Blood Grouping
Blood Grouping
Blood Grouping
Blood typing
The blood groups refer to the presence on
human red blood cells of certain antigens,
the blood group factors. One very important
group of factors present on the red blood cells is
the ABO system. The ABO group of a person
depends on whether his/her red blood cells
contain one, both, or neither of the 2 blood
group antigens A and B. There are, therefore, 4
main ABO groups: A, B, AB and O.
Antibodies (agglutinins) for the antigens A and
B exist in the plasma and these are termed antiA and anti-B. The corresponding antigen and
antibody are never found in the same individual
since, when mixed, they form antigen-antibody
complexes, effectively agglutinating the blood.
Examine the slides below and determine the blood type of the subject in each case. Click below to
check your answer.
The Rh System
Rh antigens, named for the rhesus monkey in which they were first discovered, are also surface
antigens expressed on red blood cells. There are a few Rh antigens (common one is called D). Red
cells expressing the Rh antigens are called Rh positive. Red cells which do not express this surface
antigen are Rh negative (about 15% of the human population is Rh negative).
Rh system becomes important when one considers the eventuality of Rh incompatibility between
mother and fetus; in such a case, the antibody-mediated cytotoxicity mechanism involved threatens
the well-being of the fetus.
During birth, a leakage of the baby's red blood cells often occurs into the mother's circulation. If the
baby is Rh positive (inheriting the trait from its father) and the mother is Rh negative, these red cells
will cause the mother to manufacture antibodies against the Rh antigen. The antibodies (IgG class)
do not cause problems for that first born, but can cross the placenta and attack the red cells of a
subsequent Rh+ fetus. The red cells are destroyed, leading to anemia and jaundice. The disease erythroblastosis fetalis or hemolytic disease of the newborn- may result in fetal death.