<< Chapter < Page Chapter >> Page >
By the end of this section, you will be able to:
  • Describe the two basic physiological consequences of transfusion of incompatible blood
  • Compare and contrast ABO and Rh blood groups
  • Identify which blood groups may be safely transfused into patients with different ABO types
  • Discuss the pathophysiology of hemolytic disease of the newborn

Blood transfusions in humans were risky procedures until the discovery of the major human blood groups by Karl Landsteiner, an Austrian biologist and physician, in 1900. Until that point, physicians did not understand that death sometimes followed blood transfusions, when the type of donor blood infused into the patient was incompatible with the patient’s own blood. Blood groups are determined by the presence or absence of specific marker molecules on the plasma membranes of erythrocytes. With their discovery, it became possible for the first time to match patient-donor blood types and prevent transfusion reactions and deaths.

Antigens, antibodies, and transfusion reactions

Antigens are substances that the body does not recognize as belonging to the “self” and that therefore trigger a defensive response from the leukocytes of the immune system. (Seek more content for additional information on immunity.) Here, we will focus on the role of immunity in blood transfusion reactions. With RBCs in particular, you may see the antigens referred to as isoantigens or agglutinogens (surface antigens) and the antibodies referred to as isoantibodies or agglutinins. In this chapter, we will use the more common terms antigens and antibodies.

Antigens are generally large proteins, but may include other classes of organic molecules, including carbohydrates, lipids, and nucleic acids. Following an infusion of incompatible blood, erythrocytes with foreign antigens appear in the bloodstream and trigger an immune response. Proteins called antibodies (immunoglobulins), which are produced by certain B lymphocytes called plasma cells, attach to the antigens on the plasma membranes of the infused erythrocytes and cause them to adhere to one another.

  • Because the arms of the Y-shaped antibodies attach randomly to more than one nonself erythrocyte surface, they form clumps of erythrocytes. This process is called agglutination    .
  • The clumps of erythrocytes block small blood vessels throughout the body, depriving tissues of oxygen and nutrients.
  • As the erythrocyte clumps are degraded, in a process called hemolysis    , their hemoglobin is released into the bloodstream. This hemoglobin travels to the kidneys, which are responsible for filtration of the blood. However, the load of hemoglobin released can easily overwhelm the kidney’s capacity to clear it, and the patient can quickly develop kidney failure.

More than 50 antigens have been identified on erythrocyte membranes, but the most significant in terms of their potential harm to patients are classified in two groups: the ABO blood group and the Rh blood group.

The abo blood group

Although the ABO blood group    name consists of three letters, ABO blood typing designates the presence or absence of just two antigens, A and B. Both are glycoproteins. People whose erythrocytes have A antigens on their erythrocyte membrane surfaces are designated blood type A, and those whose erythrocytes have B antigens are blood type B. People can also have both A and B antigens on their erythrocytes, in which case they are blood type AB. People with neither A nor B antigens are designated blood type O. ABO blood types are genetically determined.

Questions & Answers

explain respiratory centers
Tharshana Reply
which enzyme help in excretion of bile
Sakshi Reply
how conversion of Beta-carotiene into vitamin-A takes place
Sakshi
best reference books for anatomy pls suggest that
Sakshi
what is gross anatomy
Saroj Reply
The study of large structure of the body
Mablean
what is scrotum
Dakshit Reply
a bag of skin near the penis which contains the testicles
Mablean
hi
Sardar
its me Sardar from kpk pakistan
Sardar
Why are you on my digits
Mablean
hi
Kryme
how does it work?
Uriah Reply
I want to know the fertilization process in human
Nana Reply
Which plane divides the body into right and left parts
Kaeze
sagittal plane
Irvin
Thank you
Kaeze
Homestatic regulations usually involves a (n) _ that detects a particular stimulus, and a(n) _that respond to the stimulus by communicating with a (n) _whose activity has an effect on the same stimulus.
Kaeze
A cell is producing proteins to be transported out of that cell. They will be processed on ribosomes that are
Kaeze
what are diseases in the bood
Azoyenime Reply
Haemophilia
Aliyu
right hypochondriac rision how meain word
Ganesh Reply
Diabetes insipidus or diabetes mellitus would most likely be indicated by ________.
Ganesh
oral cavity how miean
Ganesh Reply
oral cavity how mean what
Suresh
seems to me every one is here a doctor and worse part is that even they donot know what to ask.
Muhammad
they know what to ask the problem is how to ask it.too much broken english.
George
dear George ongeche I think if they ask these kind questions and telling themselves as HCPs or medical student's .these are the basic ones go ask something more interesting .
Muhammad
what is blood red
Ahmad Reply
what is human anatomy?
Arpita Reply
tell me what is human anatomy?
Arpita
what is Openstax?
Arpita
arpita jana I think it's not the forum to ask such basic question...
Muhammad
study of structure of an object in this case human body.
Suresh
what are deferent between trasemicacid and vitamin k
Ubah Reply
This medication is used to treat heavy bleeding during your menstrual period. Tranexamic acid works by slowing the breakdown of blood clots, which helps to prevent prolonged bleeding. It belongs to a class of drugs known as antifibrinolytics
Muhammad
jj
John
In the body, vitamin K plays a major role in blood clotting. So it is used to reverse the effects of “blood thinning” medications when too much is given; to prevent clotting problems in newborns who don’t have enough vitamin K; and to treat bleeding caused by medications including salicylates, sulfo
Muhammad
Vitamin K plays a key role in helping the blood clot, preventing excessive bleeding. Unlike many other vitamins, vitamin K is not typically used as a dietary supplement. Vitamin K is actually a group of compounds. The most important of these compounds appears to be vitamin K1 and vitamin K2. Vitami
Muhammad
how much tha total vertebrea bone
Muhammad
26 vertebrea bone
Bhumi
wathe is blood function
dhena Reply
Blood, fluid that transports oxygen and nutrients to the cells and carries away carbon dioxide and other waste products. ... It is a tissue because it is a collection of similar specialized cells that serve particular functions. These cells are suspended in a liquid matrix (plasma), which makes the 
Ashiish
how tissue carries waste matrial
Nadeem
how many bone in human body?
Islam Reply
what is endocrin? plese help many people.
Islam
206
Nadeem
heart layers
Suresh
endoceime is the inner layer of heart
pandit
What is buffer?
Peer Reply
a buffer is a solution that resists a chemical change.
George
Yup it also balances the solutions
Peer

Get the best Anatomy & Physiology course in your pocket!





Source:  OpenStax, Anatomy & Physiology. OpenStax CNX. Feb 04, 2016 Download for free at http://legacy.cnx.org/content/col11496/1.8
Google Play and the Google Play logo are trademarks of Google Inc.

Notification Switch

Would you like to follow the 'Anatomy & Physiology' conversation and receive update notifications?

Ask