Blood is a fluid connective tissue which plays is a crucial component of the circulatory system. In a healthy person, approximately 5 liters (12 pints) of blood circulates. Blood consists of erythrocytes, leukocytes, platelets suspended in plasma along with the millions of different molecules with its specified functions. Even though the fundamental and formed elements are same for all blood types, it differs from person to person. There are more than 40 blood groups but all of them are not clinically significant. The discovery of the ABO blood group created great excitement as until then all blood had been assumed to be the same.
Blood group system
Karl Landsteiner, an Austrian scientist discovered the ABO blood group system in the year 1900. In his experiments, he mixed different blood types and noted that the plasma from certain blood type produced agglutinate or formed clusters which were caused by the absence of molecules on red blood cells and resulting in antibodies to defeat against that molecule. He then made a note of the agglutination and divided the blood types into 4 different groups- ABO blood group for which he was awarded the Nobel Prize.
The blood grouping system plays a very important role during the blood transfusion.If another blood type is introduced into our body, our immune system recognizes it as foreign and attacks it, resulting in a transfusion reaction. Mismatches with the ABO and Rh blood types result in most serious and life-threatening transfusion reactions. Hence it is advisable to have a blood group checked before the blood transfusion.
What are ABO and Rh blood groups?
During the blood transfusion, the two most important group systems examined are the ABO-system and the Rhesus system.
The ABO blood group system consists of 4 types of blood group – A, B, AB, and O and is mainly based on the antigens and antibodies on red blood cells and in the plasma. Both antigens and antibodies are protein molecules in which antigens are present on the surface of Red Blood Cells and antibodies are present in the plasma which is involved in defending mechanisms.
ABO blood group system
The basis of ABO grouping is of two antigens- Antigen A and Antigen B. The ABO grouping system is classified into four types based on the presence or absence of antigens on red blood cells surface and plasma antibodies.
- Group A – contains antigen A and antibody B.
- Group B –contains antigen B and antibody A.
- Group AB –contains both A and B antigen and no antibodies (neither A nor B).
- Group O – contains neither A nor B antigen and both antibodies A and B.
The ABO group system is important during blood donation or blood transfusion as mismatching of blood group can lead to clumping of red blood cells with various disorders. Donor-recipient compatibility is necessary. For example, a person of blood group A can receive blood either from group A or O as there are no antibodies for A and O in blood group A.
As shown in the above table, individuals of blood group O are called as universal donors, whereas individuals of blood group AB are universal recipients.
Rh blood group system
In addition to the ABO blood grouping system, the other prominent one is the Rh blood group system. About two-thirds of population contains the third antigen on the surface of their red blood cells known as Rh factor or Rh antigen and this decides whether the blood group is positive or negative. If Rh factor is present, an individual is Rh+ve; if a Rh factor is absent individual is Rh-ve as they produce Rh antibodies. Therefore, compatibility between donor and individual is crucial in this case as well.
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