ABO Blood Group Antigens Overview
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Questions and Answers

What can occur to a person's ABO phenotype during a necrotizing infection?

  • They may acquire the B antigen. (correct)
  • They may produce more anti-A antibodies.
  • They may lose the B antigen.
  • They may acquire the A antigen.
  • Which statement about blood group antigens is true?

  • ABO antigens are solely expressed on red blood cells.
  • Secretors have no soluble form of the ABO antigens.
  • ABO antigens are present on most epithelial and endothelial cells. (correct)
  • Non-secretors express soluble A and B antigens in saliva.
  • How can some individuals lose ABO blood group antigens?

  • By receiving incompatible blood transfusions.
  • Through genetic mutations.
  • By engaging in physical exercise.
  • Due to increased demand for red blood cells. (correct)
  • What is a characteristic of non-secretors regarding ABO blood group antigens?

    <p>They are homozygous for null alleles.</p> Signup and view all the answers

    What is the significance of A and B antigens in the context of diseases?

    <p>They serve as tumor markers for certain hematological cancers.</p> Signup and view all the answers

    Which illness is associated with weakened expression of ABO blood group antigens?

    <p>Thalassemia</p> Signup and view all the answers

    Which of the following statements about individuals without A and B antigens is true?

    <p>Their health is not negatively affected by lack of these antigens.</p> Signup and view all the answers

    What can cause a modification of ABO blood group antigens in patients?

    <p>Hematological cancers altering sugar chains.</p> Signup and view all the answers

    What characterizes 'secretors' in relation to ABO blood group antigens?

    <p>They produce a soluble form of ABO antigens found in saliva.</p> Signup and view all the answers

    How do hematological cancers influence the expression of ABO blood group antigens?

    <p>They can modify the sugar chains that carry the antigen.</p> Signup and view all the answers

    What factors can lead to the acquisition of the B antigen during an illness?

    <p>Infection by bacteria that release enzymes converting A antigens.</p> Signup and view all the answers

    What is a common characteristic of individuals who lack A and B antigens?

    <p>They do not show any known health issues.</p> Signup and view all the answers

    Which statement regarding the presence of ABO blood group antigens is true?

    <p>Most epithelial and endothelial cells express ABO blood group antigens.</p> Signup and view all the answers

    Which condition is least likely to alter a person's ABO blood group phenotype?

    <p>A hereditary trait associated with null alleles.</p> Signup and view all the answers

    In what situation should a patient who recently acquired the B antigen avoid blood products containing this antigen?

    <p>During active treatment for a necrotizing infection.</p> Signup and view all the answers

    Which of the following best explains the non-secretor status?

    <p>They are homozygous for null alleles at the ABO locus.</p> Signup and view all the answers

    What role do ABO blood group antigens play in terms of disease susceptibility?

    <p>Phenotype may influence susceptibility to certain diseases.</p> Signup and view all the answers

    Study Notes

    ABO Blood Group Antigens

    • Expressed on a wide variety of human tissues, including epithelial and endothelial cells, not just red blood cells (RBCs)
    • Each RBC has ~2 million ABO antigens
    • Other blood cells (T cells, B cells, platelets) may acquire ABO antigens from plasma
    • Secretors have soluble ABO antigens in bodily fluids (except CSF)
    • ABO antigens are also present on most epithelial and endothelial cells
    • Individuals who are "secretors" have soluble forms of ABO antigens in bodily fluids such as saliva, with exceptions like cerebrospinal fluid (CSF).

    Antigen Synthesis

    • Related to Hh and Lewis antigens
    • Synthesis mechanisms not explicitly detailed in provided text

    ABO Phenotype Alterations

    • Acquired B antigen: Necrotizing infections can cause conversion of A1 antigen to a B-like antigen. During this period patients should not receive blood products containing B antigens due to potential anti-B antibodies. Blood group returns to normal after infection treatment.
    • Lost ABO antigens: Diseases increasing RBC demand (e.g., thalassemia) can weaken ABO expression. Hematological cancers can alter sugar chains bearing the antigens. ABO antigens can be used as tumor markers for certain cancers (acute leukemia, myeloproliferative disorders, and myelodysplasia).

    Function of A and B Antigens

    • Unknown; individuals lacking A and B antigens are healthy.

    Diseases and ABO Antigens

    • No known diseases from lack of ABO antigen expression
    • Susceptibility to certain diseases is linked to ABO phenotype.

    Non-Secretors

    • Homozygous for null alleles (se/se) at the ABO locus.
    • Unable to produce soluble H antigens.
    • Therefore, cannot produce A and B antigens as well.

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    Description

    Explore the fascinating world of ABO blood group antigens and their expression on various human tissues. This quiz delves into how antigens are synthesized, alterations in ABO phenotypes, and the implications for blood transfusions and disease markers. Test your understanding of this crucial aspect of immunology.

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