Investigation of variables affecting the immunogenicity of blood group antigens using a calculation formula

Abstract Previous studies on the immunogenicity of blood group antigens have utilized a formula incorporating antigen frequencies and relative frequencies of unexpected antibodies to the corresponding antigens. This study was aimed at investigating other variables potentially affecting the estimatio...

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Main Authors: Yousun Chung, Han Joo Kim, Hyungsuk Kim, Sang-Hyun Hwang, Heung-Bum Oh, Dae-Hyun Ko
Format: Article
Language:English
Published: Nature Portfolio 2023-05-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-36078-4
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author Yousun Chung
Han Joo Kim
Hyungsuk Kim
Sang-Hyun Hwang
Heung-Bum Oh
Dae-Hyun Ko
author_facet Yousun Chung
Han Joo Kim
Hyungsuk Kim
Sang-Hyun Hwang
Heung-Bum Oh
Dae-Hyun Ko
author_sort Yousun Chung
collection DOAJ
description Abstract Previous studies on the immunogenicity of blood group antigens have utilized a formula incorporating antigen frequencies and relative frequencies of unexpected antibodies to the corresponding antigens. This study was aimed at investigating other variables potentially affecting the estimation of immunogenicity using this formula. We examined the effect of multiple transfusions, as there are more chance for a recipient to receive repeated transfusions rather than only once; the effect of antigen density, which may vary depending on homozygote/heterozygote; and the effect of unreliability of the observed frequency of rare antibodies and antigens. For multiple transfusions, the expected antibody frequency increased as the number of transfusions increased. For antigen density, the immunogenicity was falsely low for the low-prevalence antigen, and this tendency intensified as the effect of antigen density increased. Expected antibody frequencies were significantly affected by the uncertainties caused by estimation of small numbers. This study showed that the effects of various factors on the immunogenicity of blood group antigens depended on the antigen frequency. Estimating the immunogenicity of blood group antigens requires acknowledging the diverse factors that can affect it and interpreting the findings with caution.
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spelling doaj.art-643b897a4f6c44f8be514f19f7ab40942023-06-04T11:27:00ZengNature PortfolioScientific Reports2045-23222023-05-011311710.1038/s41598-023-36078-4Investigation of variables affecting the immunogenicity of blood group antigens using a calculation formulaYousun Chung0Han Joo Kim1Hyungsuk Kim2Sang-Hyun Hwang3Heung-Bum Oh4Dae-Hyun Ko5Department of Laboratory Medicine, Kangdong Sacred Heart HospitalDepartment of Laboratory Medicine, Asan Medical Center, University of Ulsan College of MedicineDepartment of Laboratory Medicine, Seoul National University HospitalDepartment of Laboratory Medicine, Asan Medical Center, University of Ulsan College of MedicineDepartment of Laboratory Medicine, Asan Medical Center, University of Ulsan College of MedicineDepartment of Laboratory Medicine, Asan Medical Center, University of Ulsan College of MedicineAbstract Previous studies on the immunogenicity of blood group antigens have utilized a formula incorporating antigen frequencies and relative frequencies of unexpected antibodies to the corresponding antigens. This study was aimed at investigating other variables potentially affecting the estimation of immunogenicity using this formula. We examined the effect of multiple transfusions, as there are more chance for a recipient to receive repeated transfusions rather than only once; the effect of antigen density, which may vary depending on homozygote/heterozygote; and the effect of unreliability of the observed frequency of rare antibodies and antigens. For multiple transfusions, the expected antibody frequency increased as the number of transfusions increased. For antigen density, the immunogenicity was falsely low for the low-prevalence antigen, and this tendency intensified as the effect of antigen density increased. Expected antibody frequencies were significantly affected by the uncertainties caused by estimation of small numbers. This study showed that the effects of various factors on the immunogenicity of blood group antigens depended on the antigen frequency. Estimating the immunogenicity of blood group antigens requires acknowledging the diverse factors that can affect it and interpreting the findings with caution.https://doi.org/10.1038/s41598-023-36078-4
spellingShingle Yousun Chung
Han Joo Kim
Hyungsuk Kim
Sang-Hyun Hwang
Heung-Bum Oh
Dae-Hyun Ko
Investigation of variables affecting the immunogenicity of blood group antigens using a calculation formula
Scientific Reports
title Investigation of variables affecting the immunogenicity of blood group antigens using a calculation formula
title_full Investigation of variables affecting the immunogenicity of blood group antigens using a calculation formula
title_fullStr Investigation of variables affecting the immunogenicity of blood group antigens using a calculation formula
title_full_unstemmed Investigation of variables affecting the immunogenicity of blood group antigens using a calculation formula
title_short Investigation of variables affecting the immunogenicity of blood group antigens using a calculation formula
title_sort investigation of variables affecting the immunogenicity of blood group antigens using a calculation formula
url https://doi.org/10.1038/s41598-023-36078-4
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