ABO BLOOD GROUPNG & Rh GROUPS

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ABO BLOOD GROUPNG & Rh GROUPS

Objectives to determine the blood group and therefore the type of antigen carried on the surface of erythrocytes in the ABO system. to test for the availability of the Rh factor (D antigen) on the surface of erethrocytes

There are more than 30 genetically determined blood group systems known today, but the AB0 and Rh systems are the most important ones used for blood transfusions. 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

* The ABO system is associated with three blood group substances (antigens) on erythrocytes designated as the A,B and H antigens. These antigens have the following antigenic determinants at the non-reducing termini of oligosaccharides * blood group antigens are not found only as part of erythrocyte membrane but also found in a wide variety of tissues and biological fluids such as saliva, milk , seminal fluid, urine , and gastric juice.

Importance of the ABO system: * Blood group antigens must be determined to secure a safe practice of blood transfusion * They are also useful in determining familial relationships in forensic medicine

Genetics of Blood Types * Your blood type is established before you are BORN, by specific GENES inherited from your parents. * You inherit one gene from your MOTHER and one from your FATHER. * All are inherited according to mendelian laws of genetics. * These genes determine your blood type by causing proteins called AGGLUTINOGENS to exist on the surface of all of your red blood cells.

Blood Typing Blood type is based on the presence of 2 major antigens in RBC membranes-- A and B Antigen- molecule on the surface of a RBC membrane Antibody- proteins made by lymphocytes in plasma which are made in response to the presence of antigens. They attack foreign antigens, which result in clumping (agglutination)

AA or AO = Type A BB or BO = Type B OO = Type O AB = Type AB What are blood types? There are 3 alleles or genes for blood type: A, B, & O. Since we have 2 genes, there are 6 possible combinations. Blood Types AA or AO = Type A BB or BO = Type B OO = Type O AB = Type AB

Blood transfusions – who can receive blood from whom?

Rh Blood Group First studied in rhesus monkeys Types Rh positive: Have these antigens present on surface of RBCs Rh negative: Do not have these antigens present Hemolytic disease of the newborn (HDN) Mother produces anti-Rh antibodies that cross placenta and cause agglutination and hemolysis of fetal RBCs

Rh Factor and Pregnancy RH+ indicates protein RH- indicates no protein

Blood being tested Type AB (contains agglutinogens A and B; agglutinates with both sera) Type A (contains agglutinogen A; agglutinates with anti-A) Type B (contains agglutinogen B; agglutinates with anti-B) Type O (contains no agglutinogens; does not agglutinate with either serum)