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Hemagglutination

Agglutination of red blood cells is called hemagglutination . One common assay that uses hemagglutination is the direct Coombs’ test , also called the direct antihuman globulin test (DAT) , which generally looks for nonagglutinating antibodies. The test can also detect complement attached to red blood cells.

The Coombs’ test is often employed when a newborn has jaundice , yellowing of the skin caused by high blood concentrations of bilirubin, a product of the breakdown of hemoglobin in the blood. The Coombs’ test is used to determine whether the child’s red blood cells have been bound by the mother’s antibodies. These antibodies would activate complement, leading to red blood cell lysis and the subsequent jaundice. Other conditions that can cause positive direct Coombs’ tests include hemolytic transfusion reactions , autoimmune hemolytic anemia , infectious mononucleosis (caused by Epstein-Barr virus ), syphilis , and Mycoplasma pneumonia . A positive direct Coombs’ test may also be seen in some cancers and as an allergic reaction to some drugs (e.g., penicillin).

The antibodies bound to red blood cells in these conditions are most often IgG , and because of the orientation of the antigen-binding sites on IgG and the comparatively large size of a red blood cell, it is unlikely that any visible agglutination will occur. However, the presence of IgG bound to red blood cells can be detected by adding Coombs’ reagent , an antiserum containing antihuman IgG antibodies (that may be combined with anti-complement) ( [link] ). The Coombs’ reagent links the IgG attached to neighboring red blood cells and thus promotes agglutination.

There is also an indirect Coombs’ test known as the indirect antiglobulin test (IAT) . This screens an individual for antibodies against red blood cell antigens (other than the A and B antigens) that are unbound in a patient’s serum ( [link] ). IAT can be used to screen pregnant women for antibodies that may cause hemolytic disease of the newborn . It can also be used prior to giving blood transfusions. More detail on how the IAT is performed is discussed below.

A) Diagram of direct Coomb’s test. 1.  Blood sample from a patient with hemolytic anemia with antibodies attached to red blood cells. 2. Antibodies coat the patient’s red blood cells. 3. A few drops of Coomb’s reagent (containing anti-human antibodies) is mixed in with the patient’s blood sample. 4. Agglutination reaction (clumping) is visible after cross-linkage of antibodies. B) Diagram of indirect Coomb’s test. 1. Patient's serum containing antibodies is drawn. 2. Donor blood is added. 3. Patient's antibodies bind to donor's red blood cells. 4. A few drops of Coombs’ reagent are mixed with the sample. 5. Agglutination reaction is observed.
The steps in direct and indirect Coombs’ tests are shown in the illustration.

Antibodies that bind to red blood cells are not the only cause of hemagglutination. Some viruses also bind to red blood cells, and this binding can cause agglutination when the viruses cross-link the red blood cells. For example, influenza viruses have two different types of viral spikes called neuraminidase (N) and hemagglutinin (H), the latter named for its ability to agglutinate red blood cells (see Viruses ). Thus, we can use red blood cells to detect the presence of influenza virus by direct hemagglutination assays (HA), in which the virus causes visible agglutination of red blood cells. The mumps and rubella viruses can also be detected using HA.

Questions & Answers

what are eukaryotes
Kakande Reply
eukaryotes simply refers to a cell who does not have a definite nucleus.
Franca
Eukaryotic cell has a true nucleus
arfa
what is right answer ?
krishna
I can remember now truly that eukaryotes have true nucleus.I was referring to procaryotes.
Franca
Eukaryotes have got true nuclues
Ede
they have a nucleus, larger than prokaryotes
Alanna
The eukaryotes cell are found in advance organisms.
Franca
Eukaryotes are multicellular organism which has a membrane bounded structure mostly found in animals and some plant cells
KINGSFORD
bacteria growth curve
sani Reply
No bacteria's don't grow curvey. Curve is a shape for a bacteria not growth
KINGSFORD
What is the difference between eukaryotes and prokaryotes?
KINGSFORD Reply
What's a multicellular organism?
KINGSFORD
multicellular organisms is an organism composed of many cells which are to varying degree integrated and independent.
Ruth
Boiling of milk to kill germs is called?
Kasigwa
pasteurization
Aiyedun
pasteurization
Katta
kadha
Katta
pasteurization
Gomathi
what is microscopic
monish
Pasteurization
Hosy
what are Flora
Hosy
you mean like the normal flora?
Tenucharity
pasteurization has to do with killing of the harmful microbes present for safe consumption. Eg. pasteurized yoghurt beside the bacteria that are supposed to be present, there may be harmful ones that have been killed
Tenucharity
Can someone explain flora
KINGSFORD
what is cell?
Anita Reply
the cell is the functional and structural unit of the body
Ruth
yes ur right
Kasigwa
who add me
Wali
hy
Katta
hy
Shivangi
basic structural, functional, and biological unit of all known living organisms. A cell is the smallest unit of life.
Haru
hi
Ruth
hi
Haru
coming Oct 2 I have a exam on microbiology
Haru
okay all the best
Ruth
hi
sachin
hi
Ruth
plz bro send question of microbiology
umesh
structural and functional unit of the life
monish
this is not the correct answer
Alanna Reply
why
Hayat
why not
Zaajid
what is the correct answer?
vannessa
where is question
Zaajid
ask you question
Zaajid
What are mitochondria
Hayat
what is mitochondria
Hayat
who is the father of microbiology
T-
not
Hayat
Antonie Van Luweenhoek
Ravikumar
Mitochondria is the powerhouse of the Cell. And is the cell organelle which helps cell in generation of energy by Cellular Respiration
Ravikumar
Mitochondria are threadlike structuresbounded by double membrane,and serves as the power house of the cell
Felicity
can I get notes on introduction to microbiology just started I have no idea please
rita
Mitochondria is a membrane bounded structure, it's sausage in shape and has inner and outer membrane. The inner membrane is folded at the surface called cristae which project to form matrix. They function as the power house for the cell.
KINGSFORD
Rita are you a medilab student?
KINGSFORD
the father of microbiology is Luis pasture
Able
Erythromycin--------(+++) Cefuroxine ------------(++++) Chloramphenicol --(++) Vancomycin ---------(++++) please what does the above result means. under urine culture and sensitivity?
Kwame
francesco redi was the first to challenge spontaneous generation not pasteur
Alanna
Rita are you a medilab student? no please am a public health student
rita
kwame Evans this result ll mean that the bacterial in the urine can be remedy / killed by this antibacterial (cefuroxime and the rest are antibiotics
rita
Rita Appiah thanks.
Kwame
contact backstage
Emmanuel
what is a vacual
Star Reply
What is microbiology
Nji Reply
it is the study of microscopic organisms and basically their relation to the environment
Tenucharity
what is elements
Erneet Reply
an Element is a substance that can not be further decomposed by ordinary chemical means.
vannessa
can i get notes of biochemistry
Sneha Reply
yep why not
Abdullah
what is microbiology?
Gayanjali Reply
what is malaria
Gayanjali
bios- life/living things micro- small things that cannot be seen with the naked eye In other words the study of living things that cannot be seen with the naked eye but with the help of a microscope
Coltuneac
logos- science
Coltuneac
it is 10 to the power minus 6 biology which studies life forms on those scales including metabolism , physiology, nutrition requirements
barun
what are prokarytes
NDIMUKIKA Reply
A prokaryotic is a unicellular organanism that lacks a membrane bound nucleus ,mitochondria or other any membrane bound organelle. .......
Maryam
in prokaryotic nucleus is not developed and cell organelles are absent
Harshad
how is one who is feeling blockage in the chest with mucus be diagnosed
Essy Reply
be talking sepitol every morning
Ikenna
is that all?
Ven.phumie
What is prions
Sangeeta Reply
Prions are microscopic organism which have no nucleic acid, no nuclear bounded membrane and affect the brain of animals like sheep's and human such a CJD and Kuru
KINGSFORD
is tuberculosis a viral infection?
hildar Reply
No. It is a Bacterial Infection.
Orooj
what are zn staining
Evelyn Reply
full meaning zeil neelson staining
kezia
By using zn stain we diagnose / examine acid fast bacilli .
Deepak

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Source:  OpenStax, Microbiology. OpenStax CNX. Nov 01, 2016 Download for free at http://cnx.org/content/col12087/1.4
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