Blood Grouping

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The McGill Physiology Virtual Lab

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Blood Laboratory

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.

Testing for ABO Group - Procedure

One end of a slide is labelled Anti-A, and the


other Anti-B. A drop of Anti-A test serum is added
to the end marked Anti-A, and a drop of Anti-B
serum is added to the end marked Anti-B.

One drop of blood is added to each end of the


slide, and mixed well, using separate wooden
sticks.

The results are read directly from the slide. The


subject is blood group A if agglutination occurred
with the Anti-A test serum; group B if
agglutination occurred with the Anti-B test serum;
group AB if agglutination occurred with both test
serums, and O if there was no agglutination in
either case. In the sample to the right, we
conclude the subject has type A blood.

Examine the slides below and determine the blood type of the subject in each case. Click below to
check your answer.

What is the answer?


When transfusing blood, it is important to remember that the donor's blood must not contain red blood
cells that the recipient's antibodies can agglutinate. Theoretically, then, individuals belonging to blood
group O are universal donors, while those of blood group AB are universal recipients.

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.

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