Serological typing for the classical ABO blood groups is routinely per
formed using anti-A and anti-B antisera of polyclonal or monoclonal or
igin, which are able to distinguish four phenotypes (A, B, AB, and O).
Modern molecular biology methods offer the possibility of direct ABO
genotyping without the need for family investigations. Typing can be d
one with small amounts of DNA and without detection of blood group mol
ecules on the surface of red blood cells. We developed a system of eig
ht polymerase chain reactions (PCR) to detect specific nucleotide sequ
ence differences between the ABO alleles O-1, O-2, A(1) A(2), and B. P
CR amplification using sequence-specific primers and detection of ampl
ification products by agarose gel electrophoresis is one of the fastes
t genotyping methods and is easy to handle. With our method we tested
the A(1,2)BO(1,2) genotypes of 300 randomly chosen persons out of a po
ol of platelet donors and found the results to be consistent with ABO
glycosyltransferase phenotypes. We also identified a presumably new AB
O allele, which may be the result of a crossing-over event between all
eles O-1 and A(2). (C) 1996 by The American Society of Hematology.