Other blood groups Flashcards
i antigen is a minimally branched….
oligosaccharide
I antigen is a highly branched…
oligosaccharide
I and i antigens are present on what cells?
wbcs
plts
secretions
Is I antigen neg in adults rare or common?
rare
I/i antigens are what Ig?
IgM
anti-I are what type of antibody?
naturally occurring
benign
common autoantibody
raynaud’s sydnrome
cold agglutinin syndrome with anti I
pathologic anti I causes autoagglutination by binding C’
anti-I has a cross rxn w/ what bacteria?
Mycoplasma pneumoniae
anti-i has a cross rxn w/ what bacteria?
Infectious mononucleosis
creates potent anti-i
anti-IH complex
reacts strongest w/ O and A2 people
will not agglutinate group O cord cells
requires both anti-I and anti-H
anti- IA complex
antibody in B people
requires both anti-I and anti-A
anti H vs. bombay anti-H
anti-H: cold autoAb
bombay anti-H: strong alloAb
cold autoAb can cause what in an IAT?
all + rxns
may mask significant Ab
masking can occur at RT & AHG phase
cold autoAb can cause what in a ABO/Rh typing?
discrepancies in reverse grp
interfere w/ Rh control (+DAT)
cold alloAb vs cold autoAb
cold alloAb: IS/+000 37/0000
cold autoAb: IS/++++ 37/0000
O cord cells have what I antigen?
i
anti-I
O cells have what I antigen?
I
anti-i
P antigen is present on all human RBCs
true or false
true
P1 antigen
most common
varies in strength
poorly developed @ birth
deteriorates w/ storage
pK antigen
converted to P antigen
P1 phenotypes have what antigen?
P
P1
79% caucasians
94% african americans
P2 phenotypes have what antigen?
P
lacks P1 (make anti-P1)
P phenotype has what antigen?
none- null
can make anti-PP1Pk
called anti-Tja
p1k phenotype has what antigen?
vary rare
P1
pk
lacks P (make anti-P)
P2k phenotype has what antigen?
very rare
pk
lacks p1 and p
anti-P1
most common
IgM
hydatid cysts and pigeon egg is what?
P1 substance- neutralizes anti-P1 activity
anti-P
IgM
strong antibody
naturally occurring
rarely seen
Donath Landsteiner (PCH IgG w/ anti-P)
anti-PP1pk
naturally occurring
IgM some IgG
binds C’
strong hemolysin
anti Tja
HTR/HDN
Lea and Leb are produced by what enzyme?
glycosyl transferases
antigen production of Le/Le Le/le
fucosyl transferase adds fucose to subterminal sugar
needs H gene as well- type 1 chains
for Le/Le and Le/le type 1 chains are in what?
plasma
adsorbed onto RBC membrane
type 2 chains (Le/Le Le/le)
on RBCs no Le activity
Se gene codes for what?
fucosyl transferase
Le a+b+ is seen in what population?
very rare
Asian
le/le means what antigens
no Lewis antigens produced
Le a-b-
lewis antigens are strongly produced at birth
true or false
false: they are poorly developed at birth
seen 10 days after birth and it changes from Lea-b- to Lea+b- to Lea+b+ to Lea-b+ by 6 years of age
Lewis antibodies are what Ig?
IgM
Lewis antibodies can or cannot bind complement?
can
Lewis antibodies are clinically significant
true or false?
false: not usually clinically significant
Lewis antibodies are enhanced by enzyme treatment
true or false?
true
seen with lacy agglutination
transfusion practices with Lewis
transfused cells shed Le Ag and take on recipients’ Ag
least significant Ab- hemolysis is rare
for the MNS group what type is most common?
M+ N+ s+
anti-S is the most ____ antibody
common
normal RBCs carry 4 sialoglycoproteins what are they?
glycophorin A (M, N)
glycophorin B (S,s,U)
glycophorin C
glycophorin D
M and N antigen features
co-dominant
show dosage
well developed at birth
on RBC Ag
built on glycophorin A
destroyed by enzymes
what blood group antigens are enhanced by enzymes?
ABO H
Lewis
P
I
Rh
Kidd
what blood group antigens are decreased by enzymes?
MNS
Duffy
Lutheran
what blood group antigens are unaffected by enzymes?
Kell
Diego
Colton
what substance neutralizes the activity of antibody for the ABO group?
saliva (secretor)
what substance neutralizes the activity of antibody for the Lewis group?
saliva (secretor for Leb)
what substance neutralizes the activity of P1 antibody?
hydatid cyst fluid
pigeon egg whites
what lectin is useful in polyagglutination for A1
Dolichos biflorus
what lectin is useful in polyagglutination for H
Ulex europaeus
what lectin is useful in polyagglutination for N
Vicia graminea
anti M is naturally occuring antibody of what Ig?
IgM
does anit-M bind complement
no
when is anti-M clinically significant?
when it reacts at 37*C or AHG
anti N is less commonly seen than what antibody in the MNS group
anti M
what is anti-Nf?
seen in dialysis patients where the equipment was sterilized with formaldehyde
alters N antigen
S and s antigen features
co dominant
might show dosage
well developed at birth
primarily RBC antigen
built on glycophorin B
destroyed by enzymes
U antigen features
high incidence antigen
anti-S anti-s, anti-U antibodies
IgG
may bind complement
clinically significant
associated w/ HTR/HDN
what population is S- s- U-?
small % of African Americans
must be transfused with U neg cells
the Lutheran blood group has what antigens?
Lua and Lub
Lutheran antigen features
co dominant
show dosage
poorly developed at birth
RBC antigens
most common Lutheran pheotype
Lu a-b+
Lu gene is on what chromosome?
19
linked to Se gene
anti-Lua features
naturally occurring saline agglutinin
IgM, IgG, IgA
often not detected
clinically insignificant
may cause mild HDN
why is anti Lua not often detected?
most reagent cells are Lua -
what is a feature of Lua detection?
mf agglutination and lacy
randomly pops up at crossmatching test
anti Lub features
immune mediated; some naturally occurring
IgG
may cause decreased survival of tranfused cells
associated w/ mild HDN
No severe hemolysis
Kell has how many antigens?
~25
what are the 6 most important antigens in Kell
K, k, Kpa, Kpb, Jsa, Jsb
Kell antigens are what kind of antigens?
RBC- glycoproteins
Kell antigen features
well developed at birth
show dosage
denatured by ddt, zzap, 2me
K antigen
KEL1
very immunogenic
low frequency
k antigen
KEL2
cellano
high frequency
anti-K features
IgG
frequently seen
HTR/HDN
must give Ag- blood
anti-k features
rarely seen
HTR/HDN
must give Ag- blood
Kpa and Jsa features
low frequency antigens
Ab behave like antiK
easy to find - blood
Kpv and Jsb features
high frequency antigens
Ab behave like antiK
hard to find Ag- blood
Kx
in own system XK (Kell group thought to be K precursor)
K0
silent allele
null phenotype
have only Kx on RBCs
McLeod phenotype
appears like Knull
weak expression of k, Kpb, Jsb
RBCs decreased survival
RBC acanthocytes
ab. neuromuscular activity
may be assoc. w/ chronic granulomatous disease