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PubMed2026

The Rh blood group system: RHCE update.

While the previous review encompassed the Rh blood group system (Chou ST, Westhoff CM. The Rh and RhAG blood group systems. Immunohematology. 2010;26:178-86), this update focusses on the RHCE gene and its variants. Four new antigens- PARG, CEVF, CEWA, and CETW (RH60 to RH63)-were reported since the last update. RHCE*cEMI (RHCE*03.31) was amended from a null allele to an allele encoding very weak antigen expression. The following topics are discussed: cross-reactive alleles [such as RHCE*ceHAR (*01.22.01) and RHCE*ceCF (*01.20.06) which may type D+ with some monoclonal anti-D reagents], issues with hybrid alleles and allele dropout, common haplotypes (association between RHCE alleles and specific RHD alleles), and clinical considerations. While the detailed description of new Rh antigens has become rare, many RHCE alleles have been reported since the previous review, a result of increased adoption of DNAbased testing for red blood cell antigens in immunohematology laboratories. The Rh blood group system has fascinated generations of immunohematologists and is likely to continue to do so for decades to come.

Rh-Hr Blood-Group System↗
PubMed1979

Is the d an allelic gene of D in the Rh blood group system? A quantitative study using 99mTechnetium-pyrophosphate-labelled antibody (TcLA) method.

This article reports on studies of Rh antigens, such as D, Du and d, using uranyl-labelled antibody (ULA) and TcLA (99mTc-pyrophosphate-labelled antibody) methods for the first time for this purpose. TcLA method proved to be simple in labelling and very sensitive (20--100 times more so than the indirect Coombs test) in the detection of Rh antigen-antibody binding. Results of this quantitative study demonstrate convincingly that the d is not an allelic gene of D but rather the weakest of the series D less than Du less than d. Although the evidence from this study demonstrates clearly that differences between D and d are only quantitative, the authors do not think that the Rh nomenclature should be changed but they do think that the present evidence should be used in regard to the understanding of the allelism in the Rh blood group system. The c is an allelic gene of C as the e is an allelic gene of E; specific test sera detecting every one of these antigens exist and the family studies verify these statements. However, the d is not a distinct antigen as c and e are, even if the pattern of inheritance from family studies, using the existent anti-D serum, would suggest the allelism as probability. That is why in the past the anti-Du and anti-d specific test sera never incidentally found or artificially produced.

Alleles↗
PubMed1975

[Genetic relationships between the HL-A system, the blood group systems (Rh, ABO) and the immune reactivity].

The authors examined in immunized healthy persons the correlations between the ability of immune response, the value of their different immunological parameters, and the HL-A blood-group antigens by computer analysis. Immune reactivity showed mosaic-like correlation against the HL-A system. The most definite negative correlation was noticed between the HL-A 3 and 7 antigens and the cytotoxic activity of lymphocytes. Remarkable and definite correlation was found between the Rh system and immune reactivity. The level of the natural antibodies, the immunoglobulins and the functions of lymphocytes were generally decreased in males in comparison to females.

ABO Blood-Group System↗
PubMed2026

Rhesus blood group haplotype determination by nanopore sequencing and adaptive sampling enables the precise determination of complex allele combinations that could not be accurately determined by standard methods.

BACKGROUND: Patients with chronic transfusion needs such as those with sickle cell disease face a high risk of developing antibodies against high-prevalence antigens in the RH blood group system, complicating transfusion therapy and potentially necessitating stem cell transplantation. Molecular characterization of the RH system is hindered by hybrid alleles and high sequence homology between RHD and RHCE, limiting the effectiveness of conventional short-read sequencing. STUDY DESIGN AND METHODS: We analyzed 11 control and 20 patient samples, some of which could not be reliably genotyped by standard methods. RESULTS: Nanopore sequencing with adaptive sampling enables targeted, amplification-free long-read sequencing of the RH locus, resolving homologous and complex hybrid structures and enabling complete haplotype phasing for all samples, including samples that could not be accurately determined by standard methods like serology and short-read sequencing. Four new alleles were identified and for 13 out of 20 patients the results led to a change in the transfusion regimen. DISCUSSION: These findings show that nanopore sequencing with adaptive sampling allows unambiguous genotyping of the RH system, improves detection of complex variants, and supports better-matched transfusion strategies for chronically transfused patients.

Rh-Hr Blood-Group System↗
PubMed1977

Erythrocyte morphology in genetic defects of the Rh and Kell blood group systems.

Absence of KX antigen and of normal expression of the Kell system antigens is associated with bizarre red blood cell morphology when observed by either light or scanning electron microscopy. Numerous acanthocytes and dacryocytes have been observed in the peripheral blood smear of an apparently healthy individual with McLeod-phenotype blood, in a male patient with type II chronic granulomatous disease who had a shortened 51Cr red blood cell survival time, and in a minor population of the red blood cells of his carrier mother.

Blood Group Antigens↗
PubMed1975

[Connection between the group factors of the blood systems ABO, MNSs, and rhesus and peculiarities of the vaccination process in children immunized against smallpox].

The ahthors present new data on the character of the vaccine process in children associated with the characteristics of the blood group ABO, MNSs and Rh systems. The greater frequency of occurrence and more manifest reactions were noted in children with blood groups A, B, AB, M and Rho (D) - in comparison with those having blood groups O, Rho (D) +, MN and N. There was a significant prevalence of chromosomal aberrations in the primarily immunized children with blood groups A in comparison with groups O, B and AB. The data obtained pointed to the negative effect of the mimi-rating antigens of the smallpox virus on the immunogenesis in smallpox. Search for methods of releasing the vaccine of these antigens is necessary for reduction of the reactogenic properties and increase of immunogenecity of the smallpox vaccines.

ABO Blood-Group System↗
PubMed1975

[Frequency of genes and blood groups of the systems ABO, MN, Rh and P of Belorussians and Poles in the Grodno region].

A distribution of the gene frequencies and blood groups of the ABO, Rh, NM and P system in the poles and the byelorussians in the Grodno region is investigated. The following frequencies of genes in the byelorussians were revealed: r(0)-0,6210; p(A)-0.2451; q(B)-0,1339; D-0,6093; d-0,3907; M-06063; N-0,3937; P(+)-0,4971; P(-)-0,5029; and in the poles: r(O)-0,6284; p(A)-0,2353; q(B)-0,1363; D-0,6065; d-0,3935; M-0,6093; N-0,397; P(+)-0,4966; P(-)-0,5034. No statistically reliable differences were revealed in frequencies of the alleles and phenotypes of the investigated systems in the poles and byelorussians. By comparison of the same isoantigen systems of the byelorussians in the Grodno region with common population of the byelorussians in the BSSR it was found that statistically significant differences do not exist. The comparison of the poles in the Grodno region with the poles in the Polish People's Republic showed a statistically reliable difference of their genofunds in terms of the gene frequencies: r(O), p(A), D, d, P(+), P(-). This confirms the hypothesis about an indigenous origin of the poles in the Grodno region.

ABO Blood-Group System↗
PubMed1975

[Frequency of genes and blood groups of the systems, ABO, MN, Rh and P among the Belerussians and Poles of the Grodno region].

A distribution of the gene frequencies and blood groups of the ABO, Rh, NM and P system in the poles and the byelorussians inthe Grodno region is investigated. The following frequencies of genes in the byelorussians were revealed: r(O)--0,6210; P(A)--0,2451; Q(B)--0,1339; D--0,6093; D-9,3907; M-0,6063; N-0,3937; P(+)-0,4971; P(--)--0,5029; and in poles: r(O)--0,6284; p(A)--0,2353; q(B)--0,1363; D - 0,6065; d - 0,3935; M - 0,6093; N- 0,0397; P(+) -0,4966; P(-) -0,5034. No statistically reliable differences were revealed in frequencies of the alleles an d phenotypes of the investigated systems in the poles and byelorussians. By comparison of the same isoantigen systems of the byelorussians in the Grodno region with the common population of the byelorussians in the BSSR it was found that statistically significant differences do not exist. The comparison of the poles in the Grodno region withthe poles in the Polish People's Republic showed a statistically reliable difference of their genofunds in terms of the gene frequencies: r(O) , p(A), D, d, P(+), P(-). This confirms the hypothesis about an indigenous origin of the poles in the Grondno region.

ABO Blood-Group System↗
PubMed2026

Prevalence and risk factors of red blood cell alloimmunization among sickle cell disease patients in resource-limited countries: A systematic review and meta-analysis.

BACKGROUND: Sickle cell disease (SCD) is an inherited hemoglobinopathy characterized by hemoglobin S production, in which homozygous individuals (HbSS) develop a broad range of acute and chronic complications. While disease-modifying and curative therapies are increasingly available in high-income settings, red blood cell (RBC) transfusion remains the mainstay of treatment in resource-limited countries and is associated with high rates of alloimmunization. This systematic review and meta-analysis aimed to estimate the prevalence of alloimmunization and identify associated risk factors among patients with SCD living in resource-limited settings. METHODS: Africa Journals Online (AJOL), Embase, PubMed, Scopus, and Web of Science were searched for original studies published from inception to December 15, 2025. Only studies conducted in low- and lower-middle-income countries (LMICs) were included. Eligible studies evaluated the prevalence of alloimmunization in patients with SCD receiving RBC transfusions. A random-effects meta-analysis of proportions was performed to pool quantitative data, while qualitative findings were systematically summarized in tabular form. Statistical heterogeneity was assessed using the I² statistic and further explored using Baujat plots, leave-one-out analyses, and meta-regression. RESULTS: Our analysis included 27 studies conducted in Africa (n = 23) and Asia (n = 4), predominantly from lower-middle-income countries (n = 19) and mainly employing a cross-sectional design (n = 20), comprising 3128 previously transfused patients with SCD. The pooled prevalence of RBC alloimmunization was 8.76% (95% CI: 6.71-11.37%; I² = 75%). Higher alloimmunization rates were observed in West and North Africa, particularly in Côte d'Ivoire, Egypt, and Nigeria, whereas lower rates were reported in Asia and East Africa. The most frequently identified antibodies belonged to the Rh blood group system (n = 153), followed by the Kell system (n = 65). CONCLUSION: In resource-limited settings, RBC alloimmunization is a frequent and clinically significant complication in patients with SCD, contributing to increased morbidity and potential mortality. Targeted and economically viable antigen matching may reduce alloimmunization rates and improve transfusion safety in LMICs.

Humans↗
PubMed1975

[Frequency of genes and blood groups of the ABO, MN, Rh and P systems among Belorussians and Poles in the Grodno region].

A distribution of the gene frequencies and blood groups of the ABO, Rh, NM and P system in the poles and the byelorussians in the Grodno region is investigated. The following frequencies of genes in the byelorussians were revealed: r(0)-0,6210; p(A)--0.2451; q(B)--0,1339; D--0,6093; d--0,3907; M--0,6063; N--0,3937; P(+)-- 0,4971; P(--)--0,5029; and in the poles: r(0)--0,6284; p(A)--0,2353; q(B)--0,1363; D--0,6065; d - 0,3935; M - 0,6093; N - 0,0397; P(+) - 0,4966; P(-) - 0,5034. No statistically reliable differences were revealed in frequencies of the alleles and phenotypes of the investigated systems in the poles and byelorussians. By comparison of the same isoantigen systems of the byelorussians in the Grodno region with the common population of the byelorussians in the BSSR it was found that statistically significant differences do not exist. The comparison of the poles in the Grodno region with the poles in the Polish People's Republic showed a statistically reliable difference of their genofunds in terms of the gene frequencies: r(0), p(A), D, d, P(+), P(-). This confirms the hypothesis about an indigenous origin of the poles in the Grodno region.

ABO Blood-Group System↗
PubMed1975

[Blood groups ABO, MN and Rh in diseases of the cardiovascular system].

Studies of theincidence of ABO, MN and Rh blood groups were carried out in 896 patients aged 40-89 with cardiovascular diseases and in 523 healthy people of the same age. High occurence of cardiovascular diseases was observed in patients having A and MM blood groups. The coefficient of relative morbidity A : 0 and MM:(NN +MN) depends on the age, the degree and the prevailing localization of the pathological process.

ABO Blood-Group System↗
PubMed1975

[Clinico-statistical notes on some characteristics of thyrotoxicosis].

Statistical analysis was used to examine certain environmental and biological aspects of thyrotoxicosis, specifically: marital status, occupation, sex, age of onset of menarche and menopause, number of pregnancies and miscarriages, blood groups (ABO, Rh system). The results showed a significant prevalence of non-married working women among patients suffering from thyrotoxicosis. They also showed that the patients under examination reach menarche at an earlier age and the menopause at a later age than a control group, and the figures were statistically significant.

ABO Blood-Group System↗