首页|南昌地区血小板HLA/HPA供者库的建立及库容状况分析

南昌地区血小板HLA/HPA供者库的建立及库容状况分析

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目的 建立南昌地区血小板供者库,通过收集已知人类血小板抗原(HPA)和人类白细胞抗原(HLA)基因型的供者信息进行数字配型,为输注无效患者提供匹配的血小板,并分析现有库容水平,根据需要进行调整和改进.方法 研究南昌地区无偿献血者的HPA-(1~6、10、15、21)和HLA-A/B 基因分型情况,采用多重荧光PCR方法对361 名献血者进行基因分型,并计算基因频率和单体型频率.推导得出找到≥1 例HLA/HPA基因型匹配供者的回归方程.结果 经统计分析,南昌地区 361 名血小板供者资料库中,约有 92%患者能够找到合适的HPA基因型全匹配供者,大约 26%的患者可以找到≥1 例相同HLA-A/B供者.此外,通过回归方程分析,得出库容水平与献血者数量、基因型匹配程度等因素有关,需要进一步扩大献血者招募和筛选范围,以降低建库成本并扩充库容.结论 由于不同地区人群的HLA/HPA分布存在差异,需要根据实际情况和需求制定合适的血小板供者库建设方案和最佳库容.
Establishment and Capacity Analysis of Platelet HLA/HPA Donor Database in Nanchang
Objective To establish the database of platelet donors in Nanchang,collect donor information of known human platelet antigen(HPA)and human leukocyte antigen(HLA)genotypes for digital matching,provide matching platelets for patients with ineffective transfusion,analyze the existing capacity level,make adjustments and improvements as needed.Methods Study the genotypes of HPA-(1~6,10,15,21)and HLA-A/B of 361 voluntary blood donors in Nanchang were detected by multiple fluorescence PCR method,and the gene frequency and haplotype frequency were calculated.A regression equation was derived to find at least one HLA/HPA genotype matched donor.Results According to statistical analysis,there were 361 platelet donors in the database of Nanchang area,about 92%of the patients were able to find HPA genotype matched donors,the probability of finding at least one identical HLA-A/B donor was about 26%.In addition,through regression equation analysis,it was found that the storage capacity level was related to factors such as the number of blood donors and the degree of genotype matching.Conclusion The distribution of HLA/HPA in different regions makes the mode of platelet donor database construction and the optimal capacity vary based on actual conditions and needs.Inorder to establish a platelet donor database in the Nanchang area,it is necessary to expand the range of donor choices to meet the needs of more patients.

HPAHLAGene polymorphismPlatelet donor databaseStorage capacity

刘强、熊莉、李莹、欧阳江、范为民、孙瑜

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江西省血液中心 南昌 330052

HPA HLA 基因多态性 血小板供者库 库容

江西省卫生健康委科技计划项目

202131019

2024

实用中西医结合临床
江西省中医药研究院,江西省中西医结合学会

实用中西医结合临床

影响因子:0.522
ISSN:1671-4040
年,卷(期):2024.24(18)
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