Molecular basis of the D variant phenotypes DNU and D II allows localization of critical amino acids required for expression of Rh D epitopes epD3, 4 and 9 to the sixth external domain of the Rh D protein

Autor: Wendy Liu, Franz F. Wagner, Charles Green, M. Scott, Jeffrey W. Jones, Neil D. Avent, Willy A. Flegel, D. Voak
Rok vydání: 1997
Předmět:
Zdroj: British Journal of Haematology. 97:366-371
ISSN: 1365-2141
0007-1048
DOI: 10.1046/j.1365-2141.1997.632710.x
Popis: The discovery of Rh partial D variant red cells by discrepant reactions with different monoclonal anti-D has demonstrated the range of Rh D epitopes that have arisen due to alterations in Rh D protein structure. There are two current classification systems. one which uses a nine epitope model (epDl-epD9l whereas a more recent model proposes 3() different epitopes. we describe here the molecular basis of two D variants which lack epD4 and epD9 namely the DNU and D II phenotypes. These would have both been originally classified as D II phenotype individuals, but we have revealed subtle differences in the serological profile of these erythrocytes. Such a differential reactivity and determination of the molecular bases of these phenotypes allows us to predict critical amino acids for epD3. epD4 and epD9 expression. The DNU phenotype arises from a single point mutation in the RHD gene resulting in a single amino acid change (Gly353 Arg). Sequence analysis of exon 7 of the RHD gene derived from the D II propositus indicates that there is a single point mutation in this exon resulting in a single amino acid change (Ala 354Asp). It is likely that this point mutation gives rise to the D II phenotype. Both mutations result in the change to Rh D-specific residues. Our results indicate that the following amino acids are crucial for epD 3a (Asp 350 ). epD3b (Asp 350 + Gly 393 ), epD4a (Gly 353 + Ala 354 ), epD4b (Ala 354 , epD9a (Asp 350) +Gly 353 +Ala 354 ) and epD9b (Asp 350 + Ala 354 ) expression. All of these amino acids reside on the predicted sixth external domain of the RhD protein, so it is possible that epD3, 4 and 9 are continuous epitopes.
Databáze: OpenAIRE