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  • Universal Detection of Mi a...
    Yang, Meng-Hua; Chen, Jen-Wei; Sayaka, Kaito; Uchikawa, Makoto; Tsuno, Nelson H; Wei, Sheng-Tang; Hou, Sheng-Mou; Chen, Yann-Jang

    Diagnostics (Basel), 04/2021, Letnik: 11, Številka: 5
    Journal Article

    Glycophorin hybrids such as GP.Mur are common in Southeast Asians. In Taiwan, clinically significant alloantibodies to the GP.Mur phenotype are the most important issue in blood banks. A large-scale screening of glycophorin hybrids in the Taiwanese population is urgently needed to ensure transfusion safety. Four clones of human hybridomas that secrete anti-Mi , anti-MUT, and anti-Mur were established by fusing human B-lymphocytes and myeloma cells (JMS-3). The specificity of each monoclonal antibody (MoAb) was characterized. Three MoAbs were applied on an Automated Pretransfusion Blood Testing Analyzer (PK7300/PK7400) for donor screening. Genotyping was performed to determine the detailed subgrouping of glycophorin hybrids. Four MoAbs are IgM antibodies. Anti-Mi (377T) binds to DXHKRDTYA , HKRDTYAAHT peptides, and anti-Mi (367T) binds to QTNDXHKRD peptides (X indicates T, M, or K). Anti-Mur is reactive with KRDTYPAHTA peptides. Anti-MUT is reactive with KHKRDTYA . A total of 78,327 donors were screened using three MoAbs, and 3690 (4.71%) were GP.Mur, 20 (0.025%) were GP.Hut, and 18 (0.022%) were GP.Vw. When the Mi antigen was introduced as routine screening, the frequency of Mi(a+) among blood donors in Taiwan was 4.66% (67,348/1,444,541). Mi antigen was implemented as a routine blood testing, and the results were labeled on all red blood cell (RBC) units.