Evidence map›Paper›PMID 29943480›Full record

ArticleJournal of clinical laboratory analysis2018

High frequency of variant RHD genotypes among donors and patients of mixed origin with serologic weak-D phenotype.

Marcia Regina Dezan, Valéria B Oliveira, Çarolina Nunes Gomes, Fabio Luz, Antônio J Gallucci, Silvia L Bonifácio, Cecília Salete Alencar, Ester C Sabino, Alexandre C Pereira, Jose E Krieger and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of clinical laboratory analysis, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. [Genotyping and its applications, a look to the future].Revista medica del Instituto Mexicano del Seguro Social · 2023
    Review
  3. RHD Genotyping of Rh-Negative and Weak D Phenotype among Blood Donors in Southeast Iran.International journal of hematology-oncology and stem cell research · 2021
    Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 4 institutions in 2 countries.

Marcia Regina DezanImmunohematology, Fundação Pró-Sangue Hemocentro de São PauloSão Paulo, São Paulo, Brazil.
Valéria B OliveiraImmunohematology, Fundação Pró-Sangue Hemocentro de São PauloSão Paulo, São Paulo, Brazil.
Çarolina Nunes GomesImmunohematology, Fundação Pró-Sangue Hemocentro de São PauloSão Paulo, São Paulo, Brazil.
Fabio LuzImmunohematology, Fundação Pró-Sangue Hemocentro de São PauloSão Paulo, São Paulo, Brazil.
Antônio J GallucciImmunohematology, Fundação Pró-Sangue Hemocentro de São PauloSão Paulo, São Paulo, Brazil.
Silvia L BonifácioImmunohematology, Fundação Pró-Sangue Hemocentro de São PauloSão Paulo, São Paulo, Brazil.
Cecília Salete AlencarLaboratório de Medicina Laboratorial, Divisão de Laboratório Central Hospital das Clinicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
Ester C SabinoInstitute of Tropical Medicine, Universidade de São Paulo, São Paulo, Brazil.
Alexandre C PereiraLaboratory of Genetics and Molecular Cardiology, Heart Institute (InCor), São Paulo, Brazil.
Jose E KriegerLaboratory of Genetics and Molecular Cardiology, Heart Institute (InCor), São Paulo, Brazil.
Vanderson RochaImmunohematology, Fundação Pró-Sangue Hemocentro de São PauloSão Paulo, São Paulo, Brazil.
Alfredo Mendrone-JuniorImmunohematology, Fundação Pró-Sangue Hemocentro de São PauloSão Paulo, São Paulo, Brazil.
Carla L DinardoImmunohematology, Fundação Pró-Sangue Hemocentro de São PauloSão Paulo, São Paulo, Brazil.ORCID http://orcid.org/0000-0002-0453-7863
Fundação Pró-Sangue Hemocentro de São Paulo · BRHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BRNHS Blood and Transplant · GBUniversidade de São Paulo · BR

Funding

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPQ) 420168/2016-8.
6 · The paper itself

Abstract

backgroundThe current transfusion policy recommended for individuals with serologic weak-D phenotype is based on data derived from European-descent populations. Data referring to the distribution of RH alleles underlying weak-D phenotype among people of mixed origin are yet incomplete, and the applicability of European-based transfusion guidelines to this specific population is questionable. GOAL: To evaluate the distribution of RHD variant genotype among individuals with serologic weak-D phenotype of both African and European descent.

methodsDonors and patients of mixed origin and with serologic weak-D phenotype were selected for the study. They were investigated using conventional RHD-PCR assays and RHD whole-coding region direct sequencing.

resultsOne hundred and six donors and 58 patients were included. There were 47 donors and 29 patients with partial-D genotype (47/106, 44.3%, and 29/58, 50%, respectively). RHD*DAR and RHD*weak D type 38 represented the most common altered RHD alleles among donors (joint frequency of 39.6%), while weak D types 1-3 accounted for 10.4% of the total D variant samples. RHD*DAR was the most common allele identified in the patient group (frequency of 31%), and weak D types 1-3 represented 29.3% of the total.

conclusionThe frequency of partial D among mixed individuals with serologic weak-D phenotype is high. They should be managed as D-negative patients until molecular tests are complete.

Indexed as

Blood DonorsAllelesBlood TransfusionFemaleGene FrequencyGenotypeHumansMalePhenotypePolymorphism, Single NucleotideRetrospective StudiesRh-Hr Blood-Group SystemRho(D) Immune GlobulinWhite PeopleRh-Hr Blood-Group SystemRho(D) Immune Globulinalloimmunizationdonorsmixed populationpartial Dweak D

Identifiers

PMID29943480
PMCPMC6817083
OpenAlexW2809877598

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.