Blood & Immunology Flashcards
Blood Antigens
Surface molecules that act as promoters of agglutination and have co-dominance of IA & IB genes as well as i (recessive)
Agglutinogens
Antigen found at the blood cell surface
Agglutinins
Antibodies for the antigen NOT found on blood cell surface. For A and B antibodies, humans will synthesize these at birth. No prior exposure needed.
Whole blood transfusion
Transfusion with all blood components including donor antibodies
Packed red blood cell transfusion
-Transfusion of blood with plasma and white blood cells removed
-No plasma = No donor antibodies
Universal Recipient
Type AB. Host makes no antibodies to attack donor blood
Universal Donor
Type O: No antigens on RBC surface for host antibodies to target
Rhesus Factor
-Forms D antigen that will denote +/-
-Antibodies not preformed in the fetus. Will only be made following exposure
Donor cells in incompatible blood transfusion
-Donors cells are attacked by recipient plasma agglutinins
-Blood agglutinates and clogs small vessels
-Rupture and release hemoglobin into bloodstream
Erythroblastosis Fetalis
-Rh- mom exposed to Rh+ blood of fetus during delivery of first baby causes mother to synthesize anti-Rh antibodies
-During another pregnancy with an Rh+ baby, mother’s anti-Rh antibodies will cross placenta and destroy RBC’s of fetus
Result of incompatible blood transfusion
-Diminished oxygen-carrying capacity
-Diminished blood flow beyond blocked vessel
-Hemoglobin in kidney tubules causing kidney failure
Rho-GAM
Received antibodies that come in a drug in a low enough quantity to react with Rh of fetus in order to mask the fetus blood from the mother’s immune system that would eventually attack the fetus.
Antibody-Antigen complex
Signal for destruction for the immune system
Adaptive immunity
Specific defense system
Innate immunity
Nonspecific defense in cells
First line of defense
External body membranes such as skin and mucosae
Second line of defense
Antimicrobial proteins, phagocytes, and other cells to prevent infection, inhibit spread of invaders, and promote inflammation
Adaptive defense system
Third line of defense to attack specifically a particular foreign substance
-Takes longer to react than innate system
-Specific and Highly Effective