22.25: The ABO Blood Group
The ABO blood group system is a critical element of transfusion medicine, essential for determining blood compatibility in transfusions and organ transplants. It is based on specific antigens, or agglutinogens, present on the surface of red blood cells (RBCs) and corresponding antibodies, or agglutinins, in the blood plasma.
Antigens in the ABO Blood Group System
Antigens are substances that can trigger an immune response, leading to the production of antibodies. In the ABO blood group system, these antigens are protein molecules on the surface of RBCs, also known as agglutinogens, because of their ability to cause agglutination, or clumping, of cells when interacting with matching antibodies. The system involves two primary antigens, antigen A and antigen B, which are genetically determined and vary among individuals.
Defining Blood Groups Based on Antigens
The presence or absence of these antigens on the RBCs determines an individual's blood group in the ABO system:
Blood Group A: Characterized by the presence of A antigens on the RBCs and anti-B antibodies in the plasma.
Blood Group B: Individuals have B antigens on their RBCs and anti-A antibodies in the plasma.
Blood Group AB: Features both A and B antigens on the RBCs, but their plasma lacks anti-A or anti-B antibodies.
Blood Group O: Defined by the absence of A and B antigens on the RBCs and the presence of both anti-A and anti-B antibodies in the plasma.
Role of Antibodies in the ABO System
Antibodies in the blood plasma, corresponding to the antigens on the RBCs, play a crucial role in the immune response. They react against foreign antigens introduced via a blood transfusion or organ transplant. For example, a person with type A blood, containing anti-B antibodies, receiving type B blood, which has B antigens, would experience a severe reaction as the anti-B antibodies react with the B antigens.
In summary, the ABO blood group system is vital for determining blood compatibility, ensuring the safety of blood transfusions and organ transplants. Understanding this system is key to preventing severe complications and safeguarding health.
