BCH 471
ABO Blood
Grouping & Rh
Groups
Objectives
To determine the blood group according to the ABO .1 •
.system
To test for the availability of the Rh factor (D -2 •
antigen)
Blood Group Substances
• The differences in human blood are due to the presence or
absence of certain protein molecules called antigens and
antibodies.
• The antigens are located on the surface of the red blood
cells
• Antigens are also found in a wide variety of tissues and
biological fluids such as saliva, milk , seminal fluid, urine , and
gastric juice.
• The antibodies are in the blood plasma to attack foreign
antigens, resulting in clumping (agglutination)
ABO Blood Type System
The ABO blood type system is the major blood type- •
.classification system
The four blood types in the ABO system (A, B, AB, - •
and O) refer to different versions of
oligosaccharides which are present on the surface
.of RBCs
Importance of The ABO System
• Blood group antigens must be
determined to secure a safe practice of
blood transfusion.
• They are also useful in determining
familial relationships in forensic
medicine.
Genetics of Blood Types
• Your blood type is established
before you are born, by specific
GENES inherited from your
parents.
• You have two copies of this
gene, one inherited from
your MOTHER and the other
inherited from your FATHER.
Codominance
is a condition in which
the alleles of a gene pair in
a heterozygote are fully
expressed thereby
resulting in offspring with
a phenotype that is
neither dominant nor reces
Blood Types
• There are 3 alleles or genes for blood type: A, B, & O.
• Since we have 2 genes, there are 6 possible
combinations.
Rhesus Blood Group
• First studied in rhesus monkeys.
• Is the second most significant blood group system in
human transfusion.
• The D antigen (RhD) is the most important.
• If it is present on RBCs’ surface, the blood is RhD
positive (~80% of the population), if not it's RhD
negative.
• So, for example, some people in group A will have it, and
will therefore be classed as A+ (or A positive), while the
ones that don't, are A- (or A negative) and so it goes for
groups B, AB and O.
Rh Blood Group
Transfusion
• A person with Rh+ blood can receive blood from a person
with Rh- blood without any problems
• 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
Hemolytic Disease of The Newborn (HDN)
• Also called, Erythroblastosis Fetalis
• Mother is Blood type Rh-, Father and fetus are Rh+
• First pregnancy = sensitization at delivery due to
hemorrhage
• Second pregnancy = Mother produce anti-Rh IgG
antibodies that cross placenta to attack fetal RBCs
leading to hemolysis
Principle Of Test
Type B Anti B Agglutination Hemolysis
blood gp antibodies
Seen as the
picture
RESULTS