Utilizing an EA rosette assay, we were able to distinguish genotypic differences of the Rh
0 (D) antigen on human red blood cells (RBC) based on the number of rosettes formed between human peripheral B lymphocytes and RBC optimally sensitized with anti-Rh
0 (D) antibody. In this study, RBC with possible Rh genotypes R
1R
1 (CDe/CDe), R
1r (CDe/cde), R
2R
2 (cDE/cDE), R
2r (cDE/cde) and R
1R
2 (cDe/cDE) were sensitized with either Rh
0GAM (anti-D) or Ripley serum (anti-G). When RBC were optimally sensitized with Rh
0GAM, R
1r formed 60% as many rosettes as R
1R
1 and R
2r formed 64% as many rosettes as did R
2R
2. Using Ripley serum for sensitization and comparing the number of rosettes formed, R
1r exhibited 70% of R
1R
1 and R
2r showed 76% R
2R
2. Furthermore, R
1R
1 cells sensitized with Ripley serum formed a higher percentage of rosettes than R
1R
2 or R
2R
2.
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