AI Article Synopsis

  • The study focuses on the issue of high alloimmunization rates in sickle cell disease (SCD) patients, emphasizing the importance of accurately determining blood group genotypes to enhance blood compatibility and reduce risks.
  • 104 SCD and sickle thalassemia patients were analyzed using Tetra ARMS PCR for Rh genotyping, revealing a variety of genotypes while highlighting discrepancies between molecular and serological methods in 11 cases.
  • The findings suggest that combining Tetra ARMS PCR with traditional serological techniques is a significant advancement in immunohematology, improving patient care during blood transfusions.

Article Abstract

Objectives: High rate of alloimmunization in sickle cell disease (SCD) patients poses a significant challenge in finding compatible blood unit. Accurate determination of the blood group genotype of them can help reduce the alloimmunization risk. Tetra ARMS PCR is a novel method that has been utilized recently to investigate SNPs in diseases in a fast and reliable way.

Methods: Our study included 104 SCD and sickle thalassemia (Sβ) patients referred to Baghaei-2-Hospital of Ahvaz in 2019 using a nonrandom sampling method. Blood samples were collected for serological and molecular tests. Rh genotyping was performed using Tetra ARMS PCR and compared with the serological results.

Results: Based on the Tetra ARMS PCR method, out of 104 patients, 7 (6.7%) were d/d, 40 (38.5%) were D/d, 57 (54.8%) were D/D, 25 (24%) were C/C, 59 (56.7%) were C/c, 20 (19.3%) were c/c, 4 (3.8%) were E/E, 25 (24%) were E/e, and patients 75 (72.2%) were e/e. There were discrepancies in the serological and molecular results for 11 patients.

Conclusion: Use of Tetra ARMS PCR in combination with serological methods for determining the Rh blood group system in donors and transfusion-dependent patients represents a remarkable transformation in the field of immunohematology.

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Source
http://dx.doi.org/10.1080/1744666X.2024.2388700DOI Listing

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