The low-incidence MNS antigens M(v), s(D), and Mit arise from single amino acid substitutions on GPB

The study of variant s antigen expression revealing a novel c.160C>T (p.Arg54Cys) variant on GYPB*s allele associated with partial s phenotype

BACKGROUND

Little s antigen is mainly defined by a single nucleotide polymorphism at c.143C (p.Thr48) on the GYPB gene. Several variants on GYPB can alter the expression of s antigen. The aim of this study was to investigate the molecular basis of variant s antigen expression in the Chinese population.

STUDY DESIGN AND METHODS

A total of 4983 whole blood samples were collected to screen the individuals with discrepant s typing results using two different monoclonal anti-s. Then, the sequence of GYPB exon 4 was analyzed by Sanger sequencing. Flow cytometry analysis was performed to quantify s antigen expression on red blood cells (RBCs). In vitro expression study was performed to verify the effect of the GYPB variants identified on the expression of s antigen.

RESULTS

Four donors were identified to have discrepant s typing results. Sanger sequencing showed that three donors carried the c.173C > G variant (p.Pro58Arg) specific for sD antigen, the other one carried a novel GYPB (c.160C > T, p.Arg54Cys) variant. Flow cytometry identified a partial and weak expression of s antigen on the RBCs of the four donors. Furthermore, in vitro expression study confirmed the effect of the two variants on the s antigen expression.

CONCLUSION

The results demonstrated that in addition to p.Thr48, the two extra amino acids p.Arg54 and p.Pro58 are also important for full expression of s antigen. Since the individuals with partial s antigen are at risk for the development of alloanti-s, it is important to select at least two different monoclonal anti-s for correct s typing.

Hemolytic disease of the fetus and newborn caused by anti-sD antibody in a GP.Mur/Mur Thai mother and review of the prevalence of sD in Thai blood donors

BACKGROUND

Low-prevalence antigen s^D (MNS23) is encoded by GYPB c.173C > G. Hemolytic disease of the fetus and newborn (HDFN) due to anti-s^D is rare. A mother delivered a newborn whose red blood cells (RBCs) were DAT-positive and was later diagnosed with HDFN. Serum from the mother was incompatible with the father's RBCs and was used to screen 184 Thai blood donors. This study aimed to investigate the cause of HDFN in a Thai family and determine the prevalence of s^D in Thai blood donors.

MATERIALS AND METHODS

Three family members and four blood donors were investigated in the study. Massively Parallel Sequencing (MPS) was used for genotyping. Standard hemagglutination techniques were used in titration studies, phenotyping, and enzyme/chemical studies. Anti-s, anti-Mi^a , anti-JENU, and anti-s^D reagents were used in serological investigations.

RESULTS

The mother was GYP*Mur/Mur. The father and the four donors were GYPB*s/s^D predicting S - s + s^D +. The baby was GYP*Mur/sD and his RBCs were Mi^a +, s + ^w with anti-s (P3BER) and JENU+^w . RBCs from two GYPB*s^D -positive blood donors reacted with anti-s^D (Dreyer). Proteolytic enzyme α-chymotrypsin-treated s^D + cells did not react with anti-s^D (Wat) produced by the GP.Mur/Mur mother but reacted with the original anti-s^D (Dreyer).

DISCUSSION

This is the first report of HDFN due to anti-s^D in the Asian population. The genotype frequency for GYPB*s^D in a selected Thai blood donor population is 2.2% (4/184). Anti-s^D should be considered in mothers with Southeast Asian or East Asian background when antibody identification is unresolved in pregnancies affected by HDFN.

A novel c.166A>T (p.Thr56Ser) mutation in GYPB*S accounting for unusual S antigen expression

We found an individual with weakened S antigen expression on red blood cells (RBCs) during routine blood grouping. The proband was typed S+s+ by polyclonal antibodies, but the RBCs demonstrated different reactivity with three monoclonal anti-S. The proband did not have alloanti-S. Cloning and Sanger sequencing revealed that the proband had a c.166A>T (p.Thr56Ser) mutation in exon 4 of GYPB*S. When antibody screening of 60 455 blood donors was performed using the proband RBCs, no antibodies were detected. GYPB*S with c.166T should encode an unusual S antigen but the creation of a novel antigen remains to be investigated.

Population genetics of GYPB and association study between GYPB*S/s polymorphism and susceptibility to P. falciparum infection in the Brazilian Amazon

BACKGROUND

Merozoites of Plasmodium falciparum invade through several pathways using different RBC receptors. Field isolates appear to use a greater variability of these receptors than laboratory isolates. Brazilian field isolates were shown to mostly utilize glycophorin A-independent invasion pathways via glycophorin B (GPB) and/or other receptors. The Brazilian population exhibits extensive polymorphism in blood group antigens, however, no studies have been done to relate the prevalence of the antigens that function as receptors for P. falciparum and the ability of the parasite to invade. Our study aimed to establish whether variation in the GYPB*S/s alleles influences susceptibility to infection with P. falciparum in the admixed population of Brazil.

METHODS

Two groups of Brazilian Amazonians from Porto Velho were studied: P. falciparum infected individuals (cases); and uninfected individuals who were born and/or have lived in the same endemic region for over ten years, were exposed to infection but have not had malaria over the study period (controls). The GPB Ss phenotype and GYPB*S/s alleles were determined by standard methods. Sixty two Ancestry Informative Markers were genotyped on each individual to estimate admixture and control its potential effect on the association between frequency of GYPB*S and malaria infection.

RESULTS

GYPB*S is associated with host susceptibility to infection with P. falciparum; GYPB*S/GYPB*S and GYPB*S/GYPB*s were significantly more prevalent in the in the P. falciparum infected individuals than in the controls (69.87% vs. 49.75%; P<0.02). Moreover, population genetics tests applied on the GYPB exon sequencing data suggest that natural selection shaped the observed pattern of nucleotide diversity.

CONCLUSION

Epidemiological and evolutionary approaches suggest an important role for the GPB receptor in RBC invasion by P. falciparum in Brazilian Amazons. Moreover, an increased susceptibility to infection by this parasite is associated with the GPB S+ variant in this population.

Murine monoclonal anti-s and other anti-glycophorin B antibodies resulting from immunizations with a GPB.s peptide

BACKGROUND

The blood group antigens S and s are defined by amino acids Met or Thr at position 29, respectively, on glycophorin B (GPB). Commercial anti-s reagents are expensive to produce because of the scarcity of human anti-s serum. Our aim was to develop hybridoma cell lines that secrete reagent-grade anti-s monoclonal antibodies (MoAbs) to supplement the supply of human anti-s reagents.

STUDY DESIGN AND METHODS

Mice were immunized with the GPB(s) peptide sequence TKSTISSQTNGETGQLVHRF. Hybridomas were produced by fusing mouse splenocytes with mouse myeloma cells (X63.Ag8.653). Screening for antibody production was done on microtiter plates by hemagglutination. Characterization of the MoAbs was done by hemagglutination, immunoblotting, and epitope mapping.

RESULTS

Eight immunoglobulin G MoAbs were identified. Five antibodies are specific by hemagglutination for s and two MoAbs, when diluted, are anti-S-like, but additional analyses shows a broad range of reactivity for GPB. Typing red blood cells (RBCs) for s from 35 donors was concordant with molecular analyses as were tests on RBCs with a positive direct antiglobulin test (DAT) from 15 patients. The anti-s MoAbs are most reactive with peptides containing the (31)QLVHRF(36) motif, with (29)Thr. By Pepscan analyses, the anti-S-like MoAbs reacted within the same regions as did anti-s, but independently of (29)Met. One antibody was defined serologically as anti-U; however, its epitope was identified as (21)ISSQT(25), a sequence common for both GPA and GPB.

CONCLUSION

In addition to their value as typing reagents, these MoAbs can be used to phenotype RBCs with a positive DAT without pre-test chemical modification.

Recombinant glycophorins C and D as tools for studying Gerbich blood group antigens

BACKGROUND

The Gerbich blood group system antigens are carried on glycophorin C (GPC) and glycophorin D (GPD) and variants thereof. These glycoproteins have been expressed in a heterologous system to study the individual antigens and to determine whether Ana is antithetical to Ge2.

STUDY DESIGN AND METHODS

cDNAs encoding GPC, GPD, GPC.Yus, GPC.Ge, GPC.Lsa, and GPD.Lsa were transfected and stably expressed in a human embryonic kidney cell line (293T). Individual Gerbich antigens were analyzed with MoAbs and human polyclonal antibodies by flow cytometry and immunoblotting. Recombinant GPD and GPD.Ana were expressed transiently and analyzed for expression of Ge2 and Ana antigens.

RESULTS

All recombinant variants were detected with sialidase-resistant and -sensitive anti-Ge2, anti-Ge3, and anti-Ge4. Ge4 antigen expression was depressed in GPC.Ls(a) transfectants as well as on Ls(a+) RBCs. GPD.An(a) recombinant protein expressed Ana and Ge2 antigens.

CONCLUSION

Cell lines stably expressing glycosylated Gerbich proteins were developed in a heterologous system by transfecting individual variant forms of GPC and GPD. Unexpectedly, it was found that Ge4 antigen is reduced in both the GPC.Ls(a) recombinant and the Ls(a+) RBCs. It was also shown that Ana and Ge2 antigens were expressed on a single GPD.An(a) protein and, therefore, they cannot be antithetical.