A novel frameshift mutation in RHAG leads to Rhnull phenotype in a Chinese individual

© 2024 AABB..

BACKGROUND: We recently encountered a Rhnull phenotype proband within one family in the Chinese population. Rhnull is a rare autosomal recessive disorder characterized by the absence of the Rh antigens on the erythrocyte membrane, resulting in chronic hemolytic anemia. This study described the serological and molecular analysis of a Chinese Rhnull proband and his immediate family.

METHODS: Red blood cells antigen phenotyping and antibody screening/identification were conducted. RHD, RHCE, and RHAG were analyzed using genomic DNA by polymerase chain reaction and sequence analysis.

RESULTS: Serologic tests showed a D-C-E-c-e- phenotype in the proband associated with the suspicion of anti-Rh29 (titer 16). Molecular analyses showed a new mutation (c.406dupA) in exon 3 of RHAG. This duplication introduced a reading frameshift (p.Thr136AsnfsTer21). The RHAG mutation was found in the homozygous state for the proband and heterozygous state for his parents.

CONCLUSION: We identified a novel RHAG mutation resulting in the Rhnull phenotype of the regulator type. Inheritance of the novel allele was shown by family study.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Transfusion - (2024) vom: 02. Apr.

Sprache:

Englisch

Beteiligte Personen:

Qing, Yun [VerfasserIn]
Zou, Hai-Man [VerfasserIn]
Liu, Bu-Jin [VerfasserIn]
Cui, Dan-Li [VerfasserIn]
Yang, Jun-Hong [VerfasserIn]
Huang, Xia [VerfasserIn]

Links:

Volltext

Themen:

Antigen expression
Blood group
Journal Article
RHAG
Rhnull

Anmerkungen:

Date Revised 02.04.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1111/trf.17817

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370516109