Background and objectives: The Rh phenotypes hr^B- and VS+ are both rare in
Whites but more common in Blacks. The high-incidence antigen hr^B is present
on most red cells that are e+. The presence of VS on red cells is associated with an
aberrant expression of e, often called es. Materials and methods: Using conventional
serologic methods, including a monoclonal anti-hr^B-like antibody, we
studied 65 e+ samples that were apparently hr0-. Results: Of the 65, we found
that 59 (91%) were VS+. Recent findings have indicated that in VS+ persons a
change from leucine to valine occurs at amino acid 245 of the RHCE-encoded
polypeptide. While this residue is predicted to lie within the red cell membrane
bilayer, the change presumably affects alanine 226 (that is present when e is expressed)
in such a way that es is seen. Conclusions: Our findings suggest that the
change from e to es may result in nonexpression or marked depression of expression
of hr^B that is, perhaps, an epitope of e. While the molecular basis of the hrBphenotype
is not known, it is unlikely that the leucine-to-valine change at residue
245, resulting in the aberrant form of e, explains all hr^B- samples. First, hr^B- VS+
and hr^B- VS- samples must differ. Second, some hr^B- VS+ samples are C+,
some are C-. Presumably diverse molecular bases are involved in hrB- phenotypes.