Rh Flashcards

1
Q

What type of cell destruction do Rh antibodies usually cause

A

Extravascular

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2
Q

Chromosome for Rh genes

A

Chromosome 1

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3
Q

Protein that is closely linked to Rh expression and function

A

RhAG

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4
Q

What is missing in the regulator pathway for Rh deletion

A

No functional RhAG protein so no Rhs

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5
Q

Rh null pathways

A

Regulator pathway (RhAg)
Amorph pathway (mutation in RHD/RHCE)

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6
Q

Which population can Rh null be found in

A

European background

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7
Q

What causes weak D

A

Genetic quantitative reduction in the amount of D antigen expressed. Detected by AHG usually

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8
Q

What does C in trans position cause

A

Weak expression of D. C in trans to D is another type of weak D expression

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9
Q

Del

A

Genetic quantitative reduction of D antigen to the point where you need adsorption/elution to detect it. Way less antigens than weak D

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10
Q

Mosaic or partial D

A

Qualitative change in the epitopes
Parts of the D antigen are missing
Can make anti-D

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11
Q

Weak vs partial D

A

Weak has less amount of D
Partial has missing parts of D

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12
Q

D variant that can make anti-D

A

Mosaic or partial D

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13
Q

How does f antigen work

A

Expressed when c and e are in the same haplotype
If anti-f provide c neg units

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14
Q

Which cells is G found in

A

Most D+ cells and all C+
Need adsorption/elution to distinguish between a D/C and G

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15
Q

What type of Ig class are Rh antibodies

A

IgG, do not bind complement well
(When they are first forming they are IgM)

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16
Q

How can you enhance Rh antibodies

A

Proteolytic enzymes

17
Q

Immunogenicity of Rh antigens

A

D>c>E>C>e

18
Q

Positive frequency of D

A

W 85%
B 92%

19
Q

Positive frequency of C

A

W 70%
B 34%

20
Q

Positive frequency of E

A

W 30%
B 21%

21
Q

Positive frequency of c

A

W 80%
B 97%

22
Q

Positive frequency of e

A

W 98%
B 99%

23
Q

Positive frequency of Cw

A

W 1%
B rare

24
Q

Positive frequency of V and VS

A

W 1%
B 30,32%