Immunohematology JOURNAL of BLOOD GROUP SEROLOGY and EDUCATION
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Immunohematology JOURNAL OF BLOOD GROUP SEROLOGY AND EDUCATION V OLUME 20, NUMBER 1, 2004 Immunohematology JOURNAL OF BLOOD GROUP SEROLOGY AND EDUCATION V OLUME 20, NUMBER 1, 2004 CONTENTS 1 Letter to the Readers Introduction to the review articles CHRISTINE LOMAS-FRANCIS 3 Review:ABO blood group system—ABH oligosaccharide antigens, anti-A and anti-B,A and B glycosyltransferases, and ABO genes F. Y AMAMOTO 23 Review: the molecular basis of the Rh blood group phenotypes F. F. W AGNER AND W.A. FLEGEL 37 Review: the Kell, Duffy, and Kidd blood group systems C.M.WESTHOFF AND M.E. REID 50 Review: other blood group systems—Diego,Yt, Xg, Scianna, Dombrock, Colton, Landsteiner-Wiener, and Indian K.M. BYRNE AND P.C. BYRNE 59 A bicarbonate anion-dependent anti-‘N’ MoAb Y.S. IYER,K.VASANTHA, S.R. JOSHI,M.PATWARDHAN,V.PUJARI,S.JADHAV, AND D. MOHANTY 63 Cefotetan-induced immune hemolytic anemia following prophylaxis for cesarean delivery S. SHARIATMADAR,J.R. STORRY,L.SAUSAIS, AND M.E. REID 67 69 COMMUNICATIONS Letters to the Editor Letters From the Editor-in-Chief Looking back at the history of the journal Welcome to our 20th anniversary year! MARION E. REID,PHD HELEN GLIDDEN, MT(ASCP)SBB 71 Book Review Pediatric Transfusion Therapy CORINA E. GONZALEZ,MD 72 74 ANNOUNCEMENTS ADVERTISEMENTS 77 INSTRUCTIONS FOR AUTHORS EDITOR-IN-CHIEF MANAGING EDITOR Delores Mallory, MT(ASCP)SBB Mary H. McGinniss,AB, (ASCP)SBB Rockville, Maryland Bethesda, Maryland MEDICAL EDITOR SENIOR MEDICAL EDITOR S. Gerald Sandler, MD Scott Murphy, MD Washington, District of Columbia Philadelphia, Pennsylvania TECHNICAL EDITOR GUEST EDITOR Christine Lomas-Francis, MSc Christine Lomas-Francis, MSc New York, New York New York, New York ASSOCIATE MEDICAL EDITORS David Moolton, MD Geralyn Meny, MD Ralph Vassallo, MD Philadelphia, Pennsylvania Philadelphia, Pennsylvania Philadelphia, Pennsylvania EDITORIAL BOARD Patricia Arndt, MT(ASCP)SBB W. J ohn Judd, FIBMS, MIBiol Paul M. Ness, MD Los Angeles, California Ann Arbor, Michigan Baltimore, Maryland James P.AuBuchon, MD Christine Lomas-Francis, MSc Mark Popovsky, MD Lebanon, New Hampshire New York, New York Braintree, Massachusetts Geoffrey Daniels, PhD Gary Moroff, PhD Marion E. Reid, PhD, FIBMS Bristol, United Kingdom Rockville, Maryland New York, New York Richard Davey, MD Ruth Mougey, MT(ASCP)SBB Susan Rolih, MS, MT(ASCP)SBB New York, New York Carrollton, Kentucky Cincinnati, Ohio Sandra Ellisor, MS, MT(ASCP)SBB John J. Moulds, MT(ASCP)SBB David F.Stroncek, MD Anaheim, California Raritan, New Jersey Bethesda, Maryland George Garratty, PhD, FRCPath Marilyn K. Moulds, MT(ASCP)SBB Marilyn J.Telen, MD Los Angeles, California Houston, Texas Durham, North Carolina Brenda J. Grossman, MD Sandra Nance, MS, MT(ASCP)SBB St. Louis, Missouri Philadelphia, Pennsylvania EDITORIAL ASSISTANT PRODUCTION ASSISTANT Linda Berenato Marge Manigly COPY EDITOR ELECTRONIC PUBLISHER PROOFREADER Lucy Oppenheim Paul Duquette George Aydinian Immunohematology is published quarterly (March, June, September, and December) by the American Red Cross, National Headquarters,Washington, DC 20006. The contents are cited in the EBASE/Excerpta Medica and Elsevier BIOBASE/ Current Awareness in Biological Sciences (CABS) databases. The subscription price is $30.00 (U.S.) and $35.00 (foreign) per year. Subscriptions, Change of Address, and Extra Copies: Immunohematology, P.O. Box 40325 Philadelphia, PA 19106 Or call (215) 451-4902 Web site: www.redcross.org/pubs/immuno Copyright 2004 by The American National Red Cross ISSN 0894-203X LETTER TO THE READERS Introduction to the review articles biochemical nature of the ABO antigens, the isolation of the transferases involved in the syntheses of A and B We celebrate the 20th anniversary of antigens, the cloning of the ABO genes, and the Immunohematology this year by publishing four molecular basis of the serologically defined special issues that are primarily devoted to review phenotypes. The ABO genes in other species; the articles. The reviews in this,the first,issue focus on the evolution of the ABO genes; and changes in antigen major RBC blood group systems. Each blood group expression during development, differentiation, and system is genetically discrete and consists of one or carcinogenesis are also discussed. He concludes the more antigens. The antigens are surface markers on the review by leaving us to muse over the question of “Why outside of the RBC membrane and are proteins and does the ABO polymorphism exist?” carbohydrates attached to lipid or protein. Exposure to The Rh system, after ABO, is the most clinically RBCs carrying an antigen lacking on the RBCs of the significant in transfusion medicine. The identification recipient can elicit an immune response in some of the Rh antigens led to the understanding and people. The ability to detect and identify blood group prevention of HDN. Dr. Franz Wagner and Dr. Willy antigens and antibodies by simple hemagglutination Flegel review the Rh system in this issue of techniques is the foundation of safe, supportive blood Immunohematology. The authors, through their work transfusion practice and the appropriate management in recent years, have contributed to our understanding of pregnancies at risk for HDN. of this, the most polymorphic and complex of the Currently there are 29 blood group systems, blood group systems. The Rh antigens are considered containing 229 antigens, recognized by the at the level of the gene, the protein, and the antigen. International Society of Blood Transfusion (ISBT). Current knowledge of the molecular bases of Rh Twenty years ago, at the launch of antigen expression is used to shed light on the Immunohematology, there were 16 systems with 144 serologic complexity of the Rh blood group system. In antigens and quite a collection of antigens waiting to particular,the molecular bases of D antigen expression, be assigned to systems, pending the discovery of new of the partial D, weak D, Del, and D-negative information about their relationship to the established phenotypes, is extensively reviewed, as is the systems. During the last 10 to 15 years, major phylogeny of RHD alleles. The available molecular advances, particularly at the molecular level, have information for each of the 48 Rh antigens is also occurred in our understanding of blood group presented in a tabulated format for easy reference. The antigens, the structures that carry them, and the red authors conclude their review by drawing our cell membrane that houses them. The study of people attention to the many unresolved questions about the who have a null phenotype for a certain blood group Rh system and in particular the “astounding Rh system and thus have RBCs that lack or have altered antigenic variability.” membrane protein(s) has provided a key to the Dr. Connie Westhoff and Dr. Marion Reid focus on function of that protein. The reviews in this issue,each the Kell, Duffy, and Kidd blood group systems. The in a unique way,address the exciting findings of recent antibodies to antigens in these three systems are the years and consider the molecular events that generate most clinically significant, after those of ABO and Rh. diversity in blood group antigens and phenotypes and Because of the association between Kx and Kell,the Kx relate them back to possible applications at the clinical system is included. The authors have distilled the level. wealth of information about these systems into a few The discovery of the ABO groups at the beginning pages of text and several informative tables and figures. of the 20th century made blood transfusion possible. The history of each system is addressed (e.g., Kell was Therefore, it is fitting that ABO is the first system to be the first system to be identified after the introduction reviewed and that Dr. Fumiichiro Yamamoto, who was of the antiglobulin test), then the antigens, the a member of the team that cloned the ABO genes, does antibodies, and their involvement in HDN. The recent so. Dr. Yamamoto’s article begins with Landsteiner’s advances at the gene and protein levels and the work, then guides us through the elucidation of the molecular bases of the antigens and phenotypes are IMMUNOHEMATOLOGY, VOLUME 20, NUMBER 1, 2004 1 LETTER TO THE READERS CONT’D summarized. The biological role of the Kell, Kidd, and information presented by the authors should prove Duffy proteins and their significance in health and valuable to those immunohematologists studying for disease are also discussed. the SBB exam The authors of the fourth review, Karen and Peter Finally,in addition to the four reviews, two original Byrne, faced a daunting challenge, that of describing articles are published in this information-rich “Other Blood Group Systems.” They selected those anniversary issue of Immunohematology. systems considered to be of clinical importance or to have interesting features and made the scope of the Christine Lomas-Francis, MSc presented information “What you need to know for the Technical Editor and Guest Editor of this issue SBB exam.” The eight blood group systems featured in this review are Diego, Yt, Xg, Scianna, Dombrock, Colton, Landsteiner-Wiener, and Indian. The Manuscripts: The editorial staff of Immunohematology welcomes manuscripts pertaining to blood group serology and education for consideration for publication.We are especially interested in case reports, papers on platelet and white cell serology,scientific articles covering original investigations, and papers on the use of computers in the blood bank. Deadlines for receipt of manuscripts for consideration for the March, June, September, and December issues are the first weeks in November, February, May, and August, respectively. Instructions for scientific articles and case reports can be obtained by phoning or faxing a request to Mary H. McGinnniss, Managing Editor, Immunohematology, at (301) 299-7443, or see “Instructions for Authors” in every issue of Immunohematology or on the Web. Include fax and phone numbers and e-mail address with your manuscript.