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青岛市胶州地区B(A)亚型患者的血型血清学及基因检测分析

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目的 调查并分析青岛市胶州地区某三级医院就诊患者B(A)亚型的血清学及分子生物学特征。方法2019 年11 月至2023 年2 月,12 名患者血液标本经微柱玻璃珠法和盐水试管法ABO血型检测疑为AB亚型,进一步对其ABO基因第 6、7 外显子进行直接扩增、测序和分析,确定ABO等位基因型别。结果 青岛市胶州地区 26 065名患者中共检测发现9 例B(A)亚型,检出率为0。345‰(9/26 065);9 例B(A)亚型中,8 例血清学反应表现AwB,基因检测为BA。04 基因与O基因杂合,1 例血清学反应表现为ABw,基因检测为BA。04 基因与A基因杂合。结论 血型血清学结合基因检测可准确鉴定ABO血型,在ABw血清学反应的个体中,有可能存在B(A)亚型等位基因。
Blood group serology and gene detection in patients with B(A)subgroup in Jiaozhou,Qingdao
Objective To investigate and analyze the serological and molecular biological characteristics of B(A)sub-group in a tertiary hospital in Jiaozhou,Qingdao.Methods From November 2019 to February 2023,the samples of 12 pa-tients were suspected to be AB subgroup by microcolumn glass bead method and saline test tube method.The exons 6 and 7 of ABO gene were further amplified,sequenced and analyzed to determine the ABO allele type.Results A total of 9 cases of B(A)subgroup were detected in26 065 patients in Jiaozhou,with a detection rate of 0.345‰(9/26 065).Among the 9 cases of B(A)subgroup,8 cases of serological reaction showed Aweak B,and the gene detection was heterozygous for BA.04 gene and O gene.One case of serological reaction showed ABweak,and the gene detection was heterozygous for BA.04 gene and A gene.Conclusion Blood group serological combined with gene detection can accurately identify ABO blood group.B(A)subgroup alleles can exist in individuals with serological reaction of ABweak.

ABO blood groupB(A)subgroupblood group serologygene sequencingQingdao

秦洪伟、王小霞、阴瑞兰、张树超

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青岛大学基础医学院免疫学系,山东青岛 266071

青岛市胶州中心医院输血科

青岛大学附属医院输血科

ABO血型 B(A)亚型 血型血清学 基因测序 青岛

2024

中国输血杂志
中国输血协会 中国医学科学院输血研究所

中国输血杂志

CSTPCD
影响因子:1.279
ISSN:1004-549X
年,卷(期):2024.37(3)
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