other blood group Flashcards
associated with the secreted
substances
Type 1 precursor chain
ISBT of lewis blood group
ISBT 007
H substances is also called as
precursor material
Type 2 precursor chain location
Beta 1-4 linkage ; located between the terminal of D-galactose and N-acetylglucosamine
formation of the ABH antigens or substances
within the red cell membrane
type 2 precursor chain
what is the product of the lewis gene
Lea soluble antigen
Lewis antigen is also found on
pancreas, stomach, intestine, skeletal
muscle, renal cortex, and adrenal glands.
Lea substance is secreted regardless of the
secretor status
Le (a+ b-)
The genetically independent Sese, ABO, Hh, and Lewis genes are intimately associated in the formation of the Leb antigen.
Le (a- b+)
What phenotype is the result of the genetic
interaction of Lele and Sese genes.
Le (a- b+)
Results in point mutation of Le gene, rather than
absence of the Le gene.
Le (a- b-)
error when it comes to the DNA
replication for example
MUTATION
phenotype of newborn
Le (a- b-)
Infants that inherit LE and Se genes:
Le (a- b-)
after 10 days
Le (a+b-)
after 6-7 years
Le (a-b+)
lewis phenotype of pregnant women
Le (a- b-)
blood groups that exhibit dosage in serologic
reactions:
▪ Rh (except D)
▪ Kidd
▪ Duffy
▪ MNSs
Poorly developed at birth
lewis antigen
Reactivity is enhanced when treated with
proteolytic
enzymes.
Blood that is not affected by Proteolytic enzyme
Kell blood groups
THE EFFECT OF PROTEOLYTIC ENZYMES ON
SELECT ANTIGEN-ANTIBODY REACTIONS
enhanced and inactivated
Enhanced:
Kidd
Rh
Lewis
P1
I
ABO
Inactivated
Duffy
MNS
Xga/Xg
May cause in vivo hemolysis of red cells
lewis antibodies
May cause in vivo hemolysis of red cells
Anti-Lea
antibodies produced by Le (a- b-) phenotypes
Anti-Lea
no anti-lea production
Le (a- b+)
Usually produced by Le(a- b-)
Anti-Leb
The Lea antibody is frequently detected with
saline suspended cells at room temperature
considered
insignificant in blood transfusion practices.
Lewis antibodies
FACTORS CONTRIBUTING TO CLIINICAL INSIGNIFICANCE OF LEWIS ANTIBODIES
- Neutralization of Lewis Antibodies by Lewis
substances present in the plasma - Loss of red cell Lewis antigen(s) into the plasma
- Lack of reactivity at 37°C and antihuman globulin
phase - Generally IgM in nature and incapable of crossing placenta
- Lewis antigens poorly developed in newborn infancts
ISBT of MNSs blood group system
(ISBT 002)
who discovered MNSs blood group system
Landsteiner and Levine in 1927
antithetical antigens.
M antigens
N antigens
a pair of antigen that
are coded by different alleles of a single gene
Antithetical antigens