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Name: ________________________________ Date: __________________ Textbook: pages 85-86 There are more than 20 genetically determined blood group systems known today, but the ABO and Rh systems are the most important ones used for blood transfusions. The ABO blood group was discovered in 1900-01 at the University of Vienna by an Austrian named Karl Landsteiner. He wanted to know why some people benefited greatly from receiving a blood transfusion from someone else, while others seemed to die from it… How the human body’s immune system works: Antigens: a molecule on a cell surface that elicits an immune response (white blood cells attacking the perceived foreign cell containing the antigen). The antigen of interest found on blood cells is two carbohydrates (A and B) that may be found on blood cell surfaces. Antibody: a protein your white blood cells produce to attach to antigens and attempt to counter their effect. You may have antibodies in you that are seeking out antigen A or B. If successful, the antibodies can cause blood clumping (agglutination). The agglutinated red cells can clog blood vessels and stop the circulation of the blood to various parts of the body. They also crack and its contents leak out in the body. The red blood cells contain hemoglobin, which becomes toxic when outside the cell. This can have fatal consequences for the patient. Rh blood types were discovered in 1940 by Karl Landsteiner and Alexander Wiener. The Rh system was named after rhesus monkeys, since they were initially used in the research to make the antiserum for typing blood samples. If the antiserum agglutinates your red cells, you are Rh+. If it doesn' t, you are Rh-. People are either Rh- or Rh+. Those who are Rh+ have an Rh antigen present on the red blood cell surface. Rh- do not automatically have an Rh+ antibody, but they will develop if any Rh+ blood is introduced. Rh+ blood patients will not have any antibodies (can’t have an antibody against something that’s not there: Rh- only means no Rh+ antigen) Clinically, the Rh factor, like ABO factors, can lead to serious medical complications. The greatest problem with the Rh group is not so much incompatibilities following transfusions (though they can occur) as those between a mother and her developing fetus. Mother-fetus incompatibility occurs when the mother is Rh- (dd) and the father is Rh+ (DD or Dd). Maternal antibodies can cross the placenta and destroy fetal red blood cells (Hemolitic anemia, or Rh Disease). The risk increases with each pregnancy. Europeans are the most likely to have this problem--13% of their newborn babies are at risk. Actually only about ½ of these babies (6% of all European births) have complications. With preventive treatment, this number can be cut down even further. Less than 1% of those treated have trouble. However, Rh blood type incompatibility is still the leading cause of potentially fatal blood related problems of the newborn. In the United States, 1 out of 1000 babies are born with this condition.