Rhce exon 2 analysis: by using the exon 2 amplification primers published by haer-wigman et al (2013)1, the sample is homozygous c.307c indicative of c+ phenotype in both forward and reverse sequences as shown in the sequencing report.To verify above sequencing result, the sample was also amplified by two sets of rhce exon 2 primers followed by sanger sequencing using three primers published by volkova et al (2019)2.The 1.3 kb f3-r1 amplicon from the sample generates the scrambled sequence using the seqf1-s sequencing primer.The 1.7 kb f4-r4 pcr product generates the scrambled sequence from the forward primer seqf4, and a readable sequence from the reverse primer seqr4 indicative of homozygous c.307t as shown below.In sanger sequencing, the scramble sequencing read from a pcr amplicon is due to undesignated polymorphism in the amplicon sequence, pcr primer and/or sequencing primer regions in one or two alleles of the target gene.All exons of the rhce gene have been sequenced for this sample.Except for exon 2 encoding the rhc antigen, the sequencing results are consistent with hea tests for the c+ e+ e- v- vs- phenotypes.Further investigation will be required to determine root cause for the conflict rhc phenotype in sequencing as well as in hea assay.
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