Red cell antigen phenotypes in blood donors & thalassaemia patients for creation of red cell antigen-matched inventory

Background & objectives: Patients with thalasssaemia are at a risk of alloimmunization and the presence of RBC alloantibodies further complicates transfusion therapy. Matching for the critical antigens of Rh, Kell, Kidd and Duffy blood group systems has been shown to minimize alloimmunization. T...

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Bibliographic Details
Published in:Indian journal of medical research (New Delhi, India : 1994) India : 1994), 2020-09, Vol.152 (3), p.273-279
Main Authors: Kulkarni, Swati, Choudhary, Bhavika, Gogri, Harita, Sharma, Jayashree, Madkaikar, Manisha
Format: Article
Language:English
Subjects:
Antigens
Blood & organ donations
Blood diseases
Blood donation
Blood Donors
Blood Group Antigens
Blood Grouping and Crossmatching
Blood groups
EDTA
Erythrocytes
Genetic aspects
Humans
Isoantibodies
Original
Phenotype
Thalassemia - therapy
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Summary:Background & objectives: Patients with thalasssaemia are at a risk of alloimmunization and the presence of RBC alloantibodies further complicates transfusion therapy. Matching for the critical antigens of Rh, Kell, Kidd and Duffy blood group systems has been shown to minimize alloimmunization. The aim of the present study was to create a database of extensively typed donors for clinically significant and common blood group antigens of Rh, Kidd, Kell and Duffy systems for transfusion therapy of multitransfused thalassaemic patients. Methods: Five hundred O group regular blood donors were phenotyped for Rh, Kell, Duffy and Kidd blood group antigens using haemagglutination technique. Eighty four non-alloimmunized and 15 alloimmunized thalassaemia major patients with known antigenic profiles (determined by polymerase chain reaction with sequence-specific primers) were selected for this study. Results: By analyzing antigen profiles of 500 O group regular donors, a database of 193 donors matching perfectly for Rh, Duffy, Kell and Kidd antigens was prepared for 15 alloimmunized patients. For non-alloimmunized 84 thalassaemic patients, a database of 405 donors was created. Interpretation & conclusions: A database of 500 regular blood donors phenotyped for common antigens of Rh, Duffy, Kell and Kidd blood group systems was created, which would be useful in providing extended antigen-matched RBCs for thalassaemia patients. This will improve the quality and effectiveness of transfusion therapy.
ISSN:0971-5916
0975-9174
DOI:10.4103/ijmr.IJMR_1199_18