Identification of two new D variants, DHMi and DHMii using monoclonal anti-D

Vox Sang. 1995;69(3):236-41. doi: 10.1111/j.1423-0410.1995.tb02601.x.

Abstract

Fifteen examples of red cells are described which showed discrepant reactivity on routine grouping with two monoclonal anti-D typing reagents, HAM-A being negative and MAD-2 strongly positive. The reaction profile of these cells with a number of monoclonal anti-D characterised the samples into two new variant groups, DHMi and DHMii. DHMi was characterised by a negative reaction with BRAD-8 and DHMii by a negative reaction with BRAD-5. DHMi cells were found to have a papain-sensitive site, identified by Mab 21 G6, which was not detectable in DHMii. The presence of allo-anti-D in one case of DHMi suggests a partial D in these individuals. The positive reaction of HAM-A with sialidase- and endo-F-treated DHMii cells suggests that sialic acid and/or N-glycans could possibly be involved in blocking the reaction with untreated cells. All samples typed as C-E+. One was e negative while the rest had variable depression of the e and f antigens. Marginal depression of E was seen with those DHMi cells tested, but not with DHMii cells. Data from family studies suggest that the variant D in both DHMi and DHMii is inherited as a cDE gene complex and is controlled by the RH locus.

MeSH terms

  • Amidohydrolases
  • Antibodies, Monoclonal
  • Antigenic Variation / genetics*
  • Genotype
  • Humans
  • Neuraminidase
  • Pedigree
  • Peptide-N4-(N-acetyl-beta-glucosaminyl) Asparagine Amidase
  • Peptides / isolation & purification*
  • Rh-Hr Blood-Group System / genetics
  • Rh-Hr Blood-Group System / isolation & purification*

Substances

  • Antibodies, Monoclonal
  • Peptides
  • Rh-Hr Blood-Group System
  • Rho(D) antigen
  • Neuraminidase
  • Amidohydrolases
  • Peptide-N4-(N-acetyl-beta-glucosaminyl) Asparagine Amidase