Blood Group Secretors and H Extras Flashcards

1
Q

Describe H substance

A

codes a fucosyl transferase that adds a fucose to the outer most sugar of a type1/2 precursor

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2
Q

Describe Bombay

A

absence of H ag, still have ABO genes they may transfer to offspring but dont enhibit ag themselves

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3
Q

Autosomal recessive bombay
fails to rx with?
serologically?
what mutation?

A

hh genotype produces no H ag so no ABO ag can be formed on the rbc

fails to rx with ulex. europeas (H lectin) serologically O
Fut1 gene mutation that silences fucosyltransferase

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4
Q

Describe parabombay
mutation?
all H available…

A

rbc completely devoid of H ag
exhibit small amounts of A or B ag

mutation to FUT1 that makes fucosyltransferase low reactivity

All H available is converted to A or B by functional acting A/b transferases or FUT2 is functional

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5
Q

Describe A1 phenotype

A

branched A ag
+ w Anti-A
+ w Anti-A lectin

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6
Q

Describe A2 phenotype

A

linear A ag
+ w anti-A
- w Anti-A lectin

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7
Q

People who have quantitively less Ag converted from H substances are called?

A

Subgroup people

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8
Q

Describe the B subgroups

B
very

A

B: very efficient transferase, detected by B. simp

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9
Q

B3

A

Mixed field doesnt make anti-b

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10
Q

BX

A

rxn weak w/ anti-b/anti-a,b

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11
Q

Bm

A

transferase detectable but doesnt work well

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12
Q

Bel

A

must be detect by adsorption/elution

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13
Q

Describe what subgroups would look like rxn wise with A

A

there is NO anti-A2

when a person is negative w AI lectin and positive with Anti-A they are a subgroup

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14
Q

T/F there is a BI lectin

A

false

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15
Q

Immune stimulated Ab

A

Anti-D, Anti-Le a

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16
Q

What precentage of the world population demonstrates ABO ag in secretions?

A

80%

17
Q

What determins secretor status?

A

chromosome 19 codes a FUT2 that determins secretor status

Se dominant

18
Q

Describe Type 1 shapes

A

carbohydrates on the outside of the cell can be branchy or straight, if they are arranged in a specifc format they are type 1

19
Q

Type 1
substance attached…

converted

A

substance attached to soluble secretions in body fluids such as tears/saliva

converted by the same transferases as type 2 chains on rbcs to A or B ags

20
Q

What causes risky transplants?

A

carbohydrates in secretions may absorb onto anything

21
Q

Testing for secretions does?

A

leads to ABO determinations

22
Q

ABH ag on RBC

A

ag made from glycolipids/proteins

Type 2 chains

FUT1 enzyme from H
rbcs/lymphs/enothelial cells

23
Q

ABH ag soluble secretions

A

Ag are glycoprotein only

Type 1 chain

FUT2 enzyme produced by Se gene

saliva/tears/bile/milk

24
Q

FUT1

A

Hh/HH codes a fucose that is added to a type 2 substance on cells

25
Q

FUT2

A

SeSe/Sese codes a fucose that is added to a type 1 substance on secretions

26
Q

FUT3

A

LeLe/Lele codes a fucose to the non terminal end of Ag in secretions ONLY

27
Q

Non secretors
fucose transfer
H ag

A

Lea have only one fucose transferred, fucose added to make H ag has not been added yet

28
Q

Lea Ag on RBC
genotype
what hasnt formed
faulty?

A

non secretor (se/se)
H ag not formed on FUT2
a person who has both ag on rbc has falty fucose made by secretor gene

29
Q

Leb ag on RBC

A

secretor (FUT2 added a fucose/FUT3 added a fucose)
people who are Leb + do not make Anti-lea

30
Q

T/F LW ag can cross the placenta

A

false

31
Q

No LW ag on rbc
neg for?
may?

A

negative for FUT3 (le/le) may secrete ABH ag still