Genetic analysis of two patients with a rare Ael subtype

OBJECTIVE: To analyze the genetic sequences of two patients with a rare Ael blood subgroup.

METHODS: Two female patients undergoing treatment respectively for adenomyoma of the uterus and gastritis at the Second Affiliated Hospital, Yuying Children's Hospital of Wenzhou Medical University in June 2019 and September 2020 were selected as the study subjects. Their Ael subtypes were identified with a saline tube agglutination assay and absorption-emission assay. Sequence of the ABO gene Ael subtypes was determined by the Sanger method. The impact of genetic variants on the structural stability of N-acetylgalactosaminyl transferase (GTA) was analyzed with PyMOL software by constructing a structure predicted model.

RESULTS: Both patients were determined as Ael blood subgroup. Sequencing result of patient 1 was ABO*O.01.02/ABO*O.01.02, which has resulted in a p.Thr88Profs*31 amino acid substitution. The sequencing result of patient 2 was ABO*Ael.06/ABO*O.01.02, in which c.425C>T and c.467C>T variants in exon 7 have led to p.Met142Thr and p.Pro156Leu substitutions. Prediction of the protein model speculated that the p.Met142Thr not only can change the binding of GTA protein with water molecules, but also the local hydrogen bond network of GTA, which may lead to decreased enzymatic activity. By contrast, the p.Pro156Leu variant has trivial effect on the structural stability of GTA.

CONCLUSION: The molecular structure of Ael subtypes can be diverse. The genotypes of the two patients have been respectively determined as ABO*O.01.02/ABO*O.01.02 with a G261 deletion and ABO*Ael.06/ABO*O.01.02.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:41

Enthalten in:

Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical genetics - 41(2024), 4 vom: 10. Apr., Seite 399-403

Sprache:

Chinesisch

Beteiligte Personen:

He, Bingbing [VerfasserIn]
Zhu, Suiyong [VerfasserIn]
Huang, Kaizhao [VerfasserIn]
Lin, Jiajin [VerfasserIn]

Links:

Volltext

Themen:

ABO Blood-Group System
Case Reports
English Abstract
Journal Article

Anmerkungen:

Date Completed 04.04.2024

Date Revised 04.04.2024

published: Print

Citation Status MEDLINE

doi:

10.3760/cma.j.cn511734-20230103-00001

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370549422