P1PK Flashcards

1
Q

How many antigens does the P1PK blood group system have?

A

3

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2
Q

How is the P1 antigen made?

A

It is an indirect product of an enzyme that adds a sugar residue (Gal onto glycolipid.

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3
Q

Where is the genetic locus of P1?

A

Chromosome 22

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4
Q

What is the % frequency of P1+ in the white population?

A

79%

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5
Q

What is the % frequency of P1+ in the black population?

A

94%

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6
Q

What is the % frequency of P1+ in the Vietnamese population?

A

20%

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7
Q

What is the % frequency of P1- in the white population?

A

21%

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8
Q

What is the % frequency of P1- in the black population?

A

94%

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9
Q

What is the % frequency of P1- in the Vietnamese population?

A

80%

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10
Q

The black population is made up of which people?

A

African and Caribbean background

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11
Q

What antibody can P1- individuals make?

A

A naturally occurring anti-P1 and rarely by transfusion

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12
Q

What are the specifications of anti-P1?

A
  • Weak IgM
  • Reacts optimally at low temperatures (4-22oC)
  • Incapable of complement activation
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13
Q

Why is anti-P1 considered a nuisance antibody?

A

It can cause delays in ABO grouping (anomalous reverse)

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14
Q

Is anti-P1 clinically significant?

A

No, unlikely to cause a transfusion reaction and does not cause HDFN

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15
Q

When is anti-P1 clinically significant?

A

When reactive at 37oC and detected by IAT, but rare!

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16
Q

What reaction strength does the P1 antigen show?

A

Variable from person to person therefore anti-P1 exhibits dosage

17
Q

How does anti-P1 react with papain treated red cells?

A

Resistant and is often enhanced

18
Q

How would you provide RBC to a patient with anti-P1?

A

IAT crossmatch compatible at 37oC