Molecular Genetic and Serologic Analysis of the O allele in the Korean Population
ÀÌÀÚ¿µ, ¼Û»õ¾Ï, ¿À½Âȯ,
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ÀÌÀÚ¿µ ( Lee Ja-Young )
Inje University College of Medicine Department of Laboratory Medicine
¼Û»õ¾Ï ( Song Sae-Am )
Inje University College of Medicine Department of Laboratory Medicine
¿À½Âȯ ( Oh Seung-Hwan )
Inje University College of Medicine Department of Laboratory Medicine
Abstract
Background: The recent expansion of knowledge about various ABO alleles has led to the need for a comprehensive measure to cover the numerous polymorphisms dispersed in the ABO gene. A few studies have examined the diversity of the O allele compared to A or B subgroup alleles, resulting in antigenic changes. This study investigated the relationship between the serologic and molecular genetic characteristics of the O alleles in the Korean population.
Methods: One hundred and five samples from healthy blood group O subjects were selected randomly. The isoagglutinin titer was measured using a tube agglutination and gel microcolumn assay. The ABO alleles were analyzed by sequencing exons 6 and 7 of the ABO gene. When the origin of a heterozygous nucleotide sequence was ambiguous, it was separated into a single allele using mono-allele amplification or cloning.
Results: The median IgM isoagglutinin titer was eight. In contrast, the median IgG anti-A and anti-B isoagglutinin titers were 64 and 32, respectively. The IgG isoagglutinin titer showed a significant increase with age (P<0.0001). Six O alleles were observed in 105 blood group O populations by sequencing. The O01 and O02 alleles were common (0.57, 0.36). Three rare O alleles (O04, O05, and O06) and one novel non-deletional O allele were found.
Conclusion: The distribution of isoagglutinin titers of blood group O and the genetic frequency of O alleles in this study would form the basis of the development and interpretation of ABO genotyping and serologic workup in the Korean population.
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Isoagglutinin titer; O allele; non-deletional O allele; Sequence analysis
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