ABO Flashcards
ABO antigens
carbs attached to red cell surface
chromosome for ABO
9
A antigen
N-acytlegalactose amine
B antigen
galactose
what does chrom 9 code for
transferase to place A or B antigen depending on gene
what does chrom 19 code for
FUT1,2,3 that code for transferase to put fucose on carb chains (RBC, secretions)
FUT 1
codes for type 2 substances
type 2 substances
RBC
FUT 2
codes for type 1 substances
- Se gene
type 1 substances
secretions
where is the secretion gene located
chrom 19
what does secretion gene do
codes for transferase to act on type 1 substances to make an H substance
H substance precursor chain (w/o fucoses)
(top)
gal
glc-nac
gal
glc
where does FUT 3 act
fucosyl transferase adds fucose to subterminal location on H chain
- lewis gene (Le)
lewis A
H substance without terminal fucose but with subterminal fucose = tot 1 fucose
lewis b
H substance with terminal fucose and subterminal fucose = tot 2 fucose
how are secretions turned into A or B antigens
same transferase as RBC
describe bombay patients
no H substance = no A, B or lewis expression
most to least detectible H substance on antigens
O>A2>B>A2B>A1>A1B
A1 subgroup
A transferase on straight and branchy
- pos anti A and Anti-A1 lectin
A2 subgroup
A transferase only onto linear H branches
- pos w/ anti A
- neg a/ anti -A1
A3
mixed field agglutination
A(end)
weak anti-A agglutination = weak mixed field
Ax
weak agglutination with only AB
Am
A in saliva, anti-A neg
Ay
small amt antiA in saliva
Ael
needs elution to detect
- secretions only H substance
B3
mixed field with anti B
Bx
weakly reactive anti-B
dolichos bifilarous
A1 specificity - flowers
banderiea simplicifolia
B subgroup detection
ulex eruopa
H substance detection (bombay/para)
what determines secretor status
- FUT2 on chromosome 19 making the type 1 secretion substance
risky transplants
due to carbohydrates on secretions
Le(ab)
antibody reacts with both Le(a) and Le(b)
Le(bH)
antibody reactis with only Lewis b that do not have A or B sugar attached
Ig identitidy of lewis antigens
IgM
the immunodominant sugar responsible for group B specificity is
d-galactose