The genomic dna sample was sent to grifols ih center for bi-directional sequencing.Sequencing interrogated klf1 gene exons 1 to 3 and dna cloning plus new sequencing of interrogated klf1 exon 2.One allele was identified as klf1*304c,544c and the other allele was identified as klf1*948delc.Although the klf1*304c allele variant is described by isbt as klf1*bgm12, the klf1*304c,544c variant alllele is unreported and its effect on lutheran antigen expression is unknown.Klf1*948delc, the other variant allele found in this sample, has been reported by isbt as klf1*bgm18 and associated with an in(lu) phenotype.However, the lu*b allele detected in homozygosity by idcore xt and the lub- phenotype detected by serology suggest that klf1*304c,544c variant allele leads also to an in(lu) phenotype.Id core xt reported a predicted lub+ phenotype, but the presence of klf1*304c,544c, klf1*948delc allele genotype, not interrogated by id core xt, avoid the expression of lub antigen.This false positive result obtained by id core xt is considered a discrepant result and then a malfunction.This case report is covered by limitations number 1 and 10 of id core xt package insert.
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