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자료유형
학술저널
저자정보
Roh Juhye (Department of Laboratory Medicine Hallym University Sacred Heart Hospital Anyang Korea) Kim Sinyoung (Department of Laboratory Medicine Yonsei University College of Medicine Seoul Korea) Cheong June-Won (Department of Internal Medicine Yonsei University College of Medicine Seoul Korea) Jeon Su-Hee (Department of Laboratory Medicine Yonsei University College of Medicine Seoul Korea) Kim Hyun-Kyung (Department of Laboratory Medicine Yonsei University College of Medicine Seoul Korea) Kim Moon Jung (Department of Laboratory Medicine Myongji Hospital Goyang Korea.) Kim Hyun Ok (Department of Laboratory Medicine Yonsei University College of Medicine Seoul Korea)
저널정보
대한진단검사의학회 Annals of Laboratory Medicine Annals of Laboratory Medicine 제42권 제4호
발행연도
2022.7
수록면
457 - 466 (10page)
DOI
10.3343/alm.2022.42.4.457

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Background: Reagent red blood cells (RBCs) are prepared from donated whole blood, resulting in various combinations of blood group antigens. This inconsistency can be resolved by producing RBCs with uniform antigen expression. Induced pluripotent stem cells (iPSCs) generated directly from mature cells constitute an unlimited source for RBC production. We aimed to produce erythroid cells from iPSCs for diagnostic purposes. We hypothesized that cultured erythroid cells express surface antigens that can be recognized by blood group antibodies. Methods: iPSCs were co-cultured with OP9 stromal cells to stimulate differentiation into the erythroid lineage. Cell differentiation was examined using microscopy and flow cytometry. Hemoglobin electrophoresis and oxygen-binding capacity testing were performed to verify that the cultured erythroid cells functioned normally. The agglutination reactions of the cultured erythroid cells to antibodies were investigated to confirm that the cells expressed blood group antigens. Results: The generated iPSCs showed stemness characteristics and could differentiate into the erythroid lineage. As differentiation progressed, the proportion of nucleated RBCs increased. Hemoglobin electrophoresis revealed a sharp peak in the hemoglobin F region. The oxygen-binding capacity test results were similar between normal RBCs and cultured nucleated RBCs. ABO and Rh-Hr blood grouping confirmed similar antigen expression between the donor RBCs and cultured nucleated RBCs. Conclusions: We generated blood group antigen-expressing nucleated RBCs from iPSCs co-cultured with OP9 cells that can be used for diagnostic purposes. iPSCs from rare blood group donors could serve as an unlimited source for reagent production.

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