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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="other" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Oncohematology</journal-id><journal-title-group><journal-title xml:lang="en">Oncohematology</journal-title><trans-title-group xml:lang="ru"><trans-title>Онкогематология</trans-title></trans-title-group></journal-title-group><issn publication-format="print">1818-8346</issn><issn publication-format="electronic">2413-4023</issn><publisher><publisher-name xml:lang="en">Publishing House ABV Press</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">444</article-id><article-id pub-id-type="doi">10.17650/1818-8346-2020-15-4-38-51</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>DIAGNOSIS AND TREATMENT OF HEMOBLASTOSES</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>ДИАГНОСТИКА И ЛЕЧЕНИЕ ГЕМОБЛАСТОЗОВ</subject></subj-group><subj-group subj-group-type="article-type"><subject></subject></subj-group></article-categories><title-group><article-title xml:lang="en">RHD and RHCE genes polymorphism: literature review</article-title><trans-title-group xml:lang="ru"><trans-title>Полиморфизм генов RHD и RHCE: обзор зарубежной литературы и собственных публикаций</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9423-2640</contrib-id><name-alternatives><name xml:lang="en"><surname>Golovkina</surname><given-names>L. L.</given-names></name><name xml:lang="ru"><surname>Головкина</surname><given-names>Л. Л.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p><italic>4a Novyy Zykovskiy Proezd, Moscow 125167</italic></p></bio><bio xml:lang="ru"><p><bold>Лариса Леонидовна Головкина </bold></p><p><italic>125167 Москва, Новый Зыковский проезд, 4а </italic></p></bio><email>largol@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7730-8367</contrib-id><name-alternatives><name xml:lang="en"><surname>Kalandarov</surname><given-names>R. S.</given-names></name><name xml:lang="ru"><surname>Каландаров</surname><given-names>Р. С.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p><italic>4a Novyy Zykovskiy Proezd, Moscow 125167</italic></p></bio><bio xml:lang="ru"><p><italic>125167 Москва, Новый Зыковский проезд, 4а </italic></p></bio><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">National Medical Research Center for Hematology, Ministry of Health of Russia</institution></aff><aff><institution xml:lang="ru">ФГБУ «Национальный медицинский исследовательский центр гематологии» Минздрава России</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2020-12-07" publication-format="electronic"><day>07</day><month>12</month><year>2020</year></pub-date><volume>15</volume><issue>4</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>38</fpage><lpage>51</lpage><history><date date-type="received" iso-8601-date="2020-12-06"><day>06</day><month>12</month><year>2020</year></date><date date-type="accepted" iso-8601-date="2020-12-06"><day>06</day><month>12</month><year>2020</year></date></history><permissions><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/></permissions><self-uri xlink:href="https://oncohematology.abvpress.ru/ongm/article/view/444">https://oncohematology.abvpress.ru/ongm/article/view/444</self-uri><abstract xml:lang="en"><p>The article provides a literature review about RHD and RHCE polymorphisms which encode different RhD and RhC antigen variants. The data about genes RHD and RHCE polymorphisms, RhD weak types, RhD partial types and RhC variants in Russians is presented for the first time. The molecular and serological characteristics of rare RhD and RhC antigens are summarized. The role of serological and molecular methods in Rhesus system antigens identifying is shown.</p></abstract><trans-abstract xml:lang="ru"><p>В статье представлен обзор литературы, посвященной полиморфизмам генов RHD и RHCE, кодирующим различные варианты антигенов RhD и RhC. Впервые приведены данные о полиморфизмах этих генов – типах слабого и парциального антигенов RhD и вариантах антигена RhC, встречающихся у россиян, в основном у пациентов с заболеванием системы крови. Суммированы молекулярно-серологические характеристики редких антигенов системы Резус. Описаны особенности методических подходов определения резус-фенотипа эритроцитов серологическими методами, направленных на избежание ошибок при интерпретации результатов исследования.</p></trans-abstract><kwd-group xml:lang="en"><kwd>Rhesus system</kwd><kwd>antigen RhD types</kwd><kwd>antigen RhC types</kwd><kwd>Rh-phenotypes</kwd><kwd>problem of determining Rh-affiliation</kwd><kwd>difficult to determine blood group</kwd><kwd>serological method</kwd><kwd>genotyping</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>система Резус</kwd><kwd>типы антигена RhD</kwd><kwd>типы антигена RhC</kwd><kwd>резус-фенотип</kwd><kwd>проблема определения резус-принадлежности</kwd><kwd>сложно определяемая группа крови</kwd><kwd>серологический метод</kwd><kwd>генотипирование</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Cherif-Zahar B., Mattei M.G., Le van Kim C. et al. Localization of the human Rh blood group gene structure to chromosome region 1p34.3–1p36.1 by in situ hybridization. Hum Genet 1991;86: 398–400. DOI: 10.1007/BF00201843.</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>Scott M.L. The complexities of the Rh system. Vox Sang 2004;87(suppl 1):S58–62. DOI: 10.1111/j.1741-6892.2004.00431.x.</mixed-citation></ref><ref id="B3"><label>3.</label><mixed-citation>Okuda H., Suganuma H., Kamesaki T. et al. The analysis of nucleotide substitutions, gaps, and recombination events between RHD and RHCE through complete sequencing. Biochem Biophys Res Commun 2000;274(3):670–83. DOI: 10.1006/bbrc.2000.3206.</mixed-citation></ref><ref id="B4"><label>4.</label><mixed-citation>Wagner F.F., Flegel W.A. RHD gene deletion occurred in the Rhesus box. Blood 2000;95:3662–8. DOI: 10.1016/S0887-7963(01)80058-4.</mixed-citation></ref><ref id="B5"><label>5.</label><mixed-citation>Agre P., Saboori A.M., Asimos A. et al. Purification and partial characterization of the M, 30,000 integral membrane protein associated with the erythrocyte Rh(D) antigen. J Biol Chem 1987;262(36):17497–503.</mixed-citation></ref><ref id="B6"><label>6.</label><mixed-citation>Hermand P., Mouro I., Huet M. et al. Immunochemical characterization of Rhesus proteins with antibodies raised against synthetic peptides. Blood 1993;82(2):669–76.</mixed-citation></ref><ref id="B7"><label>7.</label><mixed-citation>Beckers E.A., Faas B.H., von der Borne A.E. et al. The R0HAR Rh:33 phenotype results from substitution of exon 5 of the RHCE gene by corresponding exon of the RHD gene. Br J Haematol 1996;92(3):751–7. DOI: 10.1046/j.1365-2141.1996.382918.x.</mixed-citation></ref><ref id="B8"><label>8.</label><mixed-citation>Daniels G. Variants of RhD – current testing and clinical consequences. Br J Haematol 2013;161:461–70. DOI: 10.1111/bjh.12275.</mixed-citation></ref><ref id="B9"><label>9.</label><mixed-citation>Scott M. Section 1A. Rh serology. Coordinators report. Transfus Clin Biol 2002;9:23–9. DOI: 10.1016/s12467820(01)00211-7.</mixed-citation></ref><ref id="B10"><label>10.</label><mixed-citation>Agre P.C., Davies D.M., Issitt P.D. et al. A proposal to standardize terminology for weak D antigen. Transfusion 1992;32:86–7. DOI: 10.1046/j.1537-2995.1992.32192116441.x.</mixed-citation></ref><ref id="B11"><label>11.</label><mixed-citation>Tippett P., Sanger R. Further observations of subdivisions of the Rh antigen D. Arztl Lab 1977;23:476–80.</mixed-citation></ref><ref id="B12"><label>12.</label><mixed-citation>Kwon D.H., Sandler S.G., Flegel W.A. DEL phenotype. Immunohematology 2017;33(3):125–32.</mixed-citation></ref><ref id="B13"><label>13.</label><mixed-citation>Shao C.P., Maas J.H., Su Y.Q. et al. Molecular background of Rh D-positive, D-negative, D(el) and weak D phenotypes in Chinese. Vox Sang 2002;83(2):156–61. DOI: 10.1046/j.1423-0410.2002.00192.x.</mixed-citation></ref><ref id="B14"><label>14.</label><mixed-citation>Rhesus base website http://www.uni-ulm.de/fwagner/RH/RB.</mixed-citation></ref><ref id="B15"><label>15.</label><mixed-citation>Wagner F.F., Gassner C., Muller T.H. et al. Molecular basis of weak D phenotypes. Blood 1999;93(1):385–93.</mixed-citation></ref><ref id="B16"><label>16.</label><mixed-citation>Avent N.D., Madgett T.E., Lee Z.E. et al. Molecular biology of Rh protein and relevance to molecular medicine. Exp Rev Mol Med 2006;8:1–20. DOI: 10.1017/S1462399406010969.</mixed-citation></ref><ref id="B17"><label>17.</label><mixed-citation>Wagner F.F., Frohmajer A., Ladewig B. et al. Weak D alleles express distinct phenotypes. Blood 2000;95:2699–708. DOI: 10.1016/S0887-7963(01)80057-2.</mixed-citation></ref><ref id="B18"><label>18.</label><mixed-citation>Flegel W.A., von Zabern I., Doescher A. et al. D variants at the RhD vestibule in the weak D type 4 and Eurasian D clusters. Transfusion 2009;49(6):1059–69. DOI: 10.1111/j.1537-2995.2009.02102.x.</mixed-citation></ref><ref id="B19"><label>19.</label><mixed-citation>Witter B. Die Verteilung von Antigendichten und weak D-Allelen im Rhesusphänotyp ccD.Ee. Open Access Repositorium der Universität Ulm. Dissertation, 2001. Available at: http://vts.uni-ulm.de/doc.asp?id=765.</mixed-citation></ref><ref id="B20"><label>20.</label><mixed-citation>Hemker M.B., Ligthart P.C., Berger L. et al. DAR, a new RhD variant involving exons 4, 5, and 7, often in linkage with ceAR, a new Rhce variant frequently found in African blacks. Blood 1999;94(12):4337–42.</mixed-citation></ref><ref id="B21"><label>21.</label><mixed-citation>Fichou Y., Le Marechal C., Jamet D. et al. Establishment of a medium-throughput approach for the genotyping of RHD variants and report of nine novel rare alleles. Transfusion 2013;53:1821–8. DOI: 10.1111/trf.12009.</mixed-citation></ref><ref id="B22"><label>22.</label><mixed-citation>Dogic V., Bingulac-Popovic J., Babic I. et al. Distribution of weak D types in Croatian population. Transfus Med 2011;21:278–9. DOI: 10.1111/j.1365-3148.2011.01071.x.</mixed-citation></ref><ref id="B23"><label>23.</label><mixed-citation>Rodrigues M.J., Rodrigues F., Tilley L. et al. Several new examples of weak D type 38 in the Portuguese population. Transfusion 2006;46(suppl.):141A–2A (abstract). DOI: 10.1111/j.1537-995.2006.01023_1.x.</mixed-citation></ref><ref id="B24"><label>24.</label><mixed-citation>St-Louis M., Richard M., Cote M. et al. Weak D type 42 cases found in individuals of European descent. Immunohematology 2011;27(1):20–4.</mixed-citation></ref><ref id="B25"><label>25.</label><mixed-citation>Wagner F.F., Eicher N.I., Jorgensen J.R. et al. DNB: a partial D with anti-D frequent in Central Europe. Blood 2002;100(6):2253–6. DOI: 10.1182/blood-2002-03-0742.</mixed-citation></ref><ref id="B26"><label>26.</label><mixed-citation>Rouillac C., Le Van Kim C., Beolet M. et al. Leu110 Pro substitution in the RhD polypeptide is responsible for the DVII category blood group phenotype. Am J Hematol 1995;49(1):87–8. DOI: 10.1002/ajh.2830490115.</mixed-citation></ref><ref id="B27"><label>27.</label><mixed-citation>Flegel W.A., Hillesheim B., Kerowgan M. et al. Lack of heterogeneity in the molecular structure of RHD category VII. Transfusion 1996;36:50.</mixed-citation></ref><ref id="B28"><label>28.</label><mixed-citation>Fukumori Y., Hori Y., Ohnoki S. et al. Further analysis of Del (D-elute) using polymerase chain reaction (PCR) with RHD gene-specific primers. Transfus Med 1997;7(3):227–31. DOI: 10.1046/j.1365-3148.1997.d01-31.x.</mixed-citation></ref><ref id="B29"><label>29.</label><mixed-citation>Chen J.C., Lin T.M., Chen Y.L. et al. RHD 1227A is an important genetic marker for RhD (el) individuals. Am J Clin Pathol 2004;122(2):193–8. DOI: 10.1309/3XMF-2NV5-707T-JE7X.</mixed-citation></ref><ref id="B30"><label>30.</label><mixed-citation>Gu J., Wang D.X., Shao C.P. et al. Molecular basis of DEL phenotype in the Chinese population. BMC Med Genet 2014;15:54. DOI: 10.1186/1471-2350-15-54.</mixed-citation></ref><ref id="B31"><label>31.</label><mixed-citation>Yasuda H., Ohto H., Ishikawa Y. Secondary anti-D immunization by DEL red blood cells. Transfusion 2005;45(10):1581–4. DOI: 10.1111/j.1537-2995.2005.00579.x.</mixed-citation></ref><ref id="B32"><label>32.</label><mixed-citation>Wagner T., Koermoczi G.F., Buchta G. et al. Anti-D immunization by DEL red blood cells. Transfusion 2005;45(4):520–6. DOI: 10.1111/j.0041-1132.2005.04256.x.</mixed-citation></ref><ref id="B33"><label>33.</label><citation-alternatives><mixed-citation xml:lang="en">Piskunova T.M. The research of some human blood isoantigens and the creation of donor staffs and of frozen rare groups blood reserve. Abstract for dissertation for the candidate of medical sciences. Moscow, 1970. (In Russ.).</mixed-citation><mixed-citation xml:lang="ru">Пискунова Т.М. Изучение некоторых изоантигенов крови человека и создание кадров доноров и резерва замороженной крови редких групп. Автореф. дис. … канд. мед. наук. М., 1970.</mixed-citation></citation-alternatives></ref><ref id="B34"><label>34.</label><citation-alternatives><mixed-citation xml:lang="en">Piskunova T.M. The rare blood factor Du. Problemy gematologii = Problems of Hematology 1973;(5):3–9. (In Russ.).</mixed-citation><mixed-citation xml:lang="ru">Пискунова Т.М. Редкий фактор крови Du. Проблемы гематологии 1973;(5):3–9.</mixed-citation></citation-alternatives></ref><ref id="B35"><label>35.</label><citation-alternatives><mixed-citation xml:lang="en">Golovkina L.L., Stremoukhova A.G., Pushkina T.D. et al. Molecular-serological characteristics of antigen weak D types of Rhesus system. Therapevticheskiy archiv = Therapeutic Archive 2016;88:78–83. (In Russ.). DOI: 10.17116/terarkh201688778-83.</mixed-citation><mixed-citation xml:lang="ru">Головкина Л.Л., Стремоухова А.Г., Пушкина Т.Д. и др. Молекулярно-серологические характеристики типов слабого антигена D системы Резус. Терапевтический архив 2016;88:78–83. DOI: 10.17116/terarkh201688778-83.</mixed-citation></citation-alternatives></ref><ref id="B36"><label>36.</label><citation-alternatives><mixed-citation xml:lang="en">Golovkina L.L., Stremoukhova A.G., Pushkina T.D., Olovnikova N.I. Case of exposure of Rhesus system D weak antigen type 15. Hematologiya i transfuziologiya = Hematology and Transfusiology 2014;59(4):23–4. (In Russ.).</mixed-citation><mixed-citation xml:lang="ru">Головкина Л.Л., Стремоухова А.Г., Пушкина Т.Д., Оловникова Н.И. Случай выявления антигена системы Резус – Dweak 15-го типа. Гематология и трансфузиология 2014;59(4):23–4.</mixed-citation></citation-alternatives></ref><ref id="B37"><label>37.</label><citation-alternatives><mixed-citation xml:lang="en">Golovkina L.L., Stremoukhova A.G., Pushkina T.D. et al. Case of exposure of Rhesus system D weak antigen type 4.2 (category DAR). Onkogematologiya = Oncohematology 2015;10(3):70–2. (In Russ.). DOI: 10.17650/1818-8346-2015-10-3-70-72.</mixed-citation><mixed-citation xml:lang="ru">Головкина Л.Л., Стремоухова А.Г., Пушкина Т.Д. и др. Случай выявления антигена weak D type 4.2 (категория DAR) системы Резус. Онкогематология 2015;10(3):70–2. DOI: 10.17650/1818-8346-2015-10-3-70-72.</mixed-citation></citation-alternatives></ref><ref id="B38"><label>38.</label><citation-alternatives><mixed-citation xml:lang="en">Golovkina L.L., Kalandarov R.S., Pshenichnikova O.S. et al. Identification of common and new rare types of weak RhD antigen in patients with blood diseases and healthy person. Onkogematologiya = Oncohematology 2019;14(3):52–9. (In Russ.). DOI: 10.17650/1818-8346-2019-14-3-52-59.</mixed-citation><mixed-citation xml:lang="ru">Головкина Л.Л., Каландаров Р.С., Пшеничникова О.С. и др. Выявление распространенных и новых редких типов слабого антигена RhD у больных заболеваниями системы крови и здоровых лиц. Онкогематология 2019;14(3):52–9. DOI: 10.17650/1818-8346-2019-14-3-52-59.</mixed-citation></citation-alternatives></ref><ref id="B39"><label>39.</label><mixed-citation>Golovkina L.L., Kalandarov R.S., Stremoukhova A.G. et al. Distribution of weak D types in Russians. HLA 2016;87(4):287.</mixed-citation></ref><ref id="B40"><label>40.</label><mixed-citation>Chou S.T., Westhoff C.M. The Rh and RhAG blood group systems. Immunohematology 2010;26(4):178–86.</mixed-citation></ref><ref id="B41"><label>41.</label><mixed-citation>Cherif-Zahar B., Matassi G., Raynal V. et al. Rh-deficiency of the regulator type caused by splicing mutation in the human RH50 gene. Blood 1998;92(7):2535–40.</mixed-citation></ref><ref id="B42"><label>42.</label><mixed-citation>Avent N.D. New insight into the Rh system: structure and function. ISBT Science Series 2007;2:35–43.</mixed-citation></ref><ref id="B43"><label>43.</label><mixed-citation>Mouro-Chanteloup I., D’Ambrosio A.M., Gane P. et al. Cell-surface expression of RhD group polypeptide is posttranscriptionally regulated by the RhAG glycoprotein. Blood 2002;100(3):1038–47.</mixed-citation></ref><ref id="B44"><label>44.</label><citation-alternatives><mixed-citation xml:lang="en">Dashkova N.G. System providing immunological safety of blood transfusion. Abstract for dissertation for the doctor of medical sciences. Moscow, 2006. (In Russ.).</mixed-citation><mixed-citation xml:lang="ru">Дашкова Н.Г. Система обеспечения иммунологической безопасности гемокомпонентной терапии. Автореф. дис. ... д-ра мед. наук. M., 2006.</mixed-citation></citation-alternatives></ref><ref id="B45"><label>45.</label><mixed-citation>Singleton B.K., Green C.A., Avent N.D. The presence of an RHD pseudogene containing 37 base pair duplication and a nonsense mutation in Africans with the RhD negative blood group phenotype. Blood 2000;95(1):12–8.</mixed-citation></ref><ref id="B46"><label>46.</label><mixed-citation>Avent N.D., Martin P.G., ArmstrongFisher S.S. et al. Evidence of genetic diversity underlying RhD, weak D (Du), and partial D phenotypes as determined by multiplex polymerase chain reaction analysis of the RHD gene. Blood 1997;89(7):2568–77.</mixed-citation></ref><ref id="B47"><label>47.</label><mixed-citation>Beckers E.A., Porcelijn L., Ligthart P. et al. The R0Har antigenic Complex is associated with a limited number of D epitopes and alloanti-D production: a study of three unrelated persons and their families. Transfusion 1996;36(2):104–8. DOI: 10.1046/j.1537-2995.1996.36296181919.x.</mixed-citation></ref><ref id="B48"><label>48.</label><mixed-citation>Wagner F.F., Frohmajer A., Flegel W.A. RHD positive haplotypes in D-negative Europeans. BMC Genet 2001;2:10. DOI: 10.1186/1471-2156-2-10.</mixed-citation></ref><ref id="B49"><label>49.</label><citation-alternatives><mixed-citation xml:lang="en">Golovkina L.L., Stremoukhova A.G., Pushkina T.D. Molecular basis of Dnegative phenotype (review of literature and description of cases). Onkogematologiya = Oncohematology 2015;10(3):64–9. (In Russ.).</mixed-citation><mixed-citation xml:lang="ru">Головкина Л.Л., Стремоухова А.Г., Пушкина Т.Д. и др. Молекулярные основы D-отрицательного фенотипа (обзор литературы и описание случаев). Онкогематология 2015;10(3):64–9.</mixed-citation></citation-alternatives></ref><ref id="B50"><label>50.</label><citation-alternatives><mixed-citation xml:lang="en">Golovkina L.L., Stremoukhova A.G., Pushkina T.D. First case of Rhesus system Rh null phenotype identifying in Russia. Spravochnik zaveduyushchego KDL = Directory of Head of CDL 2015;10:14–20. (In Russ.).</mixed-citation><mixed-citation xml:lang="ru">Головкина Л.Л., Стремоухова А.Г., Пушкина Т.Д. и др. Первый случай выявления фенотипа Rh null системы Резус в России. Справочник заведующего КДЛ 2015;10:14–20.</mixed-citation></citation-alternatives></ref><ref id="B51"><label>51.</label><mixed-citation>Golovkina L.L., Stremoukhova A.G., Pushkina T.D. et al. RHD variants including regulatory type RHnull in Russians. Haematologica 2016;101(51):877.</mixed-citation></ref><ref id="B52"><label>52.</label><mixed-citation>Hyland C.A., Cherif-Zahar B., Cowley N. et al. A novel single missence mutation identified along the RH50 gene in a composite heterozygous Rhnull blood donor of the regulatory type. Blood 1998;91:1458–63.</mixed-citation></ref><ref id="B53"><label>53.</label><mixed-citation>Denomme G.A., Westhoff C.M. The Rh System. In: Technical Manual. 18th edn. Ed. M.K. Fung. 2014. Pp. 317–336.</mixed-citation></ref><ref id="B54"><label>54.</label><mixed-citation>Mouro I., Colin Y., Sistonen P. et al. Molecular basis of the RhCw (Rh8) and RhCx (Rh9) blood group specificities. Blood 1995;86(3):1196–201.</mixed-citation></ref><ref id="B55"><label>55.</label><mixed-citation>Daniels G. The molecular genetics of blood group polymorphism. Hum Genet 2009;126(6):729–42. DOI: 10.1007/s00439-009-0738-2.</mixed-citation></ref><ref id="B56"><label>56.</label><mixed-citation>Bugert R., Scharberg E., Geisen C. et al. RhCE protein variants in Southwestern Germany detected by serologic routine testing. Transfusion 2009;49:1793–802. DOI: 10.1111/j.1537-2995.2009.02220.x.</mixed-citation></ref><ref id="B57"><label>57.</label><mixed-citation>Doescher A., Vogt C., Bittner R. et al. RHCE alleles detected after weak/or discrepant results in automated Rh blood grouping of blood donors in Northern Germany. Transfusion 2009;49:1803–11. DOI: 10.1111/j.1537-2995.2009.02221.х.</mixed-citation></ref><ref id="B58"><label>58.</label><mixed-citation>Gassner C., Doescher A., Drnovsek T.D. et al. Presence of RHD in serologically D–, C/E+ individuals: a European multicenter study. Transfusion 2005;45:527–38. DOI: 10.1111/j.0041-1132.2004.04211.x.</mixed-citation></ref><ref id="B59"><label>59.</label><citation-alternatives><mixed-citation xml:lang="en">Golovkina L.L., Surin V.L., Pshenitchnikova O.S. Identifying of RhC antigen allelic variants in hematological patients by serological and molecular investigations results. Transfusiologia = Transfusiology 2019;20(4):315–22. (In Russ.).</mixed-citation><mixed-citation xml:lang="ru">Головкина Л.Л., Сурин В.Л., Пшеничникова О.С. и др. Выявление аллельных вариантов антигена RhC у гематологических больных по результатам серологического и молекулярного исследований. Трансфузиология 2019;20(4):315–22.</mixed-citation></citation-alternatives></ref></ref-list></back></article>
