studies exploring potential links to disease susceptibility. The study examines the possible relationship between leukemia and the distribution and the ABO blood group system discrepancy. A comprehensive review was conducted on the recommended databases to review the ABO blood groups, their association with leukemia, and the expected changes in blood groups among leukemia patients. The study highlights different kinds of leukemia, such as acute lymphocytic leukemia (ALL), acute myeloid leukemia (AML), chronic myeloid leukemia (CML), and chronic lymphocytic leukemia (CLL), their characteristics, and their relationship with ABO blood groups. The document concludes that studying ABO blood group distributions among leukemia patients showed that the most common blood group in acute leukemia is the A group, while in chronic leukemia, the O group is predominant; more studies are required. This study also confirmed an association between leukemia and ABO blood group discrepancy.

Analysis of human ABO Blood Group as a risk factor with knee osteoarthritis at tertiary care hospital in Pakistan

Objective: To investigate the association and risk estimation of ABO blood group distribution and clinical attributes in patients with Knee Osteoarthritis.
 Method: This was a hospital-based study conducted at, Liaquat University Hospital Hyderabad from December, 2019 to December, 2022 to investigate this least researched area of highly prevalent musculoskeletal disease in Pakistan. Non-Probability Convenience Sampling was used for selecting 190 cases of confirm Knee Osteoarthritis patients diagnosed by Orthopedic surgeon based on standard clinical and radiographic criteria. Data were analyzed using IBM-SPSS version 23.0. Percentages and frequencies were counted for categorical data. Pearson Chi Square test and fisher’s exact test were used to check the association and Multinomial Logistic Regression was used to estimate the risk for moderate and severe kellgren grading Knee Osteoarthritis (KOA) cases with ABO blood grouping in comparison of mild Kellgren grading.
 Results: A total of 190 cases of Knee Osteoarthritis (KOA) were included in the study. Females (61.6%) and patients with age 50 and above were 40.5 % were found in greater proportion. Majority (41.6%) were classified radiologically as mild cases with O group (39.5%) and positive Rh antigen (95.8%). Strong association (p = <0.01) was found between gender, age group and ABO blood group with KOA radiological Kellgren and Lawrence score.
 Conclusion: There is strong relation in between radiological grading of knee osteoarthritis severity and A blood group, gender and age.
 doi: https://doi.org/10.12669/pjms.40.5.8865
 How to cite this: Shaikh SR, Atta Ur Rahman A, Makhdoom A. Analysis of human ABO Blood Group as a risk factor with knee osteoarthritis at tertiary care hospital in Pakistan. Pak J Med Sci. 2024;40(5):---------. doi: https://doi.org/10.12669/pjms.40.5.8865
 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Associations Between ABO Blood Groups and Diseases in the Digestive System and Vein.

The ABO blood type system is crucial for human blood transfusions. However, the relationships between ABO blood groups and diseases in the digestive system and vein have not been elucidated. We investigated the relationships between ABO blood groups and diseases in the digestive system and vein in this study. A retrospective study on a Chinese population, including 1432 Crohn's disease (CD), 416 ulcerative colitis (UC), 1140 stomach cancer (SC), 841 colorectal cancer (CRC), 384 pancreatic cancer (PC), 520 liver cancer (LC), and 563 venous thrombosis (VT) patients, was performed. Furthermore, 896 healthy subjects were enrolled as normal controls (NC) in this study. The demographic characteristics of patients and NC were compared using the unpaired t-test and χ2 test. Multivariate logistic regression model was used to evaluate the association between ABO blood groups and CD and VT. ABO blood groups distributions in UC, SC, CRC, PC, and LC patients did not differ from that of NC, but CD and VT patients had significant difference of ABO blood group distribution from that of NC (p = 0.015 and p = 0.002, respectively). Patients with CD and VT had considerably lower rates of type O blood (p = 0.011 and p = 0.001, respectively) and significantly higher rates of type AB blood (p = 0.013 and p = 0.022, respectively) than those with NC. Multivariate logistic regression analysis showed the association of CD and VT with non-O blood types was still significant with a higher risk than with blood group O after adjusting for age and gender (OR = 1.355, 95% CI = 1.100-1.670, p = 0.004 and OR = 1.465, 95% CI = 1.131-1.903, p = 0.004, respectively). ABO blood groups distributions in CD and VT patients significantly differed from that of NC. Non-O blood group could be a new predictor for CD and VT.

Distribution of ABO and Rhesus (D) blood group antigens among the Indian Kami population from the Sub-Himalayan region of West Bengal and Sikkim, India

Abstract BACKGROUND: Limited information is available regarding the distribution of ABO and Rhesus (Rh) blood groups among the populations from the sub-Himalayan regions. The present study was undertaken to understand the phenotypic, genotypic, and allelic frequencies of ABO and Rh antigens among the Kami population. METHODS: A total of 1420 Kami individuals were included in the study from the sub-Himalayan region of West Bengal and Sikkim. The ABO and RhD blood groups were determined among 158 individuals by standard slide agglutination method, and from 1262 individuals blood group, data were collected who had undergone routine blood group tests in diagnostic laboratories. RESULTS: The frequency of blood group O (31.06%) was found to be the highest followed by B (29.15%), A (27.54%), and AB (12.25%). A total of 97.89% individuals were Rh (D) positive and 2.11% were Rh (D) negative. The allele frequencies of ABO were found to be 0.200 for IA (p), 0.243 for IB (q), and 0.557 for IO (r). For Rh (D), the calculated gene frequencies were 0.855 for Rh positive (ID) and 0.145 for Rh negative (Id). Among the subcaste of Kami population, a significantly high frequency of blood group A was observed among Baraily and Lamgade, O among Sashankar, Dural, Diyali, and Dutraj, and B among Ramudamu, Koirala, and Silal. CONCLUSION: The study is the first of its kind to comprehensively describe the ABO blood group distribution among the Kami population which shows the same trend as the general Indian population.

ABO and RhD blood groups and their relationship with diseases: A retrospective study.

To retrospectively evaluate the distribution of ABO and RhD blood groups and their relationship with diseases. The retrospective study was carried out in Bursa Uludag University Family Health Center in Turkey between 1-28 February, 2023. The data of individuals who were registered with the Family Health Center and whose blood types were known were evaluated retrospectively. Blood group type, sociodemographic findings, existing diseases, allergies, and genetic disease conditions were obtained. P-values below 0.05 were considered statistically significant. Analysis were made in the SPSS 25.0 program. A total of 3834 people, 1935 male (50.5%) and 1899 female (49.5%) participated in the study. The mean age of the individuals was 26.45±10.45 years. About 75.8 percent of the participants were university students, 6.3 percent were health workers, and 17.9 percent were from other occupational groups. The rates of blood groups were determined as O Rh D+ at 33.5%, AB Rh D+ at 26.9%, A Rh D+ at 14.9%, AB Rh D- at 7.7%, B Rh D+ at 7%, O Rh D- at 4.6%, B Rh D- at 3.2% and A Rh D- at 2.2%. It was determined that the O Rh D- group had a higher rate of genetic disease than the other groups (p=0.01). It was determined that the O Rh D+ blood group was found more frequently in our region's population than in other groups. This different result depending on the A Rh D+ blood group, which is the most common throughout the country may have reflected the influence of different geographical regions and ethnic characteristics due to the students in our population. In addition, the results regarding the relationships between blood groups and occupation, genetics, existing disease, presence of allergies, and visual defects in the eye are important.

Distribution and Frequency of ABO and Rhesus blood groups among donors at Chughtai Institute of Pathology, Lahore

Aim: To assess the demographic background of blood donors in a referral institution located in Lahore, as well as the distribution of blood groups among those who donate blood. Additionally, the study will investigate the distribution of blood groups among those who donate blood. Study design: A cross-sectional study Place of Study: Chughtai Institute of Pathology, Lahore Study duration: March to June 2023 Results: Among the participants, blood group O was most common 202(49.26%), followed by A 110(27.1%), B 82(20%) and AB 15(3.65%). Blood group O was most common. Blood group O was the least common among participants. The least common blood group was AB, with 3.65% of male participants and 1.7% of female participants. A statistical analysis found no significant difference between gender and blood type (χ2 = 2.9932, P value =0.912). All blood groups except AB had Rh-negative antigens. A comparison of blood types found no changes in RH (χ2 = 2.112, P value = 0.698). Conclusion: For the functioning of a national health service, it is crucial to possess current information on the prevalence of blood types in various local settings. Currently, there is a lack of information on this important subject. Our research provides detailed information on the blood type and demographic characteristics of donors. Additional research and mobilisation are needed nationwide to adhere to the World Health Organization's suggestions regarding voluntary blood donation. Keywords: Rhesus factor, ABO, blood donation, and transfusion medicine

Distribution of ABO and RH Blood Groups among Blood Donors in Jiblah University Hospital in IBB Province, Yemen

Background: The ABO and Rhesus (Rh) blood group system are the most important blood group systems in Transfusion Medicine, genetic studies and in legal medicine study. The distribution of the ABO and Rhesus blood groups is vital for the effective operation and planning of blood banks and secure blood transfusion services. Objective: To determine the distribution of ABO Rh blood groups among blood donors in Jiblah University Hospital in Ibb province, Yemen. Methods: A retrospective study was conducted at Blood bank of Jiblah university hospital in Ibb city, Yemen from January 2021 to August 2023. Blood groups typing of 4853 blood donors was carried out using Slide Agglutination (antigenantibody) method with antisera anti-A, anti-B, and anti-D. Age and sex of participants were considered. SPSS version 20 was used for data analysis. Results: The most common blood group was O (55.54%) and AB was the least common (1.71%). The prevalence of Rhpositive and Rh-negative was 80% and 20% respectively. There were statistically significant association between ABO blood groups and Rh blood group (P = 0.000). Conclusion: The overall phenotypic frequencies of ABO blood groups were O>A>B>AB and O+>A+>O->B+>A- >AB+>B->AB- was found to be the order of blood group frequency in the current study. There was a statistical association between ABO blood group system and Rh system

Distribution of ABO-Rh Blood Group System Among the Students at Shah Abdul Latif University Khairpur, Pakistan

Background: The distribution of ABO and Rh blood groups significantly varies across different populations and is crucial for effective blood bank management and transfusion services. Previous studies have shown diverse patterns in blood group distribution globally, influenced by regional, ethnic, and demographic factors. Objective: This study aimed to analyze the distribution of ABO and Rh blood groups among the student population at Shah Abdul Latif University (SALU), Sindh, Pakistan, and to understand its implications for local healthcare services. Methods: A cross-sectional study was conducted involving 253 students (133 males and 120 females) aged 18 to 24 years. Informed consent was obtained from all participants. The study employed a sterile lancet for blood sample collection via a finger prick. Blood group phenotyping was done using the slide method with monoclonal antiserum A, B, and D. Agglutination results were recorded to determine the ABO blood group and Rh factor. Data analysis was conducted using the Statistical Package for the Social Sciences (SPSS) version 25. Results: The study found that 21.7% of students belonged to blood group A (49.1% Rh positive and 5.5% Rh negative in males, 40% Rh positive and 5.5% Rh negative in females), 35.2% to blood group B (38.2% Rh positive and 6.7% Rh negative in males, 52.8% Rh positive and 2.3% Rh negative in females), 11.1% to blood group AB (57.1% Rh positive in males, 39.3% Rh positive in females), and 32.0% to blood group O (54.3% Rh positive and 2.5% Rh negative in males, 38.3% Rh positive and 4.9% Rh negative in females). Conclusion: The distribution of ABO and Rh blood groups in the student population at SALU exhibits a distinct pattern, emphasizing the importance of regional studies in blood group distribution. These findings have significant implications for blood bank management, transfusion services, and healthcare planning in the region.

Association of long non-coding RNAs and ABO blood groups with acute lymphoblastic leukemia in Egyptian children

Acute lymphoblastic leukemia (ALL) is the most prevailing cancer among children. Despite extensive studies, ALL etiology is still an unsolved puzzle. Long non-coding RNAs (lncRNAs) emerged as key mediators in cancer etiology. Several lncRNAs are dysregulated in ALL, leading to oncogenic or tumor-suppressive activities. Additionally, a relation between ABO blood groups and hematological malignancies was proposed. The current study intended to explore the association of lncRNAs, ANRIL and LINC-PINT, and their downstream targets, CDKN2A and heme oxygenase-1 (HMOX1), with the incidence of ALL and treatment response, and to determine the distribution of blood groups across different childhood ALL phenotypes. Blood samples were taken from 66 ALL patients (at diagnosis and at the end of remission induction phase) and 39 healthy children. Whole blood was used for blood group typing. Expression of ANRIL, LINC-PINT and CDKN2A was analyzed in plasma by qRT-PCR. Serum HMOX1 was measured using ELISA. ANRIL and CDKN2A were upregulated, while LINC-PINT and HMOX1 were downregulated in newly diagnosed patients. All of which showed remarkable diagnostic performance, where HMOX1 was superior. HMOX1 was independent predictor of ALL as well. LINC-PINT and HMOX1 were significantly upregulated after treatment. Notably, ANRIL and LINC-PINT were associated with poor outcome. No significant difference in the distribution of ABO blood groups was observed between patients and controls. In conclusion, our results suggested an association of ANRIL and LINC-PINT with childhood ALL predisposition, at least in part, through altering CDKN2A and HMOX1 production. Furthermore, the impact of remission induction treatment was newly revealed.

Distribution of ABO and Rh blood groups in gynecological cancer cases

Aims: To investigate the relationship between blood type and gynecological cancers (ovarian, endometrial, and cervical). Methods: In the study, between 2017 and 2022, 457 patient files who underwent surgery for gynecological cancer at İstanbul Prof. Dr. Cemil Taşçıoğlu City Hospital were reviewed. Seventy-eight of these files were excluded from the study due to missing data. Out of the remaining files, 379 were considered suitable for the study. Twenty-five of these were further excluded due to being cases of other gynecological cancers. A total of 354 patients were included in the study (n=354). Participants' sociodemographic data such as age and gender, cancer type, and blood groups (ABO-Rh) were retrospectively collected from patient records and the hospital automation system. Cases with missing data or inaccessible sociodemographic records were excluded from the study. The study was planned retrospectively and observationally. Gynecological cancers were examined in the three most common groups: ovarian cancer, endometrial cancer, and cervical cancer. The patients' blood group, Rh status, and pathology reports were analyzed. Based on the pathological diagnosis, three groups were initially formed, and below them, Rh and blood group status were noted. The blood group and Rh status in cancer groups were first presented in numbers and then calculated as percentages. Results: The AB+ ratio in cervical cancers was statistically significantly higher compared to the reference article and endometrial cancers (p=0.021, p=0.049). Conclusion: There are studies indicating a significant relationship between blood groups and various diseases. The expression of blood group antigens on blood cells and other epithelial surfaces acting as receptors or signal transducers contributes to these findings. The possibility of ABO antigens serving as receptors in tumor structures caused by infections, such as cervical cancer, should not be overlooked. In this regard, the significantly higher prevalence of cervical cancer in individuals with AB Rh (+) blood type, carrying A, B, and Rh antigens, can be explained concerning the population.

Association of ABO/Rh Blood Group with Hypertension in Pre and Postmenopausal Libyan women

BACKGROUND AND AIM: Hypertension is a prevalent and significant public health issue worldwide, affecting a substantial portion of the population. While various risk factors have been implicated in the development of hypertension, including genetics, lifestyle, and hormonal changes, the role of ABO/Rh blood groups in hypertension remains underexplored, particularly in different stages of Libyan women’s life. This research study aimed to investigate the potential association between ABO/Rh blood groups and hypertension in both pre- and post-menopausal Libyan women. METHODOLOGY: A cross sectional study was conducted over a four-month period on a diverse cohort of women aged 35 to 75 years. It involved a total of 200 hypertensive women divided into pre- (n=100) and post-menopausal (n=100) groups. It took place at Tripoli University Hospital, Tajoura Heart Centre and Total Care Clinic. Data were collected through structured interviews, clinical examinations, and blood sample analyses. Blood pressure (BP) measurements and blood group typing were performed using standard medical procedures. A statistical analysis was performed using SPSS program version 26.0. RESULTS: The distribution of ABO blood groups shows that blood group O is the most prevalent blood group among samples (58% in the pre-menopausal and 41% in post-menopausal hypertensives), whereas blood group AB is the least prevalent (only 9% in the pre-menopausal and 7% in post-menopausal hypertensives). One hundred and eighty-one (90.5%) were Rh +ve. Analysis of data revealed significant differences in age distribution as well as in the percentages of Rh +ve and Rh -ve blood groups among pre- and post-menopausal women (p<0.05). However, there was no statistically significant difference in the mean values of BP indices between ABO/Rh blood groups (p>0.05).CONCLUSION: This study showed that ABO/Rh blood group system does not significantly affect BP indices among the pre-menopausal and post-menopausal women. Findings of present study also illustrated that age could potentially influence the connection between blood groups and hypertension. Additionally, among ABO/Rh blood groups, the most observed type was 'O.' However, further investigation is necessary to validate these initial results and better understand the underlying mechanisms behind this relationship

Distribution of ABO, RhD Blood Group among Secondary School Students at Bishops Girls Secondary School Rushere Kiruhura Southwestern Uganda

ABO and Rhesus blood group antigens are inherited genetic markers in human blood. Haemoglobin is an efficient transporter of oxygen from the lungs to the tissues and carbon dioxide from tissues to the lungs for exhalation. The study was to determine the distribution of ABO and Rhesus blood groups among secondary school female students. The blood samples of 107 secondary school students at Bishops girls’ Secondary School Rushere kiruhura Southwestern Uganda between July to August, 2023 were collected and their haemoglobin genotypes were determined using HemoTypeSC™ rapid test kit and ABO and Rhesus blood groups were determined by a standard tube method. Results. The frequencies of ABO blood groups among the study population were 20 (18.5%), 24 (22.5%), 06 (5.4%) and 57 (53.6%) for blood group A, B, AB, and O respectively. Also, the distribution of Rhesus (D) positive and Rhesus (D) negative were reported as 98 (91.6%) and 9 (8.4%) each. There was no association between ABO, Rhesus (D) and Hb genotypes observed. Data revealed that Rhesus (D) positive students were statistically higher in number compared to the Rhesus (D) negative students (p=0.000). The sequence of ABO distribution among the rural population in southwestern Uganda is; O > A > B > AB. The frequency of Rhesus (D) negative is very low among secondary school students at Bishops’ Girls Secondary School Rushere Kiruhura Southwestern Uganda Keywords: blood groups, ABO blood group, Rh group, Haemolytic Disease of the Newborn

Distribution of ABO and Rh Blood Groups in Patients With Endometriosis at King Abdulaziz University Hospital: A Case-Control Study.

Background There is no sound evidence for the association of blood groups with the risk of endometriosis, and no studies from Saudi Arabia have examined this association. Therefore, the primary aim was to determine whether there is an association between the distribution of ABO and Rh blood groups and the incidence of endometriosis in a cohort from Saudi Arabia and also to evaluate the potential risk factors related to endometriosis among the population. Methods This case-control study included women diagnosed with endometriosis (n = 44) who presented to King Abdulaziz University Hospital Obstetrics and Gynecology Clinic, Jeddah, Saudi Arabia, between 2010 and 2021. Women from the blood donors database of King Abdulaziz University Hospital were included as a control group (n = 184). The total sample size was 228. Demographic data, diagnosis method, ABO blood type, and Rh blood type were obtained from hospital records. In addition, data were collected from self-reported questionnaires, which included family history, dysmenorrhea, age of menarche, age of childbearing, number of children, history of abortion, parity, number of children, use of oral contraceptives for alleviating dysmenorrhea, iron deficiency, duration of menstrual flow, and volume of bleeding during menses. Odds ratio, Pearson chi-squared test (χ2), and independent t-test were used to analyze the associations between variables. Results Most of the participants had blood type O (n = 117, 51.3%), which was followed by blood type A (n = 59, 26.0%), and the majority were Rh+ (n = 215, 94.3%). There was no significant difference in the risk of endometriosis according to ABO (P = 0.237) and Rh (P = 0.283) blood types. However, endometriosis was found to have a significant relationship with dysmenorrhea, heavy bleeding during menses, history of abortion, long duration of menstrual flow, lower number of children, late pregnancy, and use of oral contraceptive pills to relieve dysmenorrhea (p ≤ 0.05). Conclusions The present results indicate that ABO and Rh blood types are not associated with the risk of endometriosis. However, there was a strong, significant association between endometriosis and other factors.

ABO gene may be salient to the out of Africa migrations to the Americas

The source populations of Native Americans lived in Asia and Eurasia some 35,000 to 40,000 years ago. Consensus is that they migrated to Beringia some 25,000 to 30,000 years ago, when the low sea levels from the Last Glacial Maximum period allowed a land bridge to form to Beringia. Subsequently, the Native American ancestors migrated south to North and South America, whereas the remaining Beringia population, Eskimos, migrated into Canada and Greenland. Genetic evidence along with anthropological research adds much to the understanding of the course of their migrations and population growth. Because present-day Native Americans are essentially all of ABO O blood type, and the other Beringia populations, the Eskimos, were polymorphic for the ABO blood groups given the extensive research revealing pleiotropy of ABO blood group alleles, this unusual population frequency distribution of ABO blood groups offers an opportunity to understand how a population with no diversity of ABO blood groups differs from one that is similar in other genes but polymorphic in ABO blood groups. ABO blood groups in migrating populations provide supporting evidence for the timelines, destinations, and cultures of those populations leaving Africa. Other genes add to the power of ABO blood groups to provide this evidence. One of those genes, in the case of Native American and Eskimo migrations, is the gene for a dental trait called shovel shaped incisors, ectodysplasin A receptor (EDAR), which is prevalent in northeast Asian populations and is fixed in Native American populations. Because of the known climatic conditions in Africa at the time of the major out-of-Africa migration periods and malaria-related climatic aspects of the selection of the ABO A2 vs ABO A1 gene, it appears that the population ratio of ABO A2 to ABO A1 and EDAR associated shovel shaped incisor frequencies is associated with the timelines of the population leaving Africa as well as their further migrations. Because Native Americans have a very high shovel shaped incisor frequency and no ABO A2, their timeline of migrating from northeast Asia and Eurasia, observed using this approach and agreeing with other lines of evidence, is supported to be 25,000–30,000 years ago. Furthermore, separation of the Beringia population into a monomorphic ABO O group, the Native Americans, and an ABO polymorphic group, the Eskimos, in light of research supporting pleiotropy of ABO alleles enhances our understanding of their respective divergent migration paths, cultures, and population growth.

Non-O Blood Group and Pretreatment Risk of Venous Thromboembolism in Patients with Diffuse Large B-Cell Lymphoma

Introduction: Diffuse large B-cell lymphoma (DLBCL) is the most frequent aggressive non-Hodgkin lymphoma (NHL). It has been extensively documented that the risk of venous thromboembolism (VTE) is augmented in patients with aggressive lymphomas. The timing of VTE occurrence in this group of patients is highly variable and depends on diverse risk factors. Lately, it has been observed that ABO blood group type can have a prognostic impact on both thrombosis development and survival outcomes in patients with cancer. Therefore, the study aimed to examine the ABO blood group as a risk factor for VTE development in patients with DLBCL, to examine the relation between ABO blood groups and the timing of VTE development, and to investigate the association between ABO group type and treatment and survival outcomes. Methods: A total of 340 patients with DLBCL (newly diagnosed and relapsed) have been included in the study and all of them have been treated at the Lymphoma Center, Clinic for Hematology, University Clinical Center of Serbia. Data regarding VTE events were collected for all the patients included in the study, from the time of diagnosis to 3 months after the last cycle of therapy. ABO blood group has been determined before the treatment initialization. VTE was diagnosed objectively based on clinical examination, laboratory evaluation, and radiographic studies. Results: The median patients' age was 60 years (range, 19-89 years) and 52.9% were males. Newly diagnosed patients were dominant in the study population (94.4%). The majority of patients had advanced stage (stage III Ann Arbor 22.3% and stage IV 30.7%, respectively) of the disease. The median international prognostic index (IPI) was 2 (range, 0-5). Complete remission (CR) and partial remission (PR) were most commonly recorded (51.7% and 28.8%, respectively). The rate of VTE was 12.6% (43 patients), with the highest frequency of lower and upper extremity deep vein thrombosis (12 patients each). VTE was diagnosed before the initiation of specific hematological treatment in 54.5% of DLBCL patients, whilst 45.5% of DLBCL patients have been diagnosed with VTE following the hematological treatment initiation. The following distribution of ABO blood groups among DLBCL patients was detected: A blood group 39.4%, B blood group 17.6%, AB blood group 9.1%, and O blood group 33.8%. No significant association between VTE development and ABO group type was found (p=0.706) nor between VTE development and time of VTE development (p=0.895). The rate of VTE in DLBCL patients with A blood type was 4.7%, in B 2.1%, in AB 1.8%, and in O 4.1%, respectively (p=0.706). DLBCL patients with the non-O blood group developed VTE significantly more frequently prior to the hematological treatment commencement than after the treatment initiation (6.2% vs. 2.6%, p=0.003). Univariate logistic regression analysis showed that non-O blood type in DLBCL patients is a prognostic factor for VTE development prior to hematological treatment initiation (odds ratio (OR)=8.56, 95% confidence interval (CI): 1.92-38.21, p=0.005). Multivariate logistic regression model demonstrated that non-O blood type is an independent predictor of pretreatment VTE development in DLBCL patients (OR=18.33, 95% CI: 1.51-222.87, p=0.022). Therapy response of DLBCL patients was significantly associated with the ABO blood group (p=0.012) in the way that A and AB blood types were associated with unsatisfactory treatment response (no statistically significant association was found between ABO blood type and DLBCL patients' Ann Arbor stage, mediastinal involvement, bulky disease, extranodal disease, IPI, central nervous system involvement). Univariate regression analysis showed that A blood type is a predictor of unsatisfactory therapy response in patients with DLBCL (OR=1.85, 95% CI: 1.04-3.29, p=0.035). However, in multivariate regression model, this finding lost statistical significance. No significant association was observed regarding ABO blood type, progression-free survival, and overall survival in patients with DLBCL (p=0.398 and p=0.593, respectively). Conclusion: In DLBCL patients, non-O blood group is an independent predictor of VTE occurrence prior to initiation of a specific hematologic treatment. DLBCL patients with A blood group could be at risk of insufficient treatment response.

The frequency of ABO and Rhesus(D) blood group antigens among blood transfused patients in Northern Ethiopia, 2023: Retrospective study

BackgroundData about the distribution of ABO and RhD blood groups is important for effective blood utilization, which is maintained by identifying the most clinically required blood type. However, there is a scarcity of data in Ethiopia about the distribution of ABO and RhD blood groups among blood-transfused patients, particularly in the study area. ObjectiveTo determine the frequency of ABO and RhD blood groups among blood transfused patients at Dessie Comprehensive Specialized Hospital, Northern Ethiopia, 2023. MethodA hospital-based retrospective study was conducted from September 1 to September 30, 2022, to determine the frequency of ABO and RhD blood groups among blood-transfused patients at Dessie Comprehensive Specialized Hospital. The study was conducted on data from blood-transfused patients from October 2019 to June 2022. A total of 3762 blood transfused patients’ data was collected from the blood transfusion log book records. The data were coded, entered, and cleaned using Epi-data version 4.6 and analyzed for descriptive statistics using Stata version 14.0. ResultA total of 3762 blood-transfused patients were included in the study. Of those, females made up 57.3 % (2156/3762). Of 3762 blood transfused patients, the majority (33.9 %, 1277/3762) had ABO blood group B, and 81.3 % (3060/3762) of the blood transfused patients were RhD-positive. Eight thousand three hundred fifteen units of whole blood were transfused to 3762 patients, with a mean of 2.2 units of blood transfused per patient. Furthermore, the majority of the study participants 42.82 %, (1611/3762) were given two units of blood, and 8.77 % (330/3762) were given four units of blood. ConclusionMost of the study participants had B and RhD-positive blood groups. The majority of the blood transfused patients were females. Most of the blood was transfused in the medical ward, and whole blood was transfused for all patients.

Distribution of ABO and Rh (D) Blood Groups and their Genotypes in Amran Governorate, Yemen

Background: The ABO and Rh blood group system is essential for blood bank inventory, blood transfusion services, and organ transplants. Relatively very little data is available about ABO and Rh (D) blood groups distributions in the Amran governorate. Therefore, this study aimed to determine the distribution of ABO and Rh (D) blood group and their genotypes in the Amran governorate, Yemen. Methods: A cross-sectional prospective and retrospective study was carried out from January 2020 to December 2021, on 1949 volunteer blood donors; 414 medical students were obtained from Amran University and 1535 from clinical records in the blood bank of Maternity and childhood hospital at Amran Governorate. The ABO and RhD grouping was done by using commercially available monoclonal antibodies (anti-A, anti-B, and anti-D) by slide methods. The allele and genotype frequency of the donors was determined by the Hardy-Weinberg equilibrium assumption. Descriptive statistics were analyzed using the SPSS program. The difference between the observed and expected frequency was tested by an online Chi-square calculator. A P-value of <0.05 was considered statistically significant. Results: Out of 1949 participants; were 78.8% of hospital donors, 92.2% of males, and 63.5% of rural areas. Blood group O was the most prevalent (51.2%), followed by A (31.5%), B (13.9%), and AB (3.5%) with statistically significant differences (P= 0.002). The Rh (D) positive was present in 86.8% of participants and 13.2% were Rh (D) negative. Moreover, the allele frequencies were in the order of (IO > IA > IB > AB), where (IO i = 0.513, IA = 0.313, IB = 0.138, and AB= 0.035). While the Rh(D) and d allelic frequencies were 0.868 and 0.132, respectively. Also, there was no statistically significant difference between observed and expected allele and genotype frequency (P-value >0.05). Conclusion: The frequency of distribution of ABO and Rh (D) blood group and their genotypes among the study population was found to be similar to those reported from most Asian populations. This crucial information may be helpful in planning for future health challenges, particularly planning with regard to blood transfusion services.

A Study of Association of ABO and Rh Blood Group with Colorectal Cancer in Khuzestan Province, Iran

Background: Colorectal cancer, a solid tumor with a high prevalence, contributes significantly to annual mortality rates. Various factors, including blood groups, may influence cancer risk. Multiple studies have suggested a potential connection between ABO and Rh blood groups and colorectal cancer risk. This study aims to investigate the role of ABO and Rh blood groups as risk factors in colorectal cancer patients.
 Materials and Methods: We conducted a retrospective study involving 71 colorectal cancer patients diagnosed between 2018 and 2020 in Khuzestan province, Iran, with known ABO blood types. Large-scale data from 29,922 blood donors in Khuzestan served as the healthy population control. The study analyzed the distribution of ABO blood groups among the blood donors.
 Results: Our findings revealed that the distribution of blood groups among colorectal cancer patients was as follows: O (31.0%), A (29.6%), B (29.6%), and AB (9.8%). However, our analysis did not establish a significant association between colorectal cancer risk and ABO antigens (P-value = 0.636) or Rh blood group (P = 0.198). Additionally, no significant differences in ABO blood types were observed concerning gender (P = 0.802), cancer type (P = 0.338), or tumor type (P = 0.207) among colorectal cancer patients.
 Conclusion: This study does not support a significant correlation between ABO and Rh blood groups and the risk of colorectal cancer, nor does it find associations with cancer type or tumor type.