The identification of the base substitution responsible for Ag(x/y) completes the description of the antigen group polymorphisms associated with the apolipoprotein B polypeptide. Surprisingly, all five antigen group polymorphisms alter restriction endonuclease cleavage sites and have associated restriction fragment length polymorphisms, thereby providing a convenient alternative for antigen group phenotyping. (Arteriosclerosis and Thrombosis 1991;ll:379-384) T he antigen group (Ag) polymorphisms are a group of 10 epitopes resulting from five single-amino-acid substitutions scattered along the length of the apolipoprotein (apo) B-100 polypeptide.
-6 Human alloantibodies recognizing the first of these 10 epitopes were discovered in 1961 7 in the serum of a patient who had responded to multiple blood transfusions by forming antibodies against allelic variants of the donors' serum proteins. This first epitope, A g^) , was soon shown to be associated with the low density lipoprotein (LDL) fraction of serum.8 Subsequent studies identified additional epitopes associated with the LDL, and family studies showed these to be closely linked, since crossing over was never observed.9 As more data were collected, it became possible to group these 10 epitopes into five antithetical pairs, 10 ' 11 that is, pairs of epitopes of which at least one member must be present on the LDL obtained from a single individual. Eventually, the Ag system was shown to be associated with apo B-100, 12 -13 and recently, the underlying nucleotide substitutions responsible for four of the five epitope pairs have been identified and located on the apo B-100 gene.1 -6 Here, we report the position and nature of the fifth and final pair, Ag(x/y).
Methods
Genome DNA SourceHuman nuclear DNAs were obtained from the white blood cells of 18 individuals as described previously. 14 All these people had been previously Ag phenotyped using a hemoagglutination assay. 15 The five individuals selected for DNA sequencing were donors 4,11,14,15, and 17 listed in Table 3 of Reference 1.
Enzymatic Amplification of DNAThe amplification primers used are summarized in Table 1. For convenience in subcloning, the amplification primers were designed to contain a restriction site at the 5' end. The amplification reaction 16 was performed in a final volume of 100 yX, containing 1 fig genomic DNA, 0.5 unit Taq polymerase (Promega, Madison, Wis.) in the reaction buffer supplied by the manufacturer, and primers, as described below. For symmetric amplification, 50 pmoles of each primer was used; for asymmetric amplification, 50 pmoles of one primer and 0.5 pmole of the other were employed. To prevent evaporation, 50 /A mineral oil was layered on top, and then the denaturation step was performed at 95°C for 5 minutes, annealing at 55°C for 45 seconds, and extension at 72°C for 2.5 minutes, for the first cycle. Thirty subsequent cycles were performed for 45 seconds at 95°C for denaturation, 45 seconds at 55°C for annealing, and 25 minutes at 72°C for extension. For the last cycle, ...