The human ABO blood group is determined by the ABO gene located on chromosome 9. This gene contains 7 exons, of which the last 2 (6 and 7) comprise nearly 80% of the coding sequence of the gene and encode the catalytic domain [1,2]. The genetic underpinnings of several B subtype phenotypes have been reported [3][4][5][6][7][8][9][10][11][12]. Although it is considerably rarely observed in Korea and probably the entire Asia, the B3 phenotype is the most common B subtype phenotype [6,7]. B 3 alleles are heterogeneous and contain single nucleotide polymorphisms (SNPs) scattered throughout both the coding and intronic DNA sequences; however, some individuals with the B3 phenotype had no unexpected SNPs relative to the B101 allele [8].Recently, blood samples were referred to our laboratory because of an ABO typing discrepancy between a neonate and her parents; a routine pretransfusion testing revealed that the neonate and her father were group O, while her mother had the A1B3 phenotype. A genetic investigation revealed that both the neonate and her mother contained
65The B3 phenotype is the most common B subtype in Korea. The B305 allele (425 T>C, M142T) was first reported in 2 Chinese individuals; however, it has not yet been reported in the Koreans, and the impact of the M142T mutation on the expression of the B3 phenotype has also not been studied. To resolve an ABO discrepancy between a group O neonate and her group O father and A1B3 mother, blood samples from these individuals and other family members were referred to our laboratory for ABO gene analysis. The B305 allele was discovered in the neonate (B305/O01), her mother (A102/ B305), and her maternal aunt (B305/O02), while her father was typed as O01/O02. Transient transfection experiments were performed in HeLa cells using the B305 allele synthesized by site-directed mutagenesis; flow cytometric analysis revealed that this transfect expressed 35.5% of the total B antigen produced by the B101 allele transfect. For comparison, Bx01 allele transfects were also created, and they expressed 11.4% of the total B antigen expressed on the surface of B101 transfects. These experiments demonstrate that the M142T (425 T>C) mutation is responsible for the B subtype phenotype produced by the B305 allele. (Korean J Lab Med 2010;30:65-9)