南京地区血小板定期捐献者HLA-I类抗原表位多态性分析
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南京市医学重点科技发展项目(ZKX21052);南京市医药卫生科研项目(YKK22197);江苏省输血协会英科新创科研基金资助项目(JSYK2023008)


Analysis for epitope polymorphism of class HLA-[ antigen from regular platelet donors in Nanjing area
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    摘要:

    摘要:目的探讨南京地区血小板定期捐献者HIA-I类抗原表位的分布特点,并建立血小板定期捐献者HLA表位资料库。方法采用Sanger法对南京地区649例血小板定期捐献者血液样本进行HIA高分辨率分型,利用HLA Eplet Registry网站分析HLA高分辨率分型结果对应的HLA抗原表位多态性,采用直接计数法计算等位基因频率,HLA单体型频率和HLA抗原表位频率。结果在649例血小板定期捐献者中,共检出38个HLA-A等位基因,对应36个HIA-A表位,频率较高的有79GT、144K和138MI;检出73个HLA-B等位基因,对应35个HLA-B表位,频率较高的有131S, 69TNT和80N;共检出64种HLA-I类抗原表位,频率较高的有79GT,131S和144K。结论﹐南京地区血小板定期捐献者HLA抗原表位分布具有本地区独特的多态性特点。基于HLA抗原表位分布特点建立的表位匹配策略,可以扩大可供选择的供者范围,降低血小板输注无效的发生率。

    Abstract:

    Abstract: Objective To investigalte the characteristics of epitope distribution on HLA clss [ antigen in the regular platelet donorsfrom Nanjing area and establish the HLA epitope database for regular platelet donors.Methods High-resolution HLA typing was per-formed using Sanger method for the blood samples from 649 regular platelet donors in Nanjing area. The polymorphism of HLA antigenepiopes corresponding to the high-resolution HLA typing results was analyzed using the HL.AEplet Regitry website. The frequencies ofallele frequencies , HILA haplotype , and HLA antigen epitope were calculated by using the direct counting method. Results Among the649regular platelet donors ,38 HLA-A alleles were detectedl, corresponding to 36 HLA-A epitopes, and the higher frequencies were79GT,144K and 138MI. Seventy-thee HLA-B alleles were detected corresponding to 35 HLA-B epitopes , and the higher frequencieswere 131S,69TNT,and 8ON. Sixty-four HLA class I antigen epitopes were detected,in which the higher frequencies were 79CT,131S, and 144K.Conclusions The distribution of HLA antigen epitopes in the regular platelet donors of Nanjig area exhibited u-nique polymorphic characteristics. The epiope matching strategies should be established based on the distrilution characteristics ofHLA anigen epiopes , which may expand the range of available donors and reduce the incidence of platelet transfusion refractoriness.

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张钰,何成涛,蔡杰,吕蕾,张璐,何晓露,杜海林,傅强,张春.南京地区血小板定期捐献者HLA-I类抗原表位多态性分析[J].临床检验杂志,2024,42(10):738-743

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  • 收稿日期:2024-02-21
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  • 在线发布日期: 2024-12-11
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