Blood donor genotyping for prediction of blood group antigens: Results from 5 years' experience (2017–2022)

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Background and Objectives
For 5 years, routine genotyping has been performed for selected blood groups of blood donors in the Copenhagen Capital Region, Denmark. The result is summarized in the following.

Materials and Methods
Genotyping was carried out by an external service provider using the competitive allele specific PCR (KASP) technology. The genotypes were returned to the blood bank and translated into phenotypes by a proprietary IT application.

Results
In total, 65 alleles from 16 blood group systems (ABO, MNS, Rh, Lutheran, Kell, Duffy, Kidd, Diego, Yt, Dombrock, Colton, Landsteiner-Wiener, Cromer, Knops, Vel, secretor status) and the HPA1, HPA5 and HPA15 antigens were interrogated. After translation, phenotypes were imported into the laboratory information management system of the blood bank. The results from 31,538 genotyped blood donors were used to calculate the allele frequencies for a Danish blood donor population. ABO genotyping was done for sample ID purposes. Determination of the 1061delC single nucleotide polymorphism (SNP) (NM_020469.2), most frequently characteristic of ABO*A2, was validated against a series of 1287 samples with Dolichos biflorus lectin determination of the A1 phenotype.

Conclusion
We report allele frequencies and phenotype frequencies for 16 blood groups from a total of 31,538 genotyped blood donors. Blood products were supplied from a total of 64,312 active blood donors, and of these active blood donors 25,396 (39.5%) were genotyped. These donors represent a valuable resource for patient treatment. This genotyping has enabled the provision of rare genotyped donor blood for patients with alloantibodies and rare reagent cells for serology.
OriginalsprogEngelsk
TidsskriftVox Sanguinis
Vol/bind118
Udgave nummer11
Sider (fra-til)980-987
Antal sider8
ISSN0042-9007
DOI
StatusUdgivet - 2023

Bibliografisk note

Funding Information:
We thank the scientists of the biomedical laboratory at the blood bank of Rigshospitalet for their excellent performance in the in-house part of the genotyping process. K.R. contributed to conception of this genotyping, design of assays and analysis of data and made the first draft of the manuscript; G.R.K. contributed to the design of assays, analysis of data and writing the manuscript; F.B.C. and C.E.H. contributed to writing the draft manuscript and data analysis; M.H.D. contributed to writing the draft manuscript and conceived the topics to be included in the manuscript. All authors contributed to the revision of the manuscript, approved the final version and agreed to be accountable for all aspects of the work.

Publisher Copyright:
© 2023 International Society of Blood Transfusion.

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