Blood Abo Group System

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ABO BLOOD GROUP SYSTEM: ---

A blood group is a classification of blood based on the presence or absence

of antigen on the surface of the RBCs. A total of 29 human blood group

systems are now recognized by the international society of blood transfusion

(ISBT). But the most well known and medically important blood group is

ABO BLOOD GROUP , discovered by Karl Land Steiner in 1900-1901at

the university of Vienna . There are four different blood groups present in

ABO blood group system. Two different antigen & two different antibodies

are mostly responsible for the ABO types.

Antigen or agglutinogen of the ABO system are antigen –A or agglutinogen

–A & antigen or agglutinogen-B.

Antibodies or agglutinin of the ABO system are alpha or anti-A antibody&

beta or anti-B antibody.

Antigen --- Physiologically --- substance contained in erythrocyte

membrane.

Microbiologically--- any foreign substance that can react with immune

system to produce antibody.

Antigen formation starts during 2nd months of embryonic development.

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Antibody ----- Which are present in the blood plasma,, can agglutinate with

erythrocytes. These naturally occurring antibodies are mainly IgM

immunoglobulin. Alpha or anti-A antibody reacts with antigen –A & beta

antibody or anti –B antibody reacts with antigen –B . Human blood contain

one or both or none antibodies.

Agglutination ----- The clumping of red blood cells in the presence of an

antibody .The specific combination of two antigens & two antibodies

determines an individual’s type in most of the cases. The below shows the

possible antigen and antibody presence in the each of the following blood

group.

ABO ABO antigens ( A/B ABO antibodies


types antigen)presence on the RBC ( Anti-A / anti-B
surface antibody) present in
the plasma
A A-antigen Anti –B Antibody
B B- antigen Anti –A antibody
AB Both A& B antigen No antibodies
O No antigens Both A & B
antibodies
Table 1 Possible antigens and antibodies.

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Figure 1 Antibodies and Antigens.

Human blood never ever contains antigen & antibody of the same type.
For example ----- people with type A blood group will have the A antigen
on the surface of their red cells. As a result, anti - A Antibodies will not be
produced by them because they would cause the destruction of their own
blood.
If B type is injected in to their system, anti B antibody in the plasma of the
A blood group will react with the antigen B and agglutinate the introduced
red blood cells. These agglutinated RBCs block small vessels and
capillaries. These could be occur during incompatible blood transfusion &
the result are , a severe acute immunological reaction , hemolysis( RBC
destruction ) , renal failure and shock are likely to occur and death is a
possibility.
Universal donor ----- A person with type O blood is said to be a universal
donor for transfusion, because they don’t produce ABO antigen but they can
receive only type O blood themselves.

In ABO blood group antigen present on RBC and antibody present on in the
plasma .

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Universal donor is that, this applies to packed RBCs and not to whole blood
products. Because type O carries anti –A antibodies & anti-B antibodies in
the plasma. To transfuse a type A, B or AB with whole blood will produce
hemolytic reaction due to the antibodies, found in the plasma of the whole
blood.

Universal receiver ------- A person with type AB blood is said to be a

universal receiver for transfusion . because they do not make any ABO

antibodies, but their blood will be agglutinated when given to people with

every other type because they produce both kinds of antigens .

Rhesus factor ----- Many people also have Rh factor on the RBC’s

surface . This Rh factor is also an antigen & those who have it are called Rh

positive. Those who haven’t are called Rh negative . This Rh antigens are

one type of protein , they appear to be used for the transport of CO2 and./or

ammonia across the plasma membrane . A person with Rh- blood does not

have Rh antibodies naturally in the blood plasma . But a person with Rh-

blood can develop Rh antibodies in the blood plasma if he or she receives

blood from a person with Rh+ blood, whose Rh antigens can trigger the

production of Rh antibodies. A person with Rh+ blood can receive blood

from a person with Rh- blood without any problems.

Rhesus conflicts:

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1) transfusion of Rh+ to Rh- person, for 1st time no reaction occurs

but Rh- person will develop anti-Rh which can cause agglutination. if he

receive another Rh+ blood transfusion, will lead to post-transfusional shock

due to agglutination.

2) Rh- mother with Rh+ fetus.During pregnancy,in normal condition blood o

f mother n fetus wont mix because there is a placental barrier between

mother n fetus. but this barrier may increase in permeability during certain

conditions (stress, heavy work, running, etc). blood mix can also happen

during delivery or miscarriage due to tearing of placenta. this mix wil cause

the mother will produce anti-D Rh antibody but the baby will be in normal

condition. on her 2nd pregnancy with Rh+ fetus, anti

Rh antibody from mother may pass through placenta

& agglutinate & hemolyse fetal blood. the baby will born with hemolytic

disease of newborns (HDN) or erythroblastosis fetalis.

Prevention: Inject anti-D serum(Rh immune globulin) at 28 to 32 weeks

of pregnancy in which the mother is Rh- & father Rh+. this anti-D serum

binds fetal erythrocyte antigen so they cant stimulate mother’s immune

system

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