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Blood, 1 June 2002, Vol. 99, No. 11, pp. 4231-4233
BRIEF REPORT
Molecular basis of NB1 (HNA-2a, CD177) deficiency
Karin Kissel,
Steffi Scheffler,
Mohammed Kerowgan, and
Jürgen Bux
From the Institute for Clinical Immunology and
Transfusion Medicine, Giessen, and the Institute for Clinical
Immunology and Transfusion Medicine, Mannheim, Germany.
Alloimmunization to the neutrophil antigen NB1 (HNA-2a, CD177) can
result in immune neutropenia and transfusion-related acute lung injury.
Recently, we were able to elucidate the primary structure of NB1. To
shed light also on the molecular basis of the NB1-negative phenotype,
we studied the neutrophils of 2 women with NB1-specific alloantibodies
for intracellular and extracellular NB1 expression, NB1-specific mRNA
production, and the presence of the NB1 gene. No antibody
binding to neutrophils was observed by immunofluorescence and
immunoblot using a variety of human and monoclonal NB1-specific antibodies. By reverse transcription-polymerase chain reaction with
NB1-specific primers we could not detect NB1 cDNAs without accessory
sequences, which were found to be introns. The NB1 gene was
present in the genome of both patients. Our data indicate that the
NB1-negative phenotype is the result of different off-frame insertions
on RNA level, resulting in NB1 deficiency on neutrophils.

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