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Black & Mixed-Race Donors Urgently Needed You could save a life and lower the odds. If you need a transplant and are of African, Caribbean or mixed racial heritage the chances of finding a 100% match is 1 in 100,000 compared to 1 in 5 if you are white. Yet there are nearly 500,000 people of African, Caribbean or mixed racial heritage in the UK, that can actually help change this situation and so far less than 20,000 have registered. That means that if the group of potential donors being searched is small, the likelihood of finding a match will also be small. When a person volunteers to be a donor, their particular blood tissue traits as determined by blood test are recorded in the Registry. Because tissue types are inherited, similar to hair or eye colour, it is more likely that a person needing a marrow transplant will find a donor in another family member. This, however, happens only 30% of the time. Next the UK database is searched for an unrelated individual who is a close match. It is more likely that a donor who comes from the same racial or ethnic group will have the same tissue traits. For people of African ancestry, this is particularly true, as some, tissue types are rarely found in donors from other races and may be unusual even among other people of African ancestry. Many Black and mixed-race people have an unusually rare combination of the genes, called HLA genes that determine tissue type. These genes work sort of like a six-digit combination lock: To be a compatible donor, you need to have at least six versions of the genes in common with the recipient. The fewer of these genes that match, the greater the chance that the recipient's immune system will attack the donor cells. Therefore the more people to choose from, the closer the experts can get to an exact match.
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