The Blood Group Systems

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The Blood Group Systems
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Presentation transcript:

The Blood Group Systems                                                                                                                             Inheritance and Genetics

ABO blood grouping system According to the ABO blood typing system there are four different kinds of blood types: A, B, AB or O (null).  

ABO Type Frequencies In U.S. Per Cent O 45% A 40% B 11% AB 4%

AB0 blood grouping system According to the AB0 blood typing system there are four different kinds of blood types: A, B, AB or 0.     Blood group A If you belong to the blood group A, you have A antigens on the surface of your red blood cells and B antibodies in your blood plasma.      Blood group B If you belong to the blood group B, you have B antigens on the surface of your red blood cells and A antibodies in your blood plasma. Blood group AB If you belong to the blood group AB, you have both A and B antigens on the surface of your red blood cells and no A or B antibodies at all in your blood plasma.       Blood group 0 If you belong to the blood group 0 (null), you have neither A or B antigens on the surface of your red blood cells but you have both A and B antibodies in your blood plasma.     

AUTOSOMAL CHROMOSOME one alleles from Pete and one from Susan. Alleles for Blood types are present on 9th chromosome There are three alleles A, B & O A & B are co-dominant O is recessive to both A B Pete Susan one alleles from Pete and one from Susan.

The ABO blood groups The most important in assuring a safe blood transfusion. The table shows the four ABO phenotypes ("blood groups") present in the human population and the genotypes that give rise to them. Blood Group Antigens on RBCs Antibodies in Serum Genotypes A Anti-B AA or AO B Anti-A BB or BO AB A and B Neither O Anti-A and anti-B OO

Blood Group Antigens Antibodies Can give blood to Can receive blood from AB A and B None AB, A, B, O A B A and AB A and O B and AB B and O O

Blood Group Antigens Antibodies Can give blood to Can receive blood from AB A B O

Blood Types http://www.bloodbook.com/world-abo.html

Blood transfusions – who can receive blood from whom? Of course you can always give A blood to persons with blood group A, B blood to a person with blood group B and so on. But in some cases you can receive blood with another type of blood group, or donate blood to a person with another kind of blood group. The transfusion will work if a person who is going to receive blood has a blood group that doesn't have any antibodies against the donor blood's antigens. But if a person who is going to receive blood has antibodies matching the donor blood's antigens, the red blood cells in the donated blood will clump.   Blood Group Antigens Antibodies Can give blood to Can receive blood from AB A and B None AB, A, B, 0 A B A and AB A and 0 B and AB B and 0 Blood Group Antigens Antibodies Can give blood to Can receive blood from AB A and B None AB, A, B, 0 A B A and AB A and 0 B and AB B and 0 0 only    

AB0 blood grouping system                Blood group A If you belong to the blood group A, you have A antigens on the surface of your RBCs and B antibodies in your blood plasma.   Blood group B If you belong to the blood group B, you have B antigens on the surface of your RBCs and A antibodies in your blood plasma. AB0 blood grouping system

Blood Groups, Blood Typing and Blood Transfusions Blood group AB The discovery of blood groups                       Experiments with blood transfusions, the transfer of blood or blood components into a person's blood stream, have been carried out for hundreds of years. Many patients have died and it was not until 1901, when the Austrian Karl Landsteiner discovered human blood groups, that blood transfusions became safer. Mixing blood from two individuals can lead to blood clumping or agglutination. The clumped red cells can crack and cause toxic reactions. This can have fatal consequences. Karl Landsteiner discovered that blood clumping was an immunological reaction which occurs when the receiver of a blood transfusion has antibodies against the donor blood cells. Karl Landsteiner's work made it possible to determine blood types and thus paved the way for blood transfusions to be carried out safely. For this discovery he was awarded the Nobel Prize in Physiology or Medicine in 1930.   What is blood made up of?                        An adult human has about 4–6 liters of blood circulating in the body. Among other things, blood transports oxygen to various parts of the body. Blood consists of several types of cells floating around in a fluid called plasma. The red blood cells contain hemoglobin, a protein that binds oxygen. Red blood cells transport oxygen to, and remove carbon dioxide from, the body tissues. The white blood cells fight infection. The platelets help the blood to clot, if you get a wound for example. The plasma contains salts and various kinds of proteins. What are the different blood groups?                                                       The differences in human blood are due to the presence or absence of certain protein molecules called antigens and antibodies. The antigens are located on the surface of the red blood cells and the antibodies are in the blood plasma. Individuals have different types and combinations of these molecules. The blood group you belong to depends on what you have inherited from your parents. There are more than 20 genetically determined blood group systems known today, but the AB0 and Rh systems are the most important ones used for blood transfusions. Not all blood groups are compatible with each other. Mixing incompatible blood groups leads to blood clumping or agglutination, which is dangerous or individuals. Nobel Laureate Karl Landsteiner was involved in the discovery of both the AB0 and Rh blood groups. AB0 blood grouping system                Blood group AB If you belong to the blood group AB, you have both A and B antigens on the surface of your RBCs and no A or B antibodies at all in your blood plasma. Blood group O If you belong to the blood group O (null), you have neither A or B antigens on the surface of your RBCs but you have both A and B antibodies in your blood plasma.

ABO inheritance and genetics The ABO gene is autosomal (the gene is not on either sex chromosomes) The ABO gene locus is located on the chromosome 9. A and B blood groups are dominant over the O blood group A and B group genes are co-dominant Each person has two copies of genes coding for their ABO blood group (one maternal and one paternal in origin)

Possible Blood group Genotypes Parent Allele A B O

Possible Blood group Genotypes Parent Allele A B O AA AB AO BB BO OO

Giving someone blood from the wrong ABO group could be fatal. Why group A blood must never be given to a group B person?                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               Giving someone blood from the wrong ABO group could be fatal. The anti-A antibodies in group B attack group A cells and vice versa. Blood group O negative is a different story.

The Rhesus (Rh) System Well, it gets more complicated here, because there's another antigen to be considered - the Rh antigen. Some of us have it, some of us don't. If it is present, the blood is RhD positive, if not it's RhD negative. So, for example, some people in group A will have it, and will therefore be classed as A+ (or A positive). While the ones that don't, are A- (or A negative). And so it goes for groups B, AB and O.

The Rhesus (Rh) System (Cont.) Rh antigens are transmembrane proteins with loops exposed at the surface of red blood cells. They appear to be used for the transport of carbon dioxide and/or ammonia across the plasma membrane. They are named for the rhesus monkey in which they were first discovered. RBCs that are "Rh positive" express the antigen designated D. 85% of the population is RhD positive, the other 15% of the population is running around with RhD negative blood.

Rh Blood Group and Rh Incompatibility A person with Rh- blood does not have Rh antibodies naturally in the blood plasma Blood Type Genotype Alleles Produced Rh positive RR R Rr R or r Rh negative rr r

Do you know which blood group you belong to? According to above blood grouping systems, you can belong to either of following 8 blood groups: Do you know which blood group you belong to?

                                                                            A person with Rh- blood can develop Rh antibodies in the blood plasma if he or she receives blood from a person with Rh+ blood, whose Rh antigens can trigger the production of Rh antibodies. A person with Rh+ blood can receive blood from a person with Rh- blood without any problems.

Why is an Rh incompatibility so dangerous when ABO incompatibility is not during pregnancy? Most anti-A or anti-B antibodies are of the IgM class (large molecules) and these do not cross the placenta. In fact, an Rh−/type O mother carrying an Rh+/type A, B, or AB foetus is resistant to sensitisation to the Rh antigen. Her anti-A and anti-B antibodies destroy any foetal cells that enter her blood before they can elicit anti-Rh antibodies in her.

Rh incompatibility during pregnancy (cont.) This phenomenon has led to an effective preventive measure to avoid Rh sensitisation. Shortly after each birth of an Rh+ baby, the mother is given an injection of anti-Rh antibodies (or Rhogam). These passively acquired antibodies destroy any foetal cells that got into her circulation before they can elicit an active immune response in her.

The ABO Blood Group System                                                                                                                             Laboratory  Determination of the ABO System                                                                       

Several methods for testing the ABO group of an individual exist Several methods for testing the ABO group of an individual exist. The most common method is: Serology: This is a direct detection of the ABO antigens. It is the main method used in blood transfusion centres and hospital blood banks. This form of testing involves two components: a) Antibodies that are specific at detecting a particular ABO antigen on RBCs.           b) Cells that are of a known ABO group that are agglutinated by the naturally occurring antibodies in the person's serum.

Illustration of the forward and reverse grouping reaction patterns of the ABO groups using a blood group tile http://www.bh.rmit.edu.au/mls/subjects/abo/resources/genetics1.htm

When RBCs carrying one or both antigens are exposed to the corresponding antibodies, they agglutinate; that is, clump together. People usually have antibodies against those red cell antigens that they lack. Human RBC before (left) and after (right) adding serum containing anti-A antibodies. The agglutination reaction reveals the presence of the A antigen on the surface of the cells.                                          http://users.rcn.com/jkimball.ma.ultranet/BiologyPages/B/BloodGroups.html                                             

Blood transfusions – who can receive blood from whom?                  Blood transfusions – who can receive blood from whom? People with blood group O are called "universal donors" and people with blood group AB are called "universal receivers."