Evans antigen: A new hybrid structure occurring on background of D.. and D-- Rh complexes

Background and Objectives: Previously, the Evans antigen (RH37) of the Ph b lood group system was shown to be specified by a novel CE-D-CE hybrid gene. We studied further the heterogeneity of Evans and report here its new mole cular type resulting from a novel intraexon fusion event on the background of D.. and D-- complexes. Materials and Methods: A white family with 2 Evan s+ and 2 Evans- members was analyzed by serological methods and molecular t echniques. Results: The Evans+ proband (JD) typed D+C-c-E-e- and showed a p artial loss of RHCE but an increased dose of RHD on DNA blots. On sequencin g of Ph cDNAs, a normal D and 3 hybrid transcripts were detected. The D-CE hybrid is characterized by a single breakpoint located in exon 6. The CE-D hybrid derived its exon 1 (or 1 and 2) from RHCE and exons 2-10 (or 3-10) f rom RHD. The CE-D-CE hybrid had its internal exons 2-7 (or 3-7) from RHD. F amily studies showed that the D-CE and CE-D hybrids were linked and cotrans mitted from JD to his son, whereas RHD and CE-D-CE hyrbid were transmitted from JD to his daugther. Conclusion: In this family, Evans is specified by the novel D-CE intraexon fusion gene which occurs in cis to CE-D and trans to CE-D-CE interexon fusion genes. The observed large duplication of RHD re flects a convergent mosaicism underlying the enhancement of D and ablation of CcEe antigens. Copyright (C) 2000 S. Karger AG, Basel.