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Learn how antigens on erythrocytes trigger immune responses, how blood groups are defined by antigens, and the significance of Rh factors in transfusions and pregnancies.
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Circulatory System Blood Groups
Immune Response • Antigens on the surface of erythrocytes allow our body to recognize our own cells • Erythrocytes have up to 30 different antigens on them!
Immune Response cont’d • Antigens stimulate your body to form antibodies • An antibody (Ab), also known as an immunoglobulin (Ig), is a large Y-shaped protein produced
Immune Response cont’d • When our body recognizes a foreign antigen, it releases antibodies • Antibodies attach to the foreign cell, and causes • Aglunation • the cells to clump together • Or ‘disables’ the cell until a leukocyte can come eat it.
Immune Response cont’d • A blood transfusion only works if our body thinks the blood is our own. • If it recognizes foreign antigens, it will attack! • This would cause our blood to coagulate (clump)
Blood Groups - Type • Blood Type is caused by antigens A and B • A antigens = Type A • B antigens = Type B • A & B antigens = Type AB • No antigens = Type O
Blood Groups – Type cont’d • Antibodies • Type A blood has • B antibodies • Type B blood has • A antibodies • Type AB has • NO antibodies • Type O • Has A and B antibodies
Blood Groups- Rh Factor • Rhesus Factor • Named for the rhesus monkey in which it was discovered • Based on the ability to MAKE an antigen! • The antigen is not automatically present • Rh positive (Rh+) • can make the Rh antigen • Rh negative (Rh-) • cannot make the antigen
Blood Groups and Transfusions • Blood transfusions must match compatible ABO blood groups and the Rh Factors • O – negative • The Universal Donor • Naked blood, has no antigens! • Does not trigger an immune response from any blood type • O-neg does recognize all other types as foreign though… so can only receive O-neg!
Sharing Blood- Pregnancy • Concerning for women when they are pregnant • Hemolytic disease of the newborn (HDN) • results from Rh incompatibility between an Rh- mother and Rh+ fetus.
Sharing Blood- Pregnancy • In the first pregnancy, some Rh+ blood from the fetus enters the mother's system during birth, causing her to produce Rh antibodies. • The first child is usually not affected • But the antibodies remain in the mother system, causing reactions of the maternal immune system in future pregnancies.
Sharing Blood- Pregnancy • Rh- mothers are given an Rh antigen during the first pregnancy with an Rh+ fetus and all subsequent Rh+ fetuses.
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