上海地区汉族人群红细胞稀有血型系统抗原基因的多态性研究

摘要

目的 研究上海地区汉族临床输血人群8个红细胞稀有血型系统19种抗原基因多态性分布,提高配合性输注的能力.方法 应用PCR-SSP方法进行血型抗原基因分型.结果 Diego,Dombrock,Duffy血型系统抗原基因频率分别为:Dia=0.035 1,Dib=0.964 9;Doa=0.061 4,Dob=0.938 6;Fya=0.964 9,Fyb=0.035 1,Fy=0;均具有多态性.而Kell,Yt,Scianna,L-W,Colton血型系统抗原基因频率分布为单态性.经χ2检验,均符合Hardy-weinberg遗传定律.结论 上海地区汉族临床输血人群Diego、Dombrock、Duffy血型系统抗原基因频率具有多态性,随机临床输血抗原不合率分别是0.065 4、0.108 6、0.065 4,应引起高度重视.%Objective To investigate the polymorphism of 19 antigens of 8 rare red blood group systems in Shanghai clinical transfusion Han population in order to improve the capability of compatible infusion and reduce the transfusion reactions. Methods The genotypes were performed by polymerase chain reaction using sequence-specific primer(PCR-SSP).Results The gene frequencies of Diego,Dombrock,Duffy rare red blood group systems were Dia=0.035 1,Dib=0.964 9;Doa=0.061 4,Dob=0.938 6;Fya=0.964 9,Fyb=0.035 1,Fy=0;while the Kell,Yt,Scianna,L-W,Colton rare red blood groups allele frequencies distribution is monomorphic. There was a good fit to Hardy-weinberg equilibrium within each group.Conclusion There are great differences among the Diego,Dombrock,Duffy blood group gene frequencies in shanghai Han population.The rate of antigen mismatches in randomized clinical blood transfusion was 0.065 4,0.108 6,0.065 4 respectively.