Evaluation of molecular typing and serological methods in solving discrepant results of weak and partial D (Rh) in South Egypt

评估分子分型和血清学方法在解决埃及南部弱 D 和部分 D(Rh)血型不一致问题中的作用

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作者:Rania M Bakry, Eman Nasreldin, Ashraf E Hassaballa, Samar M Mansour, Sahar A Aboalia

Conclusion

Our study identified D variants (weak D and partial D categories) of the antigen D and determined the frequency and composition of partial D and weak D alleles in our population. Molecular typing also confirmed most of the results obtained from serological methods.

Methods

Fifty blood donor and patient samples with undetermined D phenotype were subjected to serology to define their phenotype using identification (ID)-Card "ID-partial RhD typing set" using six monoclonal anti-D panels, followed by molecular typing using polymerase chain reaction sequence-specific primer kit.

Results

Molecular typing confirmed most of the serology results; two samples previously resolved as partial D Type 3 and DFR by serological methods were clarified by molecular techniques - one sample as weak Type 4 and the other sample as weak Type 3. Among the weak D alleles found in our study, Type 4 was the most common, with a frequency of 20%, followed by Type 3 (14%), Type 1 (8%), Type 2 (6%), and finally, Type 5 with a frequency of 3%. The most common types of partial D were partial D Type D5 (14%) and Type D3 (10%).

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