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Genetic variability of blood groups in southern Brazil

Abstract

We evaluated genetic variability among the blood groups Kell (c.578C > T and c.1790T > C), Kidd (c.838A > G), Duffy (c.125A > G, c.265C > T and c.1-67T > C), Diego (c.2561C > T), MNS (c.143T > C) and Rh (c.676G > C) in Rio Grande do Sul in southern Brazil. Genetic profiling from 382 volunteer blood donors was performed through allelic discrimination assays using a hydrolysis probe (TaqMan®) with a real-time PCR system. The sample was divided into two groups: Euro-Brazilian and Afro-Brazilian. A comparison with studies from other regions of Brazil and the 1000 Genomes Database showed significant differences for almost all polymorphisms evaluated in our population. Population differentiation between the Euro- and Afro-Brazilian groups was low (FST value 0.055). However, when each locus was evaluated individually, KEL*06 and FY*02N.01 allele frequencies were significantly higher in the Afro-Brazilian group than in the Euro-Brazilian group. Ethnic classification that uses phenotypic criteria to find blood units with rare antigens may be important when there is a need to detect blood units with an absence of Duffy antigens. There is also a greater probability of finding donors in the Afro-Brazilian group. Taken together, the data indicate strong European and African contributions to the gene pool, with intense admixture.

Keywords:
Genotyping techniques; blood group antigens; genetic variation; transfusion reaction; genetic polymorphism

Introduction

Blood group systems are characterized by the presence of antigens on red blood cells (RBCs) (Issitt and Anstee, 1998Issitt P and Anstee D (1998) Applied Blood Group Serology. 4th edition. Montgomery Scientific Publications, Montgomery, 1232 pp.). Currently, 345 blood group antigens are recognized, of which 316 are dispersed among 36 blood group systems (International Society of Blood Transfusion, 2017International Society of Blood Transfusion I (2017) Red Cell Immunogenetics and Blood Terminology, http://www.isbtweb.org/working-parties/red-cell-immunogenetics-and-blood-group-terminology (accessed 25 February 2017).
http://www.isbtweb.org/working-parties/r...
). Some of these antigens are highly immunogenic, resulting in alloimmunization, hemolytic transfusion reaction (HTR) and hemolytic disease of the fetus and newborn (HDFN) (Anstee, 2009Anstee DJ (2009) Red cell genotyping and the future of pretransfusion testing. Blood 114:248–256.). The main complication directly associated with blood transfusion is HTR, which is mainly induced by the presence of antibodies for blood group antigens (Issitt and Anstee, 1998Issitt P and Anstee D (1998) Applied Blood Group Serology. 4th edition. Montgomery Scientific Publications, Montgomery, 1232 pp.).

Overall, better characterization of the profiles of blood donors/recipients might increase compatibility and consequently blood transfusion safety. Some rare blood antigens have highly variable frequencies among distinct populations (Pellegrino et al., 2001Pellegrino J, Castilho L, Rios M and De Souza CA (2001) Blood group genotyping in a population of highly diverse ancestry. J Clin Lab Anal 15:8–13.), which directly impacts transfusion practice, and knowledge of the frequencies of antigens of the main blood groups in each population may help in the search for compatible donors. This is notably true for admixed populations, such as those in Brazil.

Identification of variability in blood groups provides insight into gene ethnic diversity (Pellegrino et al., 2001Pellegrino J, Castilho L, Rios M and De Souza CA (2001) Blood group genotyping in a population of highly diverse ancestry. J Clin Lab Anal 15:8–13.). Brazil has a territory of continental size, with an area of more than 8 million km2 (Instituto Brasileiro de Geografia e Estatística, 2017Instituto Brasileiro de Geografia e Estatística I (2017) Área territorial oficial, http://www.ibge.gov.br/home/geociencias/cartografia/default_territ_area.shtm (accessed 25 February 2017).
http://www.ibge.gov.br/home/geociencias/...
). Moreover, in Brazil, interethnic crosses from four continents, Europe, Africa, America and Asia, have formed one of the most heterogeneous populations in the world (Parra et al., 2003Parra FC, Amado RC, Lambertucci JR, Rocha J, Antunes CM and Pena SDJ (2003) Color and genomic ancestry in Brazilians. Proc Natl Acad Sci U S A 100:177–182.; Pena et al., 2011Pena SDJ, di Pietro G, Fuchshuber-Moraes M, Genro JP, Hutz MH, Kehdy FSG, Kohlrausch F, Magno LAV, Montenegro RC, Moraes MO et al. (2011) The genomic ancestry of individuals from different geographical regions of Brazil is more uniform than expected. PLoS One 6:e17063.; Durso et al., 2014Durso DF, Bydlowski SP, Hutz MH, Suarez-Kurtz G, Magalhães TR and Pena SDJ (2014) Association of genetic variants with self-assessed color categories in Brazilians. PLoS One 9:e83926.). Although there are data concerning RBC allelic variability throughout the country (Ribeiro et al., 2009Ribeiro KR, Guarnieri MH, Da Costa DC, Costa FF, Pellegrino J and Castilho L (2009) DNA array analysis for red blood cell antigens facilitates the transfusion support with antigen-matched blood in patients with sickle cell disease. Vox Sang 97:147–152.; Baleotti et al., 2011Baleotti W, Suzuki RB, Polotto M, Ruiz MO, Fabron A and Castilho L (2011) A PCR-based strategy for Dombrock screening in Brazilian blood donors reveals a novel allele: The DO*A-WL. J Clin Lab Anal 25:79–82.; Credidio et al., 2011Credidio D, Pellegrin J and Castilho L (2011) Serologic and molecular characterization of D variants in Brazilians: Impact for typing and transfusion strategy. Immunohematology 27:6–11.; Guelsin et al., 2011Guelsin GAS, Sell AM, Castilho L, Masaki VL, Melo FC, Hashimoto MN, Hirle LS and Visentainer JEL (2011) Genetic polymorphisms of Rh, Kell, Duffy and Kidd systems in a population from the State of Paraná, southern Brazil. Rev Bras Hematol Hemoter 33:21–5.; Cruz et al., 2012Cruz BR, Chiba AK, Moritz E and Bordin JO (2012) RHD alleles in Brazilian blood donors with weak D or D-negative phenotypes. Transfus Med 22:84–89.; Faria et al., 2012Faria MA, Martins ML, Schmidt LC and Malta MCFS (2012) Molecular analysis of the GYPB gene to infer S, s, and U phenotypes in an admixed population of Minas Gerais, Brazil. Rev Bras Hematol Hemoter 34:212–216.; Mota et al., 2012Mota M, Dezan M, Valgueiro MC, Sakashita AM, Kutner JM and Castilho L (2012) RHD allelic identification among D-Brazilian blood donors as a routine test using pools of DNA. J Clin Lab Anal 26:104–108.; Arnoni et al., 2013Arnoni CP, Muniz JG, Paula TA, Person RDM, Gazito D, Baleotti Jr W, Barreto JA, Castilho L and Latini FRM (2013) An easy and efficient strategy for KEL genotyping in a multiethnic population. Rev Bras Hematol Hemoter 35:99–102.; Piassi et al., 2013Piassi FCC, Santos SME, Castilho LM, Baleotti Júnior W, Suzuki RB and Cunha DM (2013) Dombrock genotyping in Brazilian blood donors reveals different regional frequencies of the HY allele. Rev Bras Hematol Hemoter 35:400–403.; Costa et al., 2016aCosta D, Schinaider A, Santos M, Schörner E, Simon D, Maluf S, Moraes A and Silva M (2016a) Frequencies of polymorphisms of the Rh, Kell, Kidd, Duffy and Diego systems of Santa Catarina, Southern Brazil. Rev Bras Hematol Hemoter 38:199–205., 2016bCosta DC, Schinaider AA, Santos TM, Schörner EJ, Simon D, Maluf SW, Moraes ACR and Silva MCS (2016b) Erratum to “Frequencies of polymorphisms of Rh, Kell, Kidd, Duffy and Diego systems of Santa Catarina, southern Brazil”. Rev Bras Hematol Hemoter 38:371–372.; Zacarias et al., 2016Zacarias JMV, Langer IBV, Visentainer JEL and Sell AM (2016) Profile of Rh, Kell, Duffy, Kidd, and Diego blood group systems among blood donors in the Southwest region of the Paraná state, Southern Brazil. Transfus Apher Sci 55:302–307.), such data are not available for Rio Grande do Sul in southern Brazil. In general, these data may improve the searchability and availability of compatible blood units for patients with antibodies to blood group antigens.

Therefore, the aim of this study was to determine the allelic frequencies of polymorphisms in genes in clinically important blood groups, including Kell (c.578C > T and c.1790T > C), Kidd (c.838A > G), Duffy (c.125A > G, c.265C > T and c.1-67T > C), Diego (c.2561C > T), MNS (c.143T > C), and Rh (c.676G > C), in blood donors from a city in southern Brazil. Additionally, the study aimed to evaluate whether ethnic classification might improve the search for rare blood units in a blood center.

Material and Methods

Sample characterization

A total sample of 382 regular repetitive voluntary blood donors of both sexes was collected from the Blood Bank of Hospital de Clínicas de Porto Alegre (HCPA), Rio Grande do Sul, Brazil (30°01’59”S 51°13’48”), between 2012 and 2015. The population from southern Brazil is ethnically admixed (Santos, 2002Santos SA (2002) Historical roots of the “Whitening” of Brazil. Polit Cult Form 29:61–82.; Flôres et al., 2014Flôres MALR, Visentainer JEL, Guelsin GAS, Fracasso AS, Melo FC, Hashimoto MN and Sell AM (2014) Rh, Kell, Duffy, Kidd and Diego blood group system polymorphism in Brazilian Japanese descendants. Transfus Apher Sci 50:123–128.); thus, the sample was divided into Euro-Brazilian (n= 334) and Afro-Brazilian (n= 48) groups. This classification was performed by trained blood bank professionals according to the following phenotypic characteristics: color and texture of hair, skin color in the medial part of the arm, and the shape of the nose and lips (Parra et al., 2003Parra FC, Amado RC, Lambertucci JR, Rocha J, Antunes CM and Pena SDJ (2003) Color and genomic ancestry in Brazilians. Proc Natl Acad Sci U S A 100:177–182.). This is a standard classification used to assist rare phenotypes.

The blood donors agreed to participate through written informed consent. This study was approved by the Ethics Research Committee of the Hospital de Clínicas de Porto Alegre (No: 110418) and the Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA) (No: 1829-12).

DNA extraction and genotyping

Genomic DNA was extracted from peripheral blood leukocytes by a standard salting out procedure (Lahiri and Nurnberger, 1991Lahiri D and Nurnberger J (1991) A rapid non-enzymatic method for the preparation of HMW DNA from blood for RFLP studies. Nucleic Acids Res 19:5444.). The DNA samples were quantified based on optical density at 260 nm (BioSpec-Nano, Shimadzu, Columbia, MD) and diluted to 10 ng/μL.

As listed in Table 1, single nucleotide polymorphisms (SNPs) c.578C > T and c.1790T > C in KEL (Kell, rs8176058 and rs8176038), c.838A > G in SLC14A1 (Kidd, rs1058396), c.125A > G, c.265C > T and c.1-67T > C in ACKR1 (Duffy, rs12075, rs34599082 and rs2814778), c.2561C > T in SLC4A1 (Diego, rs2285644), c.143T > C in GYPB (MNS, rs7683365), and c.676G > C in RHCE (Rh, rs609320) were analyzed by allelic discrimination using TaqMan 5’-nuclease assays with a real-time PCR system (StepOnePlus, Applied Biosystems, Foster City, CA, USA). The following assays were used: AH8979I, C_25596899_20, C_1727582_10, C_2493442_10, C_11324554_10, C_15769614_10, C_26654865_10, C_34183121_10, and AH5I4HL (ThermoFisher Scientific, Waltham, MA). The reactions were performed with fast thermal cycling conditions with 1X TaqMan® genotyping master mix, 1X TaqMan® genotyping assay, 10 ng of DNA and nuclease-free water (final volume 8 μL).

Table 1
Characterization of blood groups alleles evaluated in present study.

Statistical analyses

A chi-square adjustment test was applied to determine whether the distribution of observed genotype frequencies agreed with those expected under Hardy-Weinberg equilibrium (HWE). We compared the allele frequencies in the present study with data in the 1000 Genomes database (Ensembl GRCh38 – phase III) (African – AFR, European – EUR, East Asian – EAS, South Asian – SAS, and Admixed American - AMR) and data for blood donors from other states of Brazil [Santa Catarina - SC (Costa et al., 2016aCosta D, Schinaider A, Santos M, Schörner E, Simon D, Maluf S, Moraes A and Silva M (2016a) Frequencies of polymorphisms of the Rh, Kell, Kidd, Duffy and Diego systems of Santa Catarina, Southern Brazil. Rev Bras Hematol Hemoter 38:199–205.,bCosta DC, Schinaider AA, Santos TM, Schörner EJ, Simon D, Maluf SW, Moraes ACR and Silva MCS (2016b) Erratum to “Frequencies of polymorphisms of Rh, Kell, Kidd, Duffy and Diego systems of Santa Catarina, southern Brazil”. Rev Bras Hematol Hemoter 38:371–372.), Paraná – PR-POP1 and PR-POP2 (Guelsin et al., 2011Guelsin GAS, Sell AM, Castilho L, Masaki VL, Melo FC, Hashimoto MN, Hirle LS and Visentainer JEL (2011) Genetic polymorphisms of Rh, Kell, Duffy and Kidd systems in a population from the State of Paraná, southern Brazil. Rev Bras Hematol Hemoter 33:21–5.; Zacarias et al., 2016Zacarias JMV, Langer IBV, Visentainer JEL and Sell AM (2016) Profile of Rh, Kell, Duffy, Kidd, and Diego blood group systems among blood donors in the Southwest region of the Paraná state, Southern Brazil. Transfus Apher Sci 55:302–307.), São Paulo - SP (Ribeiro et al., 2009Ribeiro KR, Guarnieri MH, Da Costa DC, Costa FF, Pellegrino J and Castilho L (2009) DNA array analysis for red blood cell antigens facilitates the transfusion support with antigen-matched blood in patients with sickle cell disease. Vox Sang 97:147–152.), Bahia – BA (Costa et al., 2016aCosta D, Schinaider A, Santos M, Schörner E, Simon D, Maluf S, Moraes A and Silva M (2016a) Frequencies of polymorphisms of the Rh, Kell, Kidd, Duffy and Diego systems of Santa Catarina, Southern Brazil. Rev Bras Hematol Hemoter 38:199–205.,bCosta DC, Schinaider AA, Santos TM, Schörner EJ, Simon D, Maluf SW, Moraes ACR and Silva MCS (2016b) Erratum to “Frequencies of polymorphisms of Rh, Kell, Kidd, Duffy and Diego systems of Santa Catarina, southern Brazil”. Rev Bras Hematol Hemoter 38:371–372.), and Minas Gerais – MG (Alves et al., 2018Alves VM, De Vito FB, Martins PRJ, Silva SS, Castilho L and Moraes-Souza H (2018) Frequency of red blood cell genotypes in multi-transfused patients and blood donors from Minas Gerais, Southeast Brazil. Transfus Apher Sci 57:71–75.)]. Comparison of allelic frequencies was performed using Fisher's exact test with R software in the Rcmdr package (Fox, 2005Fox J (2005) The R commander: A basic statistics graphical user interface to R. J Stat Softw 14:1–42.). A p-value < 0.05 was considered significant.

Genetic distance was determined as FST using the Arlequin v.3.5 program (Excoffier and Lischer, 2010Excoffier L and Lischer HEL (2010) Arlequin suite ver 3.5: A new series of programs to perform population genetics analyses under Linux and Windows. Mol Ecol Resour 10:564–567.), and 95% confidence intervals were estimated with R software using the diveRsity package with 3000 bootstraps (Keenan and McGinnity, 2013Keenan K and McGinnity P (2013) diveRsity: An R package for the estimation of population genetics parameters and their associated errors. Methods Ecol Evol 4:782–788.).

Results

The distribution of genotype frequencies was in HWE. Minor allele frequencies (MAFs) of the investigated polymorphisms in the Euro- and Afro-Brazilians of our sample, 1000 Genomes database, and data of blood donors from other states of Brazil are shown in Table 2. In our study, KEL*06 and FY*02N.01 allele frequencies differed between the Euro- and Afro-Brazilian subgroups (p=0.023 and p < 0.001, respectively; Table 2). When compared to the 1000 Genomes database, the allele frequencies of our Euro-Brazilians were different from those described for AFR, EAS, and SAS populations, except for the GYPB*S allele in the SAS population and the KEL*06 allele in the EAS and SAS populations. When compared to EUR, the allele frequencies in Euro-Brazilians for JK*02 (p=0.002), FY*02N.01 (p < 0.001,) and DI*01 (p=0.002) variants differed. Comparison with the AMR population also revealed differences in JK*02 (p < 0.001), DI*01 (p < 0.001), and RHCE*E (p < 0.001) variants. Comparison of Euro-Brazilians with blood donors from other regions of Brazil indicated differences in allele frequencies for FY*01 (p < 0.001), FY*02N.01 (p=0.047), and DI*01 (p=0.014) from SC; JK*02 (p=0.013), FY*02N.01 (p < 0.001), and RHCE*E (p=0.048) from PR-POP1; JK*02 (p=0.016), FY*01 (p=0.003), and FY*02N.01 (p=0.004) from PR-POP2; FY*01 (p < 0.001), FY*02N.01 (p < 0.001), and GYPB*S (p=0.047) from SP; and FY*01 (p=0.005 and p < 0.001) and FY*02N.01 (p < 0.001 and p < 0.001) from BA and MG, respectively.

Table 2
Minor allele frequencies of blood groups variants in Euro and Afro-Brazilians from Rio Grande do Sul, 1000 Genomes Database and previous studies performed at Brazil.

The allele frequencies for KEL*06 observed in Afro-Brazilians were similar only in AMR (Table 2), though the JK*02 allele distribution in Afro-Brazilians was similar to that observed in the SAS, SC, BA and MG populations. Moreover, the FY*01 allele frequency in Afro-Brazilians was similar to that in the EUR, AMR, PR, SP, BA and MG populations, but the FY*02N.01 allele frequency observed in the present sample was different in all populations, except for BA (Table 2). The frequency of the DI*01 variant was similar in all populations assessed. The GYPB*S variant showed different distributions in AFR (p < 0.001) and EAS (p < 0.001) and the RHCE*E variant in SAS (p=0.028).

Pairwise FST values for the samples of the present study and the 1000 Genomes database are shown in Table 3. Low genetic distance (FST=0.055) between Euro- and Afro-Brazilians of Rio Grande do Sul was observed when evaluated for population differentiation. In relation to EUR populations, the Euro- and Afro-Brazilian groups showed the lowest FST values (0.004 and 0.080, respectively), and lower FST values were also observed in comparisons of our groups and AMR populations (0.009 for Euro- and 0.061 for Afro-Brazilians). In contrast, the highest genetic distance was found between Euro-Brazilians of Rio Grande do Sul and the AFR population (0.431) and between Afro-Brazilians and AFR (0.297). Figure 1 shows the genetic distance observed for the populations analyzed in this study based on blood group alleles. The main result of FST analysis indicated that the AFR population is genetically more distinct than the other populations. To evaluate the contribution of each variant to the genetic distance observed, FST values were also estimated for each SNP by examining the present sample and the 1000 Genomes Database. According to FST values, rs2814778 (c.1-67T > C) and rs12075 (c.125A > G) polymorphisms in the ACKR1 gene (Duffy blood group) present high differentiation among populations (0.865 and 0.399, respectively, Table 4).

Table 3
Pairwise FST among South Brazilian population and populations evaluated in 1000 Genome Database.
Figure 1
Genetic distance among the populations analyzed in this study based on blood group alleles.
Table 4
SNPs population differentiation.

Discussion

We examined population differentiation for the distribution of blood group alleles in blood donors from Rio Grande do Sul. Analysis of all variants together demonstrated that Euro- and Afro-Brazilian individuals from Rio Grande do Sul are genetically close (FST=0.055; Table 3). However, when each locus was evaluated individually, KEL*06 and FY*02N.01 allele frequencies were found to be significantly higher in the Afro-Brazilian group when compared with the Euro-Brazilian group (Table 2). Furthermore, based on data for AFR and EUR populations of the 1000 Genomes database, KEL*06 allele frequencies differ between these continents, with higher frequencies in AFR than in EUR. The Fya and Fyb antigens of the Duffy blood group act as receptors for malarial parasites on human RBCs (Miller et al., 1976Miller LH, Mason SJ, Clyde DF and McGinniss MH (1976) The resistance factor to Plasmodium vivax in blacks - the Duffy-blood-group genotype, FyFy. N Engl J Med 295:302–304.). The FY*02N.01 allele predominates in malaria-endemic areas, such as some Africa regions, because it prevents expression of the receptor on the erythrocyte membrane, and consequently, these erythrocytes become refractory to infection by malarial parasites. These antigenic determinants have been used for determining ethnic composition and as anthropological markers (Cavasini et al., 2007Cavasini CE, De Mattos LC, Couto AARDA, Couto VSCDA, Gollino Y, Moretti LJ, Bonini-Domingos CR, Rossit ARB, Castilho L and Machado RLD (2007) Duffy blood group gene polymorphisms among malaria vivax patients in four areas of the Brazilian Amazon region. Malar J 6:1–8.), possibly due to their impact on natural selection in different geographical regions (Miller et al., 1976Miller LH, Mason SJ, Clyde DF and McGinniss MH (1976) The resistance factor to Plasmodium vivax in blacks - the Duffy-blood-group genotype, FyFy. N Engl J Med 295:302–304.; Hamblin et al., 2002Hamblin MT, Thompson EE and Di Rienzo A (2002) Complex signatures of natural selection at the Duffy blood group locus. Am J Hum Genet 70:369–383.). Taken together, these findings for KEL*06 and FY*02N.01 allele frequencies distributions indicate, as expected, a greater African background in the genetic pool of Afro-Brazilians than in Euro-Brazilians in Rio Grande do Sul.

Based on the comparison of allele frequencies, which was conducted separately for blood group systems, it is evident that our Euro-Brazilian group had more similarities with the EUR and AMR populations in the 1000 Genomes database than with the AFR, EAS and SAS populations (Table 2). Although some significant differences have been reported, the frequencies observed for these alleles were not highly discrepant among these populations. Moreover, these findings were corroborated by analyses of all genetic markers together (EUR: FST=0.004 and AMR: FST=0.009, Table 3). In the same way, the Afro-Brazilians were found to be closer to EUR (FST=0.080) and AMR (FST=0.061) than to AFR (FST=0.297) populations. It is important to emphasize that the classification of ancestry in our sample was performed according to phenotypic characteristics, as it is performed in the blood bank. Previous studies have also demonstrated a discrepancy between skin color information and genetic ancestry (Boquett et al., 2015Boquett J, Schüler-Faccini L, Jobim LF, Jobim M, Fagundes NJR and Hünemeier T (2015) Self-assessment of color categories and its relationship with HLA profiling in Brazilian bone marrow donors. Biol Blood Marrow Transplant 21:1140–1144.; Lima-Costa et al., 2015Lima-Costa M, Rodrigues L, Barreto M, Gouveia M, Horta B, Mambrini J, Kehdy F, Pereira A, Rodrigues-Soares F, Victora C et al. (2015) Genomic ancestry and ethnoracial self-classification based on 5,871 community-dwelling Brazilians (The Epigen Initiative). Sci Rep 5:9812.). For example, Boquett et al. (2015)Boquett J, Schüler-Faccini L, Jobim LF, Jobim M, Fagundes NJR and Hünemeier T (2015) Self-assessment of color categories and its relationship with HLA profiling in Brazilian bone marrow donors. Biol Blood Marrow Transplant 21:1140–1144. evaluated self-assessed skin color and HLA genetic information of bone marrow donors from the state of Rio Grande do Sul and found that Brazilian individuals self-assessing as Black were closer genetically to European populations than to African populations (Boquett et al., 2015Boquett J, Schüler-Faccini L, Jobim LF, Jobim M, Fagundes NJR and Hünemeier T (2015) Self-assessment of color categories and its relationship with HLA profiling in Brazilian bone marrow donors. Biol Blood Marrow Transplant 21:1140–1144.). Lima-Costa et al. (2015)Lima-Costa M, Rodrigues L, Barreto M, Gouveia M, Horta B, Mambrini J, Kehdy F, Pereira A, Rodrigues-Soares F, Victora C et al. (2015) Genomic ancestry and ethnoracial self-classification based on 5,871 community-dwelling Brazilians (The Epigen Initiative). Sci Rep 5:9812. also demonstrated that the association between ethnoracial self-classification and genome-based ancestry is not linear.

Although the KEL*06 and FY*02N.01 allele frequencies indicated more African ancestry in the Afro-Brazilian group than in the Euro-Brazilian group, these allele frequencies in the former are intermediate between the AFR and EUR populations. These findings were expected due to the colonization process of southern Brazil, which is predominantly characterized by admixture between European descendants. Consequently, this population has a distinct genetic background in relation to populations from other Brazilian regions (Pena et al., 2011Pena SDJ, di Pietro G, Fuchshuber-Moraes M, Genro JP, Hutz MH, Kehdy FSG, Kohlrausch F, Magno LAV, Montenegro RC, Moraes MO et al. (2011) The genomic ancestry of individuals from different geographical regions of Brazil is more uniform than expected. PLoS One 6:e17063.; Salzano and Sans, 2014Salzano FM and Sans M (2014) Interethnic admixture and the evolution of Latin American populations. Genet Mol Biol 37:151–170.).

When our data were compared to allele frequencies of blood donors from Santa Catarina (Costa et al., 2016aCosta D, Schinaider A, Santos M, Schörner E, Simon D, Maluf S, Moraes A and Silva M (2016a) Frequencies of polymorphisms of the Rh, Kell, Kidd, Duffy and Diego systems of Santa Catarina, Southern Brazil. Rev Bras Hematol Hemoter 38:199–205.,bCosta DC, Schinaider AA, Santos TM, Schörner EJ, Simon D, Maluf SW, Moraes ACR and Silva MCS (2016b) Erratum to “Frequencies of polymorphisms of Rh, Kell, Kidd, Duffy and Diego systems of Santa Catarina, southern Brazil”. Rev Bras Hematol Hemoter 38:371–372.), Paraná (Guelsin et al., 2011Guelsin GAS, Sell AM, Castilho L, Masaki VL, Melo FC, Hashimoto MN, Hirle LS and Visentainer JEL (2011) Genetic polymorphisms of Rh, Kell, Duffy and Kidd systems in a population from the State of Paraná, southern Brazil. Rev Bras Hematol Hemoter 33:21–5.; Zacarias et al., 2016Zacarias JMV, Langer IBV, Visentainer JEL and Sell AM (2016) Profile of Rh, Kell, Duffy, Kidd, and Diego blood group systems among blood donors in the Southwest region of the Paraná state, Southern Brazil. Transfus Apher Sci 55:302–307.), São Paulo (Ribeiro et al., 2009Ribeiro KR, Guarnieri MH, Da Costa DC, Costa FF, Pellegrino J and Castilho L (2009) DNA array analysis for red blood cell antigens facilitates the transfusion support with antigen-matched blood in patients with sickle cell disease. Vox Sang 97:147–152.), Bahia (Costa et al., 2016aCosta D, Schinaider A, Santos M, Schörner E, Simon D, Maluf S, Moraes A and Silva M (2016a) Frequencies of polymorphisms of the Rh, Kell, Kidd, Duffy and Diego systems of Santa Catarina, Southern Brazil. Rev Bras Hematol Hemoter 38:199–205.,bCosta DC, Schinaider AA, Santos TM, Schörner EJ, Simon D, Maluf SW, Moraes ACR and Silva MCS (2016b) Erratum to “Frequencies of polymorphisms of Rh, Kell, Kidd, Duffy and Diego systems of Santa Catarina, southern Brazil”. Rev Bras Hematol Hemoter 38:371–372.) and Minas Gerais (Alves et al., 2018Alves VM, De Vito FB, Martins PRJ, Silva SS, Castilho L and Moraes-Souza H (2018) Frequency of red blood cell genotypes in multi-transfused patients and blood donors from Minas Gerais, Southeast Brazil. Transfus Apher Sci 57:71–75.), JK*02, FY*01 and FY*02N.01 variants presented greater differences in frequency among Brazilian regions (Table 2). Regardless of the similarities in the ancestral process of colonization among some localities, European ancestry is uniformly preponderant in southern Brazil. For instance, in the Rio Grande do Sul population, the composition of Europeans, Africans, and Amerindians is 72.9%, 14%, and 13%, respectively. In Santa Catarina, it is 79.7%, 11.4%, and 8.9%, respectively. In the state of Paraná, the average individual has 71% European ancestry, followed by 17.5% African, and 11.5% Amerindian. In São Paulo, the genetic background of the population is composed of 62.9% European, 25.5% African, and 11.6% Amerindian. In Minas Gerais, it is 59.2%, 28.9%, and 11.9%, respectively (Manta et al., 2013Manta FSN, Pereira R, Vianna R, Araújo A, Gitaí D, Silva D, Wolfgramm E, Pontes I, Aguiar J, Moraes M et al. (2013) Revisiting the genetic ancestry of Brazilians using autosomal AIM-indels. PLoS One 8:e75145.). The genomic ancestry of the Bahia population is 42.4% European, 50.5% African, and 5.8% Amerindian (Lima-Costa et al., 2015Lima-Costa M, Rodrigues L, Barreto M, Gouveia M, Horta B, Mambrini J, Kehdy F, Pereira A, Rodrigues-Soares F, Victora C et al. (2015) Genomic ancestry and ethnoracial self-classification based on 5,871 community-dwelling Brazilians (The Epigen Initiative). Sci Rep 5:9812.). Despite observed interethnic genetic similarity, there are significant differences in the frequencies of RBC polymorphisms among these populations. This suggests that data must be well documented and considered within the perspective of transfusion medicine.

Although similarity was demonstrated between Euro- and Afro-Brazilians when all variants were analyzed together, the ethnic classification that uses phenotypic criteria to find blood units with rare antigens may be important when the KEL*06 and, mainly, FY*02N.01 alleles are considered for this southern Brazilian population. Thus, when there is a need to detect blood units with an absence of Duffy antigens, there is a greater probability of finding donors in this group. To the best of our knowledge, no other studies have reported RBC genetic variability in Rio Grande do Sul, emphasizing the intense process of admixture that makes the Brazilian population unique in its ethnic background.

Acknowledgments

The authors are very grateful to Ananda C.S. Galvão (in memoriam) for her effort and dedication in this study. This study was supported by the grant PqG2014/FAPERGS 2373-2551/14-4.

References

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Internet resources

  • Associate Editor:

    Regina C. Mingroni-Netto

Publication Dates

  • Publication in this collection
    29 May 2020
  • Date of issue
    2020

History

  • Received
    05 Nov 2018
  • Accepted
    08 Aug 2019
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E-mail: editor@gmb.org.br