Volume 55, Issue 6pt2 pp. 1432-1443
RH SYSTEM

Extensive functional analyses of RHD splice site variants: Insights into the potential role of splicing in the physiology of Rh

Yann Fichou

Corresponding Author

Yann Fichou

Institut National de la Santé et de la Recherche Médicale (Inserm), UMR1078

Etablissement Français du Sang (EFS)–Région Bretagne

Address reprint requests to: Yann Fichou, PhD, Etablissement Français du Sang (EFS)–Région Bretagne, Inserm UMR1078, 46 rue Félix Le Dantec, CS 51819, 29218 Brest Cedex, France; e-mail: [email protected]Search for more papers by this author
Pierre Gehannin

Pierre Gehannin

Institut National de la Santé et de la Recherche Médicale (Inserm), UMR1078

Etablissement Français du Sang (EFS)–Région Bretagne

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Manon Corre

Manon Corre

Institut National de la Santé et de la Recherche Médicale (Inserm), UMR1078

Etablissement Français du Sang (EFS)–Région Bretagne

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Alice Le Guern

Alice Le Guern

Institut National de la Santé et de la Recherche Médicale (Inserm), UMR1078

Etablissement Français du Sang (EFS)–Région Bretagne

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Cédric Le Maréchal

Cédric Le Maréchal

Institut National de la Santé et de la Recherche Médicale (Inserm), UMR1078

Etablissement Français du Sang (EFS)–Région Bretagne

Laboratoire de Génétique Moléculaire et d'Histocompatibilité, Centre Hospitalier Régional Universitaire (CHRU), Hôpital Morvan

Faculté de Médecine et des Sciences de la Santé, Université de Bretagne Occidentale, Brest, France.

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Gérald Le Gac

Gérald Le Gac

Institut National de la Santé et de la Recherche Médicale (Inserm), UMR1078

Etablissement Français du Sang (EFS)–Région Bretagne

Laboratoire de Génétique Moléculaire et d'Histocompatibilité, Centre Hospitalier Régional Universitaire (CHRU), Hôpital Morvan

Faculté de Médecine et des Sciences de la Santé, Université de Bretagne Occidentale, Brest, France.

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Claude Férec

Claude Férec

Institut National de la Santé et de la Recherche Médicale (Inserm), UMR1078

Etablissement Français du Sang (EFS)–Région Bretagne

Laboratoire de Génétique Moléculaire et d'Histocompatibilité, Centre Hospitalier Régional Universitaire (CHRU), Hôpital Morvan

Faculté de Médecine et des Sciences de la Santé, Université de Bretagne Occidentale, Brest, France.

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First published: 21 March 2015
Citations: 28

This work was supported by the Association Recherche et Transfusion (ART; Contract 63-2012); the Etablissement Français du Sang (EFS)–Région Bretagne; and the Institut National de la Santé et de la Recherche Médicale (Inserm), France.

Abstract

BACKGROUND

Among more than 300 mutated alleles identified so far within the RHD gene, almost 40 are assumed to alter cellular splicing and therefore may have a direct effect on Rh phenotype both at the quantitative and at the qualitative levels. Functional data are, however, mostly unavailable to assess the direct involvement of splicing defect in the underlying physiology.

STUDY DESIGN AND METHODS

We generated plasmid constructs to carry out an exhaustive investigation of 38 RHD variants located within or in the vicinity of exon–intron junctions by a minigene splicing assay, further characterized the transcript structures by sequencing, and identified cryptic sites activated by the genetic defect. Bioinformatics predictions were carried out in parallel and compared with the functional data.

RESULTS

For the first time we demonstrate that a product including the full-length Exon 9 is transcribed in the presence of the c.1227G>A substitution frequently carried by Asians with DEL phenotype and confirmed that splicing is altered in the RHD*weak D Type 2 allele, a rare variant most commonly found in Caucasians.

CONCLUSION

Overall we 1) show significant correlation between functional analyses, bioinformatics predictions, and phenotypes, when available, especially for variants in close proximity of the consensus splice sites; 2) classify the variations as splicing or nonsplicing variants; and 3) provide functional data to further improve bioinformatics splicing tools. Conversely assessment of seven silent exonic variants was mainly inconclusive.

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