Molecular genetic analysis of 14 samples from unrelated individuals with the B 3 phenotype is reported here. Two different molecular changes in the blood group B gene were observed. One case was demonstrated to possess a 247G 3 T mutation, which predicts an Asp83Tyr alteration. The B genes of the other 13 cases were shown to have a G 3 A mutation at the ؉5 nucleotide of intron 3 (intervening sequence 3 [IVS3] ؉ 5G 3 A). Reverse transcription polymerase chain reaction analysis showed that the complete exon 1-exon 7 B transcript was absent, and transcripts that skipped exon 3 were instead present in the RNA sample from the B 3 individual with the IVS3 ؉ 5G 3 A mutation. The result shows that the IVS3 ؉ 5G 3 A mutation destroys the conserved sequence of the splice donor site and leads to the skipping of exon 3 during messenger RNA processing. The
IntroductionIn addition to the common ABO phenotypes, A 1 , A 2 , B, and O, numerous phenotypes with a weak expression of the A or B antigens on the red blood cells (RBCs) have been found. [1][2][3][4][5][6] The B 3 phenotype is characterized by mixed-field hemagglutination of RBCs with anti-B and anti-A-anti-B antibodies. Only limited results have been reported on the molecular genetic analysis of 4 B 3 cases so far. 7,8 The B 3 phenotype was found to be the most common subgroup in Taiwanese. [9][10][11][12] This study presents the molecular genetic analysis of 14 samples from unrelated Taiwanese individuals with the B 3 phenotype.
Study designSequence analysis of the ABO gene and polymerase chain reaction-restriction fragment length polymorphism analysis Preparation of the genomic DNAs and the analysis of the 7 exon regions of the ABO genes were as described previously. 13 A polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) analysis was developed to demonstrate the intervening sequence-3 [IVS3] ϩ 5G 3 A mutation in the B gene, as the G 3 A change creates a BsmI site (GAATGC). We combined 100 ng genomic DNA and 15 pmol each forward (CGTACCTGCCTCGAGGCCTTGCAGCTTCAC) and reverse (CAGCAC-CCCGGCCAGCATGGATGCTCCAC) primer in 25 L PCR buffer containing 0.2 mM deoxynucleoside 5Ј-triphosphate and 0.5 U Taq polymerase. The PCR program included 5 minutes at 94°C followed by 30 cycles of 30 seconds at 94°C and 1 minute at 72°C. The PCR products were digested by BsmI enzyme and then analyzed by 3.5% agarose gel electrophoresis.
Analysis of the ABO transcript structureTotal RNAs were prepared from peripheral blood cells. The complementary DNAs (cDNAs) were primed by oligodeoxythymidine primer, and 2 rounds of PCR amplification followed. The first PCR was performed with forward (TTGCGGACGCTGGCCGGAAAACCAAA, spanning the exon 1-2 junction of ABO cDNA) and reverse (TGTCCACGTCCACGCACACCAGG-TAATCCA, locating exon 7) primers. Products from the first PCR were amplified by nested forward (CAAAATGCCACGCACTTCGACCTAT-GATCC, locating exon 2) and reverse (CGCTCGCAGAAGTCACTGATC, locating exon 7) primers. The PCR conditions were similar to those described above, except that...