Evidence map›Paper›PMID 41147787›Full record

ArticleTransfusion medicine (Oxford, England)2026

Characterisation of RHD and RHCE variations in blood donors from Jazan Province, Southwestern Saudi Arabia.

Maymoon M Madkhali, Mayisah Khormy, Abdullah A Meshi, Bandar Kameli, Khaled Ghazwani, Ohoud Sufyani, Salha Hakami, Yahya Khawaji, Abdullah A Mobarki, Khaled Essawi and 5 more

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Article in Transfusion medicine (Oxford, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

15 authors.

Maymoon M MadkhaliRegional Blood Bank, Ministry of Health, Jazan, Saudi Arabia.ORCID https://orcid.org/0000-0002-9424-0966
Mayisah KhormyRegional Blood Bank, Ministry of Health, Jazan, Saudi Arabia.
Abdullah A MeshiBlood Bank Department, King Fahd Central Hospital, Ministry of Health, Jazan, Saudi Arabia.
Bandar KameliRegional Blood Bank, Ministry of Health, Jazan, Saudi Arabia.
Khaled GhazwaniRegional Blood Bank, Ministry of Health, Jazan, Saudi Arabia.
Ohoud SufyaniRegional Blood Bank, Ministry of Health, Jazan, Saudi Arabia.
Salha HakamiRegional Blood Bank, Ministry of Health, Jazan, Saudi Arabia.
Yahya KhawajiRegional Blood Bank, Ministry of Health, Jazan, Saudi Arabia.
Abdullah A MobarkiDepartment of Medical Laboratory Technology, Faculty of Nursing and Health Sciences, Jazan University, Jazan, Saudi Arabia.
Khaled EssawiDepartment of Medical Laboratory Technology, Faculty of Nursing and Health Sciences, Jazan University, Jazan, Saudi Arabia.
Waleed HakamiDepartment of Medical Laboratory Technology, Faculty of Nursing and Health Sciences, Jazan University, Jazan, Saudi Arabia.
Yara AlyahyawiDepartment of Medical Laboratory Technology, Faculty of Nursing and Health Sciences, Jazan University, Jazan, Saudi Arabia.
Aymen M MadkhaliDepartment of Medical Laboratory Technology, Faculty of Nursing and Health Sciences, Jazan University, Jazan, Saudi Arabia.
Gasim DobieDepartment of Medical Laboratory Technology, Faculty of Nursing and Health Sciences, Jazan University, Jazan, Saudi Arabia.ORCID https://orcid.org/0000-0002-9225-1709
Hassan A HamaliDepartment of Medical Laboratory Technology, Faculty of Nursing and Health Sciences, Jazan University, Jazan, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesRh is among the most important and highly polymorphic blood group systems due to the proximity of the RHD and RHCE genes, which encode numerous highly immunogenic antigens. However, in areas of Saudi Arabia with a high prevalence of hemoglobinopathy, the molecular characteristics of RHD and RHCE variations are lacking. This study focuses on characterizing the allelic and genotypic distributions of RHD and RHCE blood donors in Jazan, Saudi Arabia. MATERIALS AND

methodsAll blood donors' records between June 2023 and December 2024 were reviewed. ID RHD XT was applied for 60 negative or weak RhD Saudi donors, while 354 Saudi and 110 non-Saudi donors received RHCE genotyping using the ID CORE XT.

resultsRHD deletion accounted for 76.7% of the RhD-negative donors. RHCE*Ce (44.1%) was the most common RHCE allele in Saudis, followed by RHCE*ce (31.9%) and RHCE*cE (12.3%). Variant alleles including RHCEce*(733G), RHCEce*(733G,1006T), RHCE*ceAR, RHCE*ce(712G), and RHDr's-RHCE*ce(733G,1006T) were detected in 11.72% in Saudi and 7.73% in non-Saudi, while low- and high-frequency antigens V, hrS, VS, and hrB were observed in Saudis with frequencies of 21.8%, 97.8%, 24.8%, and 93.2%, respectively. RHCE*ce/RHCE*Ce was the most prevalent genotype (26.8%). The non-Saudi group displayed similar profiles, with RHCE*Ce (48.2%), RHCE*ce (30.9%), and RHCE*cE (13.2%). There were no significant differences between Saudi and non-Saudi allele or genotype distributions using Fisher's exact test.

conclusionThe study represents the first molecular characterisation of RHD and RHCE alleles in Saudi Arabia, revealing marked allelic and genotypic diversity, with important implications for transfusion safety in the Jazan region, where hemoglobinopathies are prevalent.

Indexed as

AllelesBlood DonorsRh-Hr Blood-Group SystemAdultFemaleGene FrequencyGenotypeHumansMaleMiddle AgedSaudi ArabiaRHCE protein, humanRh-Hr Blood-Group SystemRho(D) antigenallelegenotypeJazan regionphenotypeRHD and RHCERh system

Identifiers

PMID41147787
PMCPMC13077421

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