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Published in: Indian Journal of Hematology and Blood Transfusion 3/2021

01-07-2021 | Short Communication

An Easy Multiplex PCR-SSP Assay for the Genotyping of KEL1 and KEL2 in Multi-transfused Patients

Authors: Parinaz Zarghamian, Maryam Pourshadlou, Kamran Mousavi Hosseini, Fariba Sarem, Majid Shahabi

Published in: Indian Journal of Hematology and Blood Transfusion | Issue 3/2021

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Abstract

Kell blood group system consists of 34 antigens. KEL1 and KEL2 are the most clinically important antigens of this system, causing hemolytic disease of the fetus and newborn (HDFN) and transfusion reaction. A total of 200 samples from blood donors were tested serologically for the presence of KEL1 and KEL2 antigens on erythrocytes. Genomic DNA was analyzed by PCR-SSP method to determine the Kell genotype. A multiplex PCR-SSP assay was designed and tested to genotype KEL1/KEL2 alleles in a single reaction. PCR genotyping revealed samples as; KEL2/KEL2 (93.5%) and KEL1/KEL2 (6.5%), while no sample determined as KEL1/KEL1. A 100% concordance observed between PCR and serological results. Multiplex PCR accurately diagnosed Kell genotype. Kell blood group genotyping by PCR-SSP can be used as an alternative method, especially in multi-transfused patients where serological findings are ambiguous.
Literature
1.
go back to reference Denomme GA (2015) Kell and Kx blood group systems. Immunohematology 31:14–19CrossRef Denomme GA (2015) Kell and Kx blood group systems. Immunohematology 31:14–19CrossRef
2.
go back to reference Basu S, Kaur R, Kaur G (2011) Hemolytic disease of the fetus and newborn: current trends and perspectives. Asian J Transfus Sci 5:3CrossRef Basu S, Kaur R, Kaur G (2011) Hemolytic disease of the fetus and newborn: current trends and perspectives. Asian J Transfus Sci 5:3CrossRef
3.
go back to reference Rath ME, Smits-Wintjens VE, Lindenburg IT, Brand A, van Kamp IL, Oepkes D et al (2011) Exchange transfusions and top-up transfusions in neonates with Kell haemolytic disease compared to Rh D haemolytic disease. Vox Sang 100:312–316CrossRef Rath ME, Smits-Wintjens VE, Lindenburg IT, Brand A, van Kamp IL, Oepkes D et al (2011) Exchange transfusions and top-up transfusions in neonates with Kell haemolytic disease compared to Rh D haemolytic disease. Vox Sang 100:312–316CrossRef
4.
go back to reference Baía F, Correia F, Alves B, Martinez F, Koch C, Carneiro A et al (2016) Phenotyping Rh/Kell and risk of alloimmunization in haematological patients. Transfus Med 26:34–38CrossRef Baía F, Correia F, Alves B, Martinez F, Koch C, Carneiro A et al (2016) Phenotyping Rh/Kell and risk of alloimmunization in haematological patients. Transfus Med 26:34–38CrossRef
5.
go back to reference Jungbauer C, Hobel CM, Schwartz DW, Mayr WR (2012) High-throughput multiplex PCR genotyping for 35 red blood cell antigens in blood donors. Vox Sang 102:234–242CrossRef Jungbauer C, Hobel CM, Schwartz DW, Mayr WR (2012) High-throughput multiplex PCR genotyping for 35 red blood cell antigens in blood donors. Vox Sang 102:234–242CrossRef
6.
go back to reference Ji Y, Veldhuisen B, Ligthart P, Haer-Wigman L, Jongerius J, Boujnan M et al (2015) Novel alleles at the Kell blood group locus that lead to Kell variant phenotype in the Dutch population. Transfusion 55:413–421CrossRef Ji Y, Veldhuisen B, Ligthart P, Haer-Wigman L, Jongerius J, Boujnan M et al (2015) Novel alleles at the Kell blood group locus that lead to Kell variant phenotype in the Dutch population. Transfusion 55:413–421CrossRef
7.
go back to reference Caine ME, Mueller-Heubach E (1986) Kell sensitization in pregnancy. Am J Obstet Gynecol 154:85–90CrossRef Caine ME, Mueller-Heubach E (1986) Kell sensitization in pregnancy. Am J Obstet Gynecol 154:85–90CrossRef
8.
go back to reference Shaiegan M, Samiee Sh, Azarkeivan A, Daneils J, Martin P, Ataiee Z et al (2010) Molecular blood genotyping in patients with Thalassemia major in Tehran Adult Thalassemic Clinic. Sci J Iran Blood Transfus 6:107–115 Shaiegan M, Samiee Sh, Azarkeivan A, Daneils J, Martin P, Ataiee Z et al (2010) Molecular blood genotyping in patients with Thalassemia major in Tehran Adult Thalassemic Clinic. Sci J Iran Blood Transfus 6:107–115
Metadata
Title
An Easy Multiplex PCR-SSP Assay for the Genotyping of KEL1 and KEL2 in Multi-transfused Patients
Authors
Parinaz Zarghamian
Maryam Pourshadlou
Kamran Mousavi Hosseini
Fariba Sarem
Majid Shahabi
Publication date
01-07-2021
Publisher
Springer India
Published in
Indian Journal of Hematology and Blood Transfusion / Issue 3/2021
Print ISSN: 0971-4502
Electronic ISSN: 0974-0449
DOI
https://doi.org/10.1007/s12288-020-01389-3

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