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If the blood is incompatible, the antibodies in the recipient's plasma will bind to antigens on the donor red blood cells. This antibody-antigen reaction can be detected through visible clumping or destruction of the red blood cells, or by reaction with anti-human globulin, after centrifugation. [7]: 600–3
The term human blood group systems is defined by the International Society of Blood Transfusion (ISBT) as systems in the human species where cell-surface antigens—in particular, those on blood cells—are "controlled at a single gene locus or by two or more very closely linked homologous genes with little or no observable recombination between them", [1] and include the common ABO and Rh ...
The S antigen is relatively common (~55% of the population) and the s antigen is very common (~89% of the population). Anti-S and anti-s can cause hemolytic transfusion reactions and hemolytic disease of the newborn.The U antigen is a high incidence antigen, occurring in more than 99.9% of the population.
The Wright a antigen (Wr a), a very low frequency blood type, was also discovered in 1953. The Wright b antigen (Wr b), a very high frequency blood type, was discovered about a decade later, but the two types were not recognized as a pair for another 20 years. The Wright group was eventually identified as a single point mutation on the SLC4A1 gene.
An antibody elution removes bound antibody from the surface of a red blood cell to aid in the antibody identification process. An antibody elution is a clinical laboratory diagnostic procedure which removes sensitized antibodies from red blood cells, in order to determine the blood group system antigen the antibody targets. [1]
The Colton antigen system (Co) is present on the membranes of red blood cells and in the tubules of the kidney [1] and helps determine a person's blood type. The Co antigen is found on a protein called aquaporin-1 which is responsible for water homeostasis and urine concentration. [2] The Co antigen is important in transfusion medicine. 99.8% ...
The Vel blood group is a human blood group that has been implicated in hemolytic transfusion reactions. [1] The blood group consists of a single antigen, the high-frequency Vel antigen, which is expressed on the surface of red blood cells. Individuals are typed as Vel-positive or Vel-negative depending on the presence of this antigen.
The Scianna blood antigen system consists of seven antigens. [1] [2] These include two high frequency antigens Sc1 and Sc3, and two low frequency antigens Sc2 and Sc4. [1] The very rare null phenotype is characterised by the absence of Sc1, Sc2 and Sc3. [1] The antigens are caused by changes in the erythroid membrane associated protein . [3] [4]