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Alshehri AA, Adebayo Irekeola A, Merae Alshahrani M, Mohammed Abdul KS, Ahmed Asiri S, Aboluluy BF, Abdullah Al Awadh A, Hassan Alhasaniah A, Abdullah Almazni I, Alshamrani SA, Alshahrani AJ, Saif AM, Elnoubi OAE, Hakami AR, Abdulaziz Othman A, Almohi MH. Serological markers of transfusion transmissible infections and ABO blood groups in Najran, Saudi Arabia. Saudi Med J 2024; 45:667-674. [PMID: 38955448 PMCID: PMC11237274 DOI: 10.15537/smj.2024.45.7.20240338] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2024] [Accepted: 06/02/2024] [Indexed: 07/04/2024] Open
Abstract
OBJECTIVES To ascertain the prevalence of transfusion transmissible infections (TTIs) across diverse donor groups in the Najran province. Additionally, to establish a potential association between the development of TTI and the donors' blood group, as determined by the ABO/Rh blood grouping system. METHODS Blood donation data of 4120 donors, spanning from January to December 2020, were retrospectively reviewed. The blood were screened for TTI markers, including hepatitis B surface antigen (HBsAg), anti-hepatitis B core (anti-HBc), anti-hepatitis C virus (anti-HCV), anti-human immunodeficiency viruses 1 and 2 (anti-HIV1&2), anti-human T-lymphotropic virus types 1 and 2 (anti-HTLV-1&2), and syphilis antigen. RESULTS Positive TTI markers were detected in 10.9% of the donors. The most detected TTI marker was anti-HBc (8.9%), followed by HBsAg (0.7%). Other markers were individually detected in <1% of the donors. Anti-HBc-positive was significantly elevated among non-Saudi blood donors. There was an association between age groups and anti-HCV (p=0.002), anti-HTLV (p=0.004) and syphilis antigen (p=0.02) markers positivity. The AB positive blood group exhibited the most positivity for TTI markers, followed by O positive blood group. Similarly, association was found between ABO group and HBsAg (p=0.01), anti-HBc (p=0.001), and anti-HCV (p<0.001) markers positivity. CONCLUSION Emphasis on implementing robust screening measures for donated blood is underscored by this study. There is the need for future study to extensively evaluate TTI status to enhance our understanding of the trend in TTI.
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Affiliation(s)
- Ahmad A. Alshehri
- From the Department of Clinical Laboratory Sciences (Alshehri, Alshahrani MM, Asiri, Al Awad, Alhasaniah, Almazni, Alshamrani, Elnoubi), College of Applied Medical Sciences, Najran University; from the Health Research Center (Alshehri), Najran University; from the Department of Clinical Laboratory Sciences (Aboluluy), Najran University Hospital, Najran University, Najran; from the Department of Public Health (Alshahrani AJ), General Directorate of Health Affairs in Asir Region, Asir; from the Department of Clinical Laboratory Sciences (Saif, Hakami), College of Applied Medical Sciences, King Khalid University, Abha; from the Department of Pathology and Medical Laboratory - Molecular Genetics (Almohi), University Hospital, King Khalid University, Abha; from the Department of Clinical Laboratory Sciences (Othman), College of Applied Medical Sciences, Shaqra University, Shaqra, Kingdom of Saudi Arabia; from the Department of Medical Microbiology & Parasitology (Irekeola), School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia; from the Microbiology Unit, Department of Biological Sciences (Irekeola), College of Natural and Applied Sciences, Summit University Offa, Kwara, Nigeria; and from the Cardiovascular Signaling Division (Mohammed Abdul), Huntington Medical Research Institutes, California, United States of America.
| | - Ahmad Adebayo Irekeola
- From the Department of Clinical Laboratory Sciences (Alshehri, Alshahrani MM, Asiri, Al Awad, Alhasaniah, Almazni, Alshamrani, Elnoubi), College of Applied Medical Sciences, Najran University; from the Health Research Center (Alshehri), Najran University; from the Department of Clinical Laboratory Sciences (Aboluluy), Najran University Hospital, Najran University, Najran; from the Department of Public Health (Alshahrani AJ), General Directorate of Health Affairs in Asir Region, Asir; from the Department of Clinical Laboratory Sciences (Saif, Hakami), College of Applied Medical Sciences, King Khalid University, Abha; from the Department of Pathology and Medical Laboratory - Molecular Genetics (Almohi), University Hospital, King Khalid University, Abha; from the Department of Clinical Laboratory Sciences (Othman), College of Applied Medical Sciences, Shaqra University, Shaqra, Kingdom of Saudi Arabia; from the Department of Medical Microbiology & Parasitology (Irekeola), School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia; from the Microbiology Unit, Department of Biological Sciences (Irekeola), College of Natural and Applied Sciences, Summit University Offa, Kwara, Nigeria; and from the Cardiovascular Signaling Division (Mohammed Abdul), Huntington Medical Research Institutes, California, United States of America.
| | - Mohammed Merae Alshahrani
- From the Department of Clinical Laboratory Sciences (Alshehri, Alshahrani MM, Asiri, Al Awad, Alhasaniah, Almazni, Alshamrani, Elnoubi), College of Applied Medical Sciences, Najran University; from the Health Research Center (Alshehri), Najran University; from the Department of Clinical Laboratory Sciences (Aboluluy), Najran University Hospital, Najran University, Najran; from the Department of Public Health (Alshahrani AJ), General Directorate of Health Affairs in Asir Region, Asir; from the Department of Clinical Laboratory Sciences (Saif, Hakami), College of Applied Medical Sciences, King Khalid University, Abha; from the Department of Pathology and Medical Laboratory - Molecular Genetics (Almohi), University Hospital, King Khalid University, Abha; from the Department of Clinical Laboratory Sciences (Othman), College of Applied Medical Sciences, Shaqra University, Shaqra, Kingdom of Saudi Arabia; from the Department of Medical Microbiology & Parasitology (Irekeola), School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia; from the Microbiology Unit, Department of Biological Sciences (Irekeola), College of Natural and Applied Sciences, Summit University Offa, Kwara, Nigeria; and from the Cardiovascular Signaling Division (Mohammed Abdul), Huntington Medical Research Institutes, California, United States of America.
| | - Khaja Shameem Mohammed Abdul
- From the Department of Clinical Laboratory Sciences (Alshehri, Alshahrani MM, Asiri, Al Awad, Alhasaniah, Almazni, Alshamrani, Elnoubi), College of Applied Medical Sciences, Najran University; from the Health Research Center (Alshehri), Najran University; from the Department of Clinical Laboratory Sciences (Aboluluy), Najran University Hospital, Najran University, Najran; from the Department of Public Health (Alshahrani AJ), General Directorate of Health Affairs in Asir Region, Asir; from the Department of Clinical Laboratory Sciences (Saif, Hakami), College of Applied Medical Sciences, King Khalid University, Abha; from the Department of Pathology and Medical Laboratory - Molecular Genetics (Almohi), University Hospital, King Khalid University, Abha; from the Department of Clinical Laboratory Sciences (Othman), College of Applied Medical Sciences, Shaqra University, Shaqra, Kingdom of Saudi Arabia; from the Department of Medical Microbiology & Parasitology (Irekeola), School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia; from the Microbiology Unit, Department of Biological Sciences (Irekeola), College of Natural and Applied Sciences, Summit University Offa, Kwara, Nigeria; and from the Cardiovascular Signaling Division (Mohammed Abdul), Huntington Medical Research Institutes, California, United States of America.
| | - Saeed Ahmed Asiri
- From the Department of Clinical Laboratory Sciences (Alshehri, Alshahrani MM, Asiri, Al Awad, Alhasaniah, Almazni, Alshamrani, Elnoubi), College of Applied Medical Sciences, Najran University; from the Health Research Center (Alshehri), Najran University; from the Department of Clinical Laboratory Sciences (Aboluluy), Najran University Hospital, Najran University, Najran; from the Department of Public Health (Alshahrani AJ), General Directorate of Health Affairs in Asir Region, Asir; from the Department of Clinical Laboratory Sciences (Saif, Hakami), College of Applied Medical Sciences, King Khalid University, Abha; from the Department of Pathology and Medical Laboratory - Molecular Genetics (Almohi), University Hospital, King Khalid University, Abha; from the Department of Clinical Laboratory Sciences (Othman), College of Applied Medical Sciences, Shaqra University, Shaqra, Kingdom of Saudi Arabia; from the Department of Medical Microbiology & Parasitology (Irekeola), School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia; from the Microbiology Unit, Department of Biological Sciences (Irekeola), College of Natural and Applied Sciences, Summit University Offa, Kwara, Nigeria; and from the Cardiovascular Signaling Division (Mohammed Abdul), Huntington Medical Research Institutes, California, United States of America.
| | - Banan F. Aboluluy
- From the Department of Clinical Laboratory Sciences (Alshehri, Alshahrani MM, Asiri, Al Awad, Alhasaniah, Almazni, Alshamrani, Elnoubi), College of Applied Medical Sciences, Najran University; from the Health Research Center (Alshehri), Najran University; from the Department of Clinical Laboratory Sciences (Aboluluy), Najran University Hospital, Najran University, Najran; from the Department of Public Health (Alshahrani AJ), General Directorate of Health Affairs in Asir Region, Asir; from the Department of Clinical Laboratory Sciences (Saif, Hakami), College of Applied Medical Sciences, King Khalid University, Abha; from the Department of Pathology and Medical Laboratory - Molecular Genetics (Almohi), University Hospital, King Khalid University, Abha; from the Department of Clinical Laboratory Sciences (Othman), College of Applied Medical Sciences, Shaqra University, Shaqra, Kingdom of Saudi Arabia; from the Department of Medical Microbiology & Parasitology (Irekeola), School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia; from the Microbiology Unit, Department of Biological Sciences (Irekeola), College of Natural and Applied Sciences, Summit University Offa, Kwara, Nigeria; and from the Cardiovascular Signaling Division (Mohammed Abdul), Huntington Medical Research Institutes, California, United States of America.
| | - Ahmed Abdullah Al Awadh
- From the Department of Clinical Laboratory Sciences (Alshehri, Alshahrani MM, Asiri, Al Awad, Alhasaniah, Almazni, Alshamrani, Elnoubi), College of Applied Medical Sciences, Najran University; from the Health Research Center (Alshehri), Najran University; from the Department of Clinical Laboratory Sciences (Aboluluy), Najran University Hospital, Najran University, Najran; from the Department of Public Health (Alshahrani AJ), General Directorate of Health Affairs in Asir Region, Asir; from the Department of Clinical Laboratory Sciences (Saif, Hakami), College of Applied Medical Sciences, King Khalid University, Abha; from the Department of Pathology and Medical Laboratory - Molecular Genetics (Almohi), University Hospital, King Khalid University, Abha; from the Department of Clinical Laboratory Sciences (Othman), College of Applied Medical Sciences, Shaqra University, Shaqra, Kingdom of Saudi Arabia; from the Department of Medical Microbiology & Parasitology (Irekeola), School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia; from the Microbiology Unit, Department of Biological Sciences (Irekeola), College of Natural and Applied Sciences, Summit University Offa, Kwara, Nigeria; and from the Cardiovascular Signaling Division (Mohammed Abdul), Huntington Medical Research Institutes, California, United States of America.
| | - Abdulaziz Hassan Alhasaniah
- From the Department of Clinical Laboratory Sciences (Alshehri, Alshahrani MM, Asiri, Al Awad, Alhasaniah, Almazni, Alshamrani, Elnoubi), College of Applied Medical Sciences, Najran University; from the Health Research Center (Alshehri), Najran University; from the Department of Clinical Laboratory Sciences (Aboluluy), Najran University Hospital, Najran University, Najran; from the Department of Public Health (Alshahrani AJ), General Directorate of Health Affairs in Asir Region, Asir; from the Department of Clinical Laboratory Sciences (Saif, Hakami), College of Applied Medical Sciences, King Khalid University, Abha; from the Department of Pathology and Medical Laboratory - Molecular Genetics (Almohi), University Hospital, King Khalid University, Abha; from the Department of Clinical Laboratory Sciences (Othman), College of Applied Medical Sciences, Shaqra University, Shaqra, Kingdom of Saudi Arabia; from the Department of Medical Microbiology & Parasitology (Irekeola), School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia; from the Microbiology Unit, Department of Biological Sciences (Irekeola), College of Natural and Applied Sciences, Summit University Offa, Kwara, Nigeria; and from the Cardiovascular Signaling Division (Mohammed Abdul), Huntington Medical Research Institutes, California, United States of America.
| | - Ibrahim Abdullah Almazni
- From the Department of Clinical Laboratory Sciences (Alshehri, Alshahrani MM, Asiri, Al Awad, Alhasaniah, Almazni, Alshamrani, Elnoubi), College of Applied Medical Sciences, Najran University; from the Health Research Center (Alshehri), Najran University; from the Department of Clinical Laboratory Sciences (Aboluluy), Najran University Hospital, Najran University, Najran; from the Department of Public Health (Alshahrani AJ), General Directorate of Health Affairs in Asir Region, Asir; from the Department of Clinical Laboratory Sciences (Saif, Hakami), College of Applied Medical Sciences, King Khalid University, Abha; from the Department of Pathology and Medical Laboratory - Molecular Genetics (Almohi), University Hospital, King Khalid University, Abha; from the Department of Clinical Laboratory Sciences (Othman), College of Applied Medical Sciences, Shaqra University, Shaqra, Kingdom of Saudi Arabia; from the Department of Medical Microbiology & Parasitology (Irekeola), School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia; from the Microbiology Unit, Department of Biological Sciences (Irekeola), College of Natural and Applied Sciences, Summit University Offa, Kwara, Nigeria; and from the Cardiovascular Signaling Division (Mohammed Abdul), Huntington Medical Research Institutes, California, United States of America.
| | - Saleh A. Alshamrani
- From the Department of Clinical Laboratory Sciences (Alshehri, Alshahrani MM, Asiri, Al Awad, Alhasaniah, Almazni, Alshamrani, Elnoubi), College of Applied Medical Sciences, Najran University; from the Health Research Center (Alshehri), Najran University; from the Department of Clinical Laboratory Sciences (Aboluluy), Najran University Hospital, Najran University, Najran; from the Department of Public Health (Alshahrani AJ), General Directorate of Health Affairs in Asir Region, Asir; from the Department of Clinical Laboratory Sciences (Saif, Hakami), College of Applied Medical Sciences, King Khalid University, Abha; from the Department of Pathology and Medical Laboratory - Molecular Genetics (Almohi), University Hospital, King Khalid University, Abha; from the Department of Clinical Laboratory Sciences (Othman), College of Applied Medical Sciences, Shaqra University, Shaqra, Kingdom of Saudi Arabia; from the Department of Medical Microbiology & Parasitology (Irekeola), School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia; from the Microbiology Unit, Department of Biological Sciences (Irekeola), College of Natural and Applied Sciences, Summit University Offa, Kwara, Nigeria; and from the Cardiovascular Signaling Division (Mohammed Abdul), Huntington Medical Research Institutes, California, United States of America.
| | - Abdullah J. Alshahrani
- From the Department of Clinical Laboratory Sciences (Alshehri, Alshahrani MM, Asiri, Al Awad, Alhasaniah, Almazni, Alshamrani, Elnoubi), College of Applied Medical Sciences, Najran University; from the Health Research Center (Alshehri), Najran University; from the Department of Clinical Laboratory Sciences (Aboluluy), Najran University Hospital, Najran University, Najran; from the Department of Public Health (Alshahrani AJ), General Directorate of Health Affairs in Asir Region, Asir; from the Department of Clinical Laboratory Sciences (Saif, Hakami), College of Applied Medical Sciences, King Khalid University, Abha; from the Department of Pathology and Medical Laboratory - Molecular Genetics (Almohi), University Hospital, King Khalid University, Abha; from the Department of Clinical Laboratory Sciences (Othman), College of Applied Medical Sciences, Shaqra University, Shaqra, Kingdom of Saudi Arabia; from the Department of Medical Microbiology & Parasitology (Irekeola), School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia; from the Microbiology Unit, Department of Biological Sciences (Irekeola), College of Natural and Applied Sciences, Summit University Offa, Kwara, Nigeria; and from the Cardiovascular Signaling Division (Mohammed Abdul), Huntington Medical Research Institutes, California, United States of America.
| | - Ahmad M. Saif
- From the Department of Clinical Laboratory Sciences (Alshehri, Alshahrani MM, Asiri, Al Awad, Alhasaniah, Almazni, Alshamrani, Elnoubi), College of Applied Medical Sciences, Najran University; from the Health Research Center (Alshehri), Najran University; from the Department of Clinical Laboratory Sciences (Aboluluy), Najran University Hospital, Najran University, Najran; from the Department of Public Health (Alshahrani AJ), General Directorate of Health Affairs in Asir Region, Asir; from the Department of Clinical Laboratory Sciences (Saif, Hakami), College of Applied Medical Sciences, King Khalid University, Abha; from the Department of Pathology and Medical Laboratory - Molecular Genetics (Almohi), University Hospital, King Khalid University, Abha; from the Department of Clinical Laboratory Sciences (Othman), College of Applied Medical Sciences, Shaqra University, Shaqra, Kingdom of Saudi Arabia; from the Department of Medical Microbiology & Parasitology (Irekeola), School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia; from the Microbiology Unit, Department of Biological Sciences (Irekeola), College of Natural and Applied Sciences, Summit University Offa, Kwara, Nigeria; and from the Cardiovascular Signaling Division (Mohammed Abdul), Huntington Medical Research Institutes, California, United States of America.
| | - Osman AE. Elnoubi
- From the Department of Clinical Laboratory Sciences (Alshehri, Alshahrani MM, Asiri, Al Awad, Alhasaniah, Almazni, Alshamrani, Elnoubi), College of Applied Medical Sciences, Najran University; from the Health Research Center (Alshehri), Najran University; from the Department of Clinical Laboratory Sciences (Aboluluy), Najran University Hospital, Najran University, Najran; from the Department of Public Health (Alshahrani AJ), General Directorate of Health Affairs in Asir Region, Asir; from the Department of Clinical Laboratory Sciences (Saif, Hakami), College of Applied Medical Sciences, King Khalid University, Abha; from the Department of Pathology and Medical Laboratory - Molecular Genetics (Almohi), University Hospital, King Khalid University, Abha; from the Department of Clinical Laboratory Sciences (Othman), College of Applied Medical Sciences, Shaqra University, Shaqra, Kingdom of Saudi Arabia; from the Department of Medical Microbiology & Parasitology (Irekeola), School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia; from the Microbiology Unit, Department of Biological Sciences (Irekeola), College of Natural and Applied Sciences, Summit University Offa, Kwara, Nigeria; and from the Cardiovascular Signaling Division (Mohammed Abdul), Huntington Medical Research Institutes, California, United States of America.
| | - Abdulrahim R. Hakami
- From the Department of Clinical Laboratory Sciences (Alshehri, Alshahrani MM, Asiri, Al Awad, Alhasaniah, Almazni, Alshamrani, Elnoubi), College of Applied Medical Sciences, Najran University; from the Health Research Center (Alshehri), Najran University; from the Department of Clinical Laboratory Sciences (Aboluluy), Najran University Hospital, Najran University, Najran; from the Department of Public Health (Alshahrani AJ), General Directorate of Health Affairs in Asir Region, Asir; from the Department of Clinical Laboratory Sciences (Saif, Hakami), College of Applied Medical Sciences, King Khalid University, Abha; from the Department of Pathology and Medical Laboratory - Molecular Genetics (Almohi), University Hospital, King Khalid University, Abha; from the Department of Clinical Laboratory Sciences (Othman), College of Applied Medical Sciences, Shaqra University, Shaqra, Kingdom of Saudi Arabia; from the Department of Medical Microbiology & Parasitology (Irekeola), School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia; from the Microbiology Unit, Department of Biological Sciences (Irekeola), College of Natural and Applied Sciences, Summit University Offa, Kwara, Nigeria; and from the Cardiovascular Signaling Division (Mohammed Abdul), Huntington Medical Research Institutes, California, United States of America.
| | - Abdulrazzag Abdulaziz Othman
- From the Department of Clinical Laboratory Sciences (Alshehri, Alshahrani MM, Asiri, Al Awad, Alhasaniah, Almazni, Alshamrani, Elnoubi), College of Applied Medical Sciences, Najran University; from the Health Research Center (Alshehri), Najran University; from the Department of Clinical Laboratory Sciences (Aboluluy), Najran University Hospital, Najran University, Najran; from the Department of Public Health (Alshahrani AJ), General Directorate of Health Affairs in Asir Region, Asir; from the Department of Clinical Laboratory Sciences (Saif, Hakami), College of Applied Medical Sciences, King Khalid University, Abha; from the Department of Pathology and Medical Laboratory - Molecular Genetics (Almohi), University Hospital, King Khalid University, Abha; from the Department of Clinical Laboratory Sciences (Othman), College of Applied Medical Sciences, Shaqra University, Shaqra, Kingdom of Saudi Arabia; from the Department of Medical Microbiology & Parasitology (Irekeola), School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia; from the Microbiology Unit, Department of Biological Sciences (Irekeola), College of Natural and Applied Sciences, Summit University Offa, Kwara, Nigeria; and from the Cardiovascular Signaling Division (Mohammed Abdul), Huntington Medical Research Institutes, California, United States of America.
| | - Mansor H. Almohi
- From the Department of Clinical Laboratory Sciences (Alshehri, Alshahrani MM, Asiri, Al Awad, Alhasaniah, Almazni, Alshamrani, Elnoubi), College of Applied Medical Sciences, Najran University; from the Health Research Center (Alshehri), Najran University; from the Department of Clinical Laboratory Sciences (Aboluluy), Najran University Hospital, Najran University, Najran; from the Department of Public Health (Alshahrani AJ), General Directorate of Health Affairs in Asir Region, Asir; from the Department of Clinical Laboratory Sciences (Saif, Hakami), College of Applied Medical Sciences, King Khalid University, Abha; from the Department of Pathology and Medical Laboratory - Molecular Genetics (Almohi), University Hospital, King Khalid University, Abha; from the Department of Clinical Laboratory Sciences (Othman), College of Applied Medical Sciences, Shaqra University, Shaqra, Kingdom of Saudi Arabia; from the Department of Medical Microbiology & Parasitology (Irekeola), School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia; from the Microbiology Unit, Department of Biological Sciences (Irekeola), College of Natural and Applied Sciences, Summit University Offa, Kwara, Nigeria; and from the Cardiovascular Signaling Division (Mohammed Abdul), Huntington Medical Research Institutes, California, United States of America.
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Liu FH, Guo JK, Xing WY, Bai XL, Chang YJ, Lu Z, Yang M, Yang Y, Li WJ, Jia XX, Zhang T, Yang J, Chen JT, Gao S, Wu L, Zhang DY, Liu C, Gong TT, Wu QJ. ABO and Rhesus blood groups and multiple health outcomes: an umbrella review of systematic reviews with meta-analyses of observational studies. BMC Med 2024; 22:206. [PMID: 38769523 PMCID: PMC11106863 DOI: 10.1186/s12916-024-03423-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/29/2023] [Accepted: 05/09/2024] [Indexed: 05/22/2024] Open
Abstract
BACKGROUND Numerous studies have been conducted to investigate the relationship between ABO and Rhesus (Rh) blood groups and various health outcomes. However, a comprehensive evaluation of the robustness of these associations is still lacking. METHODS We searched PubMed, Web of Science, Embase, Scopus, Cochrane, and several regional databases from their inception until Feb 16, 2024, with the aim of identifying systematic reviews with meta-analyses of observational studies exploring associations between ABO and Rh blood groups and diverse health outcomes. For each association, we calculated the summary effect sizes, corresponding 95% confidence intervals, 95% prediction interval, heterogeneity, small-study effect, and evaluation of excess significance bias. The evidence was evaluated on a grading scale that ranged from convincing (Class I) to weak (Class IV). We assessed the certainty of evidence according to the Grading of Recommendations Assessment, Development, and Evaluation criteria (GRADE). We also evaluated the methodological quality of included studies using the A Measurement Tool to Assess Systematic Reviews (AMSTAR). AMSTAR contains 11 items, which were scored as high (8-11), moderate (4-7), and low (0-3) quality. We have gotten the registration for protocol on the PROSPERO database (CRD42023409547). RESULTS The current umbrella review included 51 systematic reviews with meta-analysis articles with 270 associations. We re-calculated each association and found only one convincing evidence (Class I) for an association between blood group B and type 2 diabetes mellitus risk compared with the non-B blood group. It had a summary odds ratio of 1.28 (95% confidence interval: 1.17, 1.40), was supported by 6870 cases with small heterogeneity (I2 = 13%) and 95% prediction intervals excluding the null value, and without hints of small-study effects (P for Egger's test > 0.10, but the largest study effect was not more conservative than the summary effect size) or excess of significance (P < 0.10, but the value of observed less than expected). And the article was demonstrated with high methodological quality using AMSTAR (score = 9). According to AMSTAR, 18, 32, and 11 studies were categorized as high, moderate, and low quality, respectively. Nine statistically significant associations reached moderate quality based on GRADE. CONCLUSIONS Our findings suggest a potential relationship between ABO and Rh blood groups and adverse health outcomes. Particularly the association between blood group B and type 2 diabetes mellitus risk.
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Affiliation(s)
- Fang-Hua Liu
- Department of Clinical Epidemiology, Shengjing Hospital of China Medical University, Shenyang, China
- Clinical Research Center, Shengjing Hospital of China Medical University, Shenyang, China
| | - Jia-Kai Guo
- Department of Clinical Epidemiology, Shengjing Hospital of China Medical University, Shenyang, China
- Hospital Management Office, Shengjing Hospital of China Medical University, Shenyang, China
| | - Wei-Yi Xing
- Department of Clinical Epidemiology, Shengjing Hospital of China Medical University, Shenyang, China
- Clinical Research Center, Shengjing Hospital of China Medical University, Shenyang, China
| | - Xue-Li Bai
- Department of Clinical Epidemiology, Shengjing Hospital of China Medical University, Shenyang, China
- Department of Obstetrics and Gynecology, The Fourth Affiliated Hospital of China Medical University, Shenyang, China
| | - Yu-Jiao Chang
- Department of Clinical Epidemiology, Shengjing Hospital of China Medical University, Shenyang, China
- Clinical Research Center, Shengjing Hospital of China Medical University, Shenyang, China
| | - Zhao Lu
- Department of Clinical Epidemiology, Shengjing Hospital of China Medical University, Shenyang, China
- Department of Radiology, Shengjing Hospital of China Medical University, Shenyang, China
| | - Miao Yang
- Department of Clinical Epidemiology, Shengjing Hospital of China Medical University, Shenyang, China
- Department of Pediatrics, Shengjing Hospital of China Medical University, Shenyang, China
| | - Ying Yang
- Department of Clinical Epidemiology, Shengjing Hospital of China Medical University, Shenyang, China
- Department of Hematology, Shengjing Hospital of China Medical University, Shenyang, China
| | - Wen-Jing Li
- Department of Clinical Epidemiology, Shengjing Hospital of China Medical University, Shenyang, China
- Department of Otolaryngology Head and Neck Surgery, Shengjing Hospital of China Medical University, Shenyang, China
| | - Xian-Xian Jia
- Department of Clinical Epidemiology, Shengjing Hospital of China Medical University, Shenyang, China
- Department of Pediatrics, Shengjing Hospital of China Medical University, Shenyang, China
| | - Tao Zhang
- Department of Clinical Epidemiology, Shengjing Hospital of China Medical University, Shenyang, China
- Department of Radiology, Shengjing Hospital of China Medical University, Shenyang, China
| | - Jing Yang
- Department of Clinical Epidemiology, Shengjing Hospital of China Medical University, Shenyang, China
- Department of Endocrinology, Shengjing Hospital of China Medical University, Shenyang, China
| | - Jun-Tong Chen
- School of Medicine, Zhejiang University, Hangzhou, China
| | - Song Gao
- Department of Obstetrics and Gynecology, The Fourth Affiliated Hospital of China Medical University, Shenyang, China
| | - Lang Wu
- Cancer Epidemiology Division, Population Sciences in the Pacific Program, University of Hawaii Cancer Center, University of Hawaii at Manoa, Honolulu, HI, USA
| | - De-Yu Zhang
- Department of Obstetrics and Gynecology, The Fourth Affiliated Hospital of China Medical University, Shenyang, China.
| | - Chuan Liu
- Department of Obstetrics and Gynecology, The Fourth Affiliated Hospital of China Medical University, Shenyang, China.
| | - Ting-Ting Gong
- Department of Obstetrics and Gynecology, The Fourth Affiliated Hospital of China Medical University, Shenyang, China.
| | - Qi-Jun Wu
- Department of Clinical Epidemiology, Shengjing Hospital of China Medical University, Shenyang, China.
- Clinical Research Center, Shengjing Hospital of China Medical University, Shenyang, China.
- Department of Obstetrics and Gynecology, The Fourth Affiliated Hospital of China Medical University, Shenyang, China.
- NHC Key Laboratory of Advanced Reproductive Medicine and Fertility (China Medical University), National Health Commission, Shenyang, China.
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9
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Deschasaux-Tanguy M, Szabo de Edelenyi F, Druesne-Pecollo N, Esseddik Y, Allègre J, Srour B, Galan P, Hercberg S, Severi G, Zins M, Wiernik E, de Lamballerie X, Carrat F, Touvier M. ABO blood types and SARS-CoV-2 infection assessed using seroprevalence data in a large population-based sample: the SAPRIS-SERO multi-cohort study. Sci Rep 2023; 13:4775. [PMID: 36959255 PMCID: PMC10034870 DOI: 10.1038/s41598-023-30714-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2022] [Accepted: 02/28/2023] [Indexed: 03/25/2023] Open
Abstract
ABO blood type has been reported as a potential factor influencing SARS-CoV-2 infection, but so far mostly in studies that involved small samples, selected population and/or used PCR test results. In contrast our study aimed to assess the association between ABO blood types and SARS-CoV-2 infection using seroprevalence data (independent of whether or not individuals had symptoms or sought for testing) in a large population-based sample. Our study included 67,340 French participants to the SAPRIS-SERO multi-cohort project. Anti-SARS-CoV-2 antibodies were detected using ELISA (targeting the proteins spike (S) and nucleocapsid (NP)) and seroneutralisation (SN) tests on dried blood spots collected in May-November 2020. Non-O individuals (and especially types A and AB) were more likely to bear anti SARS-CoV-2 antibodies (ELISA-S, 2964 positive cases: ORnon-Ovs.O = 1.09[1.01-1.17], ORAvs.O = 1.08[1.00-1.17]; ELISA-S/ELISA-NP/SN, 678 triple positive cases: ORnon-Ovs.O = 1.19 [1.02-1.39], ORAvs.O = 1.19[1.01-1.41], ORABvs.O = 1.43[1.01-2.03]). Hence, our results provided additional insights into the dynamic of SARS-CoV-2 infection, highlighting a higher susceptibility of infection for individuals of blood types A and AB and a lesser risk for blood type O.
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Affiliation(s)
- Mélanie Deschasaux-Tanguy
- Inserm U1153, Inrae U1125, Cnam, Nutritional Epidemiology Research Team (EREN), Epidemiology and Statistics Research Center - Université Paris Cité (CRESS), Sorbonne Paris Nord University, Bobigny, France.
| | - Fabien Szabo de Edelenyi
- Inserm U1153, Inrae U1125, Cnam, Nutritional Epidemiology Research Team (EREN), Epidemiology and Statistics Research Center - Université Paris Cité (CRESS), Sorbonne Paris Nord University, Bobigny, France
| | - Nathalie Druesne-Pecollo
- Inserm U1153, Inrae U1125, Cnam, Nutritional Epidemiology Research Team (EREN), Epidemiology and Statistics Research Center - Université Paris Cité (CRESS), Sorbonne Paris Nord University, Bobigny, France
| | - Younes Esseddik
- Inserm U1153, Inrae U1125, Cnam, Nutritional Epidemiology Research Team (EREN), Epidemiology and Statistics Research Center - Université Paris Cité (CRESS), Sorbonne Paris Nord University, Bobigny, France
| | - Julien Allègre
- Inserm U1153, Inrae U1125, Cnam, Nutritional Epidemiology Research Team (EREN), Epidemiology and Statistics Research Center - Université Paris Cité (CRESS), Sorbonne Paris Nord University, Bobigny, France
| | - Bernard Srour
- Inserm U1153, Inrae U1125, Cnam, Nutritional Epidemiology Research Team (EREN), Epidemiology and Statistics Research Center - Université Paris Cité (CRESS), Sorbonne Paris Nord University, Bobigny, France
| | - Pilar Galan
- Inserm U1153, Inrae U1125, Cnam, Nutritional Epidemiology Research Team (EREN), Epidemiology and Statistics Research Center - Université Paris Cité (CRESS), Sorbonne Paris Nord University, Bobigny, France
| | - Serge Hercberg
- Inserm U1153, Inrae U1125, Cnam, Nutritional Epidemiology Research Team (EREN), Epidemiology and Statistics Research Center - Université Paris Cité (CRESS), Sorbonne Paris Nord University, Bobigny, France
| | - Gianluca Severi
- UVSQ, Inserm, Gustave Roussy, "Exposome and Heredity" team, CESP UMR1018, Paris-Saclay University, Villejuif, France
- Department of Statistics, Computer Science and Applications "G. Parenti", University of Florence, Florence, Italy
| | - Marie Zins
- Population-based Cohorts Unit, INSERM, UMS 011, Paris Saclay University, Université de Versailles Saint-Quentin-en-Yvelines, Université Paris Cité, Paris, France
| | - Emmanuel Wiernik
- Population-based Cohorts Unit, INSERM, UMS 011, Paris Saclay University, Université de Versailles Saint-Quentin-en-Yvelines, Université Paris Cité, Paris, France
| | - Xavier de Lamballerie
- Unité des Virus Emergents (UVE), IRD 190, INSERM 1207, Aix Marseille Univ, Marseille, France
| | - Fabrice Carrat
- Inserm, Institut Pierre-Louis d'Epidémiologie et de Santé Publique, Sorbonne Université, Paris, France
- Département de Santé Publique, APHP, Sorbonne Université, Paris, France
| | - Mathilde Touvier
- Inserm U1153, Inrae U1125, Cnam, Nutritional Epidemiology Research Team (EREN), Epidemiology and Statistics Research Center - Université Paris Cité (CRESS), Sorbonne Paris Nord University, Bobigny, France
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