[Detection of Irregular Antibodies after Blood Transfusion for Children with Thalassemia in Hainan].

OBJECTIVE: To investigate the irregular antibody positive rate and antibody specificity in children with thalassemia received long-term blood transfusion in Hainan area and analyze the causes of antibody screening positive. METHODS: Micro-column gel method was used to screen the irregular antibody in 49 children who received transfusion treatment in our hospital, and the antibody specificity of the positive samples was evaluated. RESULTS: Fourteen of 49 cases showed positive for screening. Among them, 11 cases showed Rh blood group antibody after detecting antibody specificity, 1 case showed the coexistence of irregular antibody and autoantibody. One case for anti-JKa and 1 case for anti-JKb. The positive rate of antibody screening was 16.1% (5/31) in males and 50.0% (9/18) in females. The positive rate of antibody screening was higher in females than that in males. The positive rate of antibody screening in Han and Li nationality was 18.4% (7/38) and 63.6% (7/11), respectively. The positive rate of antibody screening in Li nationality was higher than that in Han nationality. After starting blood transfusion treatment, there were 3 cases (15.8%) of antibody screening positive at birth to 6 months old, Three cases (20.0%) of antibody screening positive at 6 months to 1 year old and 8 cases (53.3%) of antibody screening positive at over 1 year old. Three cases with α-thalassemia were negative after screening. Four cases (14.8%) with ß-thalassemia were positive after screening. Nine cases (60.0%) with αß thalassemia were positive after screening, 1 case (25.0%) with undefined type of thalassemia was positive after screening. The positive rate of antibody screening after blood transfusion was highest in children with αß mixed type of thalassemia. Above-mentimed differences were statistically significant (P<0.05). But there was no significant difference between the positive rate of screening by ABO blood group (P>0.05). CONCLUSION: Most of the antibodies produced after long-term blood transfusion in the children with thalassemia belong to Rh blood group antibodies; the children with mixed thalassemia are more likely to produce antibodies; the antibody screening positive rate of Li nationality is higher than that of Han nationality, which may be caused by the genetic difference of blood type between Li nationality and Han nationality.

[Genetic Polymorphism of Antigens in Twelve Rare Blood Group Systems of Li Nationality in Hainan Province].

OBJECTIVE: To explore the distribution characteristics of main antigen gene frequencies of Duffy,Diego,Kidd,Dombrock,MNS,Lutheran,Kell,Colton,Scianna,Yt,Knops and Indian in red blood cell blood group system of Li nationality in Hainan Province. METHODS: Antigens in twelve rare blood group systems of 214 Li people in Hainan Province were genotyped and analyzed by polymerase chain reaction-sequence specific primers (PCR-SSP). RESULTS: The gene frequency of antigens in twelve rare blood group systems of 214 Li people in Hainan Province including: the gene frequency of Duffy blood group system: fya=0.9556，fyb=0.0444；the gene frequency of Diego blood group system: Dia=0.0678，Dib=0.9322；the gene frequency of Kidd blood group system：JKa=0.4533，JKb=0.5467；the gene frequency of Dombrock blood group system：DOa=0.1051，DOb=0.8949；the gene frequency of MNS blood group system：M=0.8131，N=0.1869,S=0.0327，s=0.9673，Mur+=0.5748，Mur-=0.4252；the gene frequency of Lutheran blood group system：AUa=0.8318，AUb=0.1682；the Kell, Colton, Scianna, Yt, Knops and Indian blood type systems showed a monomorph and the genotype was kk, coacoa, Sc1Sc1, YtaYta, KnaKna and InbInb. The observed and expected genotype values in twelve rare blood group systems of Li nationality in Hainan province were obeyed by the Hardy-Weinberg genitic rules. The difference between the observed and expectated values of the Kidd blood group system showed significant differences（χ2=17.1946，P=0.0002）. CONCLUSION: The genetic distribution and genetic status in twelve rare blood group systems of Li nationality in Hainan Province are relatively stable. The gene distribution of Duffy, Diego, Kidd, Drombrock, MNS and Lutheran blood group systems are polymorphic and show unique distribution characteristics compared with other regions and different nationalities. The gene frequency distribution of Kell、Colton、Scianna、Yt、Knops、Indian blood group systems are monomorphic.