Major Non-ABO Blood Groups Flashcards
ISBT 016
LW blood group
Expressed together with Rh
Lw
LW gene is on what chromosome
Chromosome 19
LW antigen is carried by
Intracellular Adhesion Molecule 4
To differentiate D Ag from LW Ag
Treat cells with DTT
D Ag: Not denatured
LW Ag: Denatured
Anti-LW will react ____ with most D (+) cells
Strongly
Anti-LW will ____ with Rh (-) cells
Weakly
Anti-LW will _____ react with Rh null cells
Never react
Anti-LW will react ____ with cord cells regardless of D type
Equally
Only major system not produced by RBCs
Lewis system
Lewis Ag are found on ____ passively absorbed by RBCs in plasma
Type 1 glycosphyngolipids
Le gene is found on what chromosome
Chromosome 19
FUT3 gene
Le gene
Type of sugar derivative of Le Ag found in secretions
Glycoproteins
Type of sugar derivative of Le Ag absorbed by RBCs in plasma
Glycolipid
Le (a+b+) is possible in what race
Asians
lele is common in
Blacks
T/F: Lewis Ag not present at birth, not expressed on cord cells
T
Le Ag development in Secretor
Le(a-b-) > Le(a+b-) > Le(a+b+) > Le(a-b+)
Le Ag development of Non-secretor
Le(a-b-) > Le(a+b-)
When is Leb Ag present?
If Le and Se are present
Genes Inherited: Le Se ABH
Substance in Secretions:
Red cell Phenotype:
Lea, Leb, ABH
Le(a-b+) ABH
Genes Inherited: lele Se ABH
Substance in Secretions:
Red cell Phenotype:
ABH
Le(a-b-) ABH
Genes Inherited: Le sese ABH
Substance in Secretions:
Red cell Phenotype:
Lea
Le(a+b-) ABH
Genes Inherited: lele sese ABH
Substance in Secretions:
Red cell Phenotype:
None
Le(a-b-) ABH
Genes Inherited: Le sese AB hh
Substance in Secretions:
Red cell Phenotype:
Lea
Le(a+b-) Oh/H null (bombay)
Genes Inherited: Le sese AB hh
Substance in Secretions:
Red cell Phenotype:
Lea
Le(a+b-) Oh/H null (bombay)
Genes Inherited: Le Se AB hh
Substance in Secretions:
Red cell Phenotype:
Lea, Leb, ABH type 1 Ag
Le(a-b+) Ah or Bh (parabombay)
Anti-Lea, Anti-Leb
1) IgM
2) Naturally occuring
3) Cold reactive
A. 1
B. 1,2&3
C. 1&3
D. 1&2
B.
Leb is associated with
H. Pylori infection
MNS gene is found in what chromosome?
Chromosome 4
Antigens of MNS system
M, N, S, s
Paternity tested Ag
MNS
Stronger reactions demonstrated from an antibody to a homozygous cell than a heterozygous cell
Dosage effect
Location of MN Ag
Glycophorin A
M and N differ at position 1 and 5 with what amino acids?
M: 1-serine; 5-glycine
N: 1-leucine, 5-glutamic acid
Location of Ss Ag
Gylcophorin B
S and s Ag differ at position 29 with what amino acid?
S: methionine
s: threonine
S+s+ what phenotype?
U phenotype
MNS antibodies are in nature what?
IgM, naturally occuring and cold reactive
Anti-M react at pH
pH 6.5 (acidic)
Anti-N react at pH
alkaline pH
Antibody sterilized with formaldehyde
Anti-Nf
Anti-S & Anti-s in nature
IgG; reactive 37oC & AHG phase
S-s-
Anti-U
Anti-U is common in
Blacks
GPA is recepector for
E. coli
GPA and GPB receptor for
Plasmodium falciparum
ISBT 002
MNS system
ISBT 003
P blood group
Ag that deteriorates rapidly upon storage
P1 Ag
Phenotype: P1
Ag:
Ab:
P1, P, Pk
None
Phenotype: P2
Ag:
Ab:
P, Pk
Anti-P1
Phenotype: p (P null)
Ag:
Ab:
None
Anti-PP1Pk/Anti-Tja