Podcast
Questions and Answers
Which cellular process is most directly inhibited by a drug that prevents the expression of MHC II molecules in macrophages?
Which cellular process is most directly inhibited by a drug that prevents the expression of MHC II molecules in macrophages?
- Enzyme production for pathogen breakdown
- Antigen presentation to T lymphocytes (correct)
- Migration of macrophages to sites of inflammation
- Phagocytosis of pathogens
A researcher discovers a novel pathogen that primarily targets and disables dendritic cells. What immunological consequence would be most likely to occur as a result of this infection?
A researcher discovers a novel pathogen that primarily targets and disables dendritic cells. What immunological consequence would be most likely to occur as a result of this infection?
- Uncontrolled B lymphocyte proliferation and antibody production
- Compromised activation of T lymphocytes and adaptive immune responses (correct)
- Immediate and widespread apoptosis of macrophages
- Overstimulation of the innate immune system, leading to septic shock
A patient with a genetic defect lacks functional mucus-secreting cells. This condition would most directly impair which aspect of the immune system?
A patient with a genetic defect lacks functional mucus-secreting cells. This condition would most directly impair which aspect of the immune system?
- Activation of T lymphocytes
- Antigen presentation by macrophages
- The first line of defense against pathogens (correct)
- Monocyte differentiation into macrophages
If a disease specifically impairs the ability of monocytes to differentiate into macrophages, which immunological function would be most significantly affected?
If a disease specifically impairs the ability of monocytes to differentiate into macrophages, which immunological function would be most significantly affected?
How would the absence of T lymphocytes affect the function of B lymphocytes?
How would the absence of T lymphocytes affect the function of B lymphocytes?
How does the adaptive immune response differ from the innate immune response in terms of its reaction to repeated exposures to the same antigen?
How does the adaptive immune response differ from the innate immune response in terms of its reaction to repeated exposures to the same antigen?
Which aspect of the adaptive immune response allows it to differentiate between self and non-self antigens?
Which aspect of the adaptive immune response allows it to differentiate between self and non-self antigens?
In the context of the adaptive immune response, what is the primary role of B lymphocytes upon encountering a specific antigen?
In the context of the adaptive immune response, what is the primary role of B lymphocytes upon encountering a specific antigen?
How does the specificity of antibodies produced during the adaptive immune response contribute to its effectiveness?
How does the specificity of antibodies produced during the adaptive immune response contribute to its effectiveness?
What is the key distinction between humoral and cell-mediated immunity within the adaptive immune response?
What is the key distinction between humoral and cell-mediated immunity within the adaptive immune response?
Why is immunohematology primarily concerned with humoral immunity?
Why is immunohematology primarily concerned with humoral immunity?
What characteristic of the innate immune response distinguishes it from the adaptive immune response?
What characteristic of the innate immune response distinguishes it from the adaptive immune response?
How does the interaction between humoral and cell-mediated immunity contribute to overall immune function?
How does the interaction between humoral and cell-mediated immunity contribute to overall immune function?
In the context of immunohematology, what is the most critical distinction the immune system must make to prevent harmful reactions during transfusions?
In the context of immunohematology, what is the most critical distinction the immune system must make to prevent harmful reactions during transfusions?
Which of the following scenarios would MOST directly exemplify a failure in the immune system's ability to differentiate self from non-self, leading to complications in immunohematology?
Which of the following scenarios would MOST directly exemplify a failure in the immune system's ability to differentiate self from non-self, leading to complications in immunohematology?
If a patient exhibits an adverse reaction to a blood transfusion, characterized by the destruction of transfused cells, which immunological process is MOST likely responsible?
If a patient exhibits an adverse reaction to a blood transfusion, characterized by the destruction of transfused cells, which immunological process is MOST likely responsible?
How does the role of neutrophils in bacterial infections directly relate to the principles of immunohematology in transfusion medicine?
How does the role of neutrophils in bacterial infections directly relate to the principles of immunohematology in transfusion medicine?
Which aspect of myeloid progenitor cell differentiation is of GREATEST significance in immunohematology, considering the potential for transfusion reactions?
Which aspect of myeloid progenitor cell differentiation is of GREATEST significance in immunohematology, considering the potential for transfusion reactions?
In what way does an understanding of basic immunology MOST significantly contribute to safe practices in blood banking and transfusion medicine?
In what way does an understanding of basic immunology MOST significantly contribute to safe practices in blood banking and transfusion medicine?
How do mechanical barriers and secreted molecules work alongside cellular components to prevent infectious agents from causing complications during blood transfusions?
How do mechanical barriers and secreted molecules work alongside cellular components to prevent infectious agents from causing complications during blood transfusions?
Why is comprehending immune responses crucial for dealing with cellular element transfusions?
Why is comprehending immune responses crucial for dealing with cellular element transfusions?
In a scenario where both parents have the genotype AB, what is the probability that their offspring will have blood type O?
In a scenario where both parents have the genotype AB, what is the probability that their offspring will have blood type O?
Considering the complexity of HLA genes and their role in organ transplantation, which of the following statements is most accurate?
Considering the complexity of HLA genes and their role in organ transplantation, which of the following statements is most accurate?
If two individuals, one with genotype AA and the other with genotype BB, have offspring, what is the expected phenotypic ratio in their children?
If two individuals, one with genotype AA and the other with genotype BB, have offspring, what is the expected phenotypic ratio in their children?
What is the likelihood of a parent with blood type BO and a parent with blood type AB having a child with blood type B?
What is the likelihood of a parent with blood type BO and a parent with blood type AB having a child with blood type B?
In the context of codominance, how are two different dominant genes expressed in an individual's phenotype?
In the context of codominance, how are two different dominant genes expressed in an individual's phenotype?
Considering a scenario of blood type inheritance, if one parent has blood type AB and the other has blood type O, what blood types are impossible in their offspring?
Considering a scenario of blood type inheritance, if one parent has blood type AB and the other has blood type O, what blood types are impossible in their offspring?
In the context of dominant inheritance, what is the most likely outcome when a dominant gene is paired with a recessive gene?
In the context of dominant inheritance, what is the most likely outcome when a dominant gene is paired with a recessive gene?
With the understanding that 'double dose' of a dominant gene/allele results in increased expression, contrast this with co-dominance. Which is the most accurate statement?
With the understanding that 'double dose' of a dominant gene/allele results in increased expression, contrast this with co-dominance. Which is the most accurate statement?
In a paternity case, direct exclusion definitively disproves paternity, whereas indirect exclusion:
In a paternity case, direct exclusion definitively disproves paternity, whereas indirect exclusion:
Why is the Hardy-Weinberg equation limited in applicability to urban populations?
Why is the Hardy-Weinberg equation limited in applicability to urban populations?
How has the advent of DNA testing impacted the role of traditional blood typing in paternity testing?
How has the advent of DNA testing impacted the role of traditional blood typing in paternity testing?
What is the significance of the 'obligatory gene' in paternity testing?
What is the significance of the 'obligatory gene' in paternity testing?
In the context of indirect exclusion in paternity testing, what is a 'suppressor gene'?
In the context of indirect exclusion in paternity testing, what is a 'suppressor gene'?
What is a key distinction in the interpretation of results between direct and indirect exclusion in paternity testing?
What is a key distinction in the interpretation of results between direct and indirect exclusion in paternity testing?
Why is relying solely on the absence of the Jka antigen on a potential father considered indirect exclusion?
Why is relying solely on the absence of the Jka antigen on a potential father considered indirect exclusion?
In cases where a potential father does not express an expected 'obligatory gene', what additional information would be most useful to definitively exclude paternity?
In cases where a potential father does not express an expected 'obligatory gene', what additional information would be most useful to definitively exclude paternity?
Which characteristic of the constant region of an antibody is MOST critical in determining its functional role, such as complement activation or cell attachment?
Which characteristic of the constant region of an antibody is MOST critical in determining its functional role, such as complement activation or cell attachment?
If a patient's red blood cells strongly react with anti-Rh antibodies, posing a risk for a transfusion reaction, which type of molecule MOST likely caused the sensitization?
If a patient's red blood cells strongly react with anti-Rh antibodies, posing a risk for a transfusion reaction, which type of molecule MOST likely caused the sensitization?
In forensic testing, if a blood sample is suspected to have a mixed origin, which red cell antigen system would be MOST informative for distinguishing between different individuals' contributions?
In forensic testing, if a blood sample is suspected to have a mixed origin, which red cell antigen system would be MOST informative for distinguishing between different individuals' contributions?
A researcher aims to develop a highly specific diagnostic test to identify a rare blood group antigen. Which molecular property of antibodies should they PRIMARILY focus on manipulating to achieve the highest specificity?
A researcher aims to develop a highly specific diagnostic test to identify a rare blood group antigen. Which molecular property of antibodies should they PRIMARILY focus on manipulating to achieve the highest specificity?
Which of the following is the MOST accurate explanation for why intravenous administration is often favored over other routes when inducing an immune response with red cell antigens?
Which of the following is the MOST accurate explanation for why intravenous administration is often favored over other routes when inducing an immune response with red cell antigens?
A newborn presents with hemolytic disease due to maternal antibodies targeting fetal red blood cells. Which antibody isotype is MOST likely responsible for crossing the placenta and causing this condition?
A newborn presents with hemolytic disease due to maternal antibodies targeting fetal red blood cells. Which antibody isotype is MOST likely responsible for crossing the placenta and causing this condition?
In a patient with selective IgA deficiency, which compensatory mechanism is MOST likely to maintain immune protection at mucosal surfaces?
In a patient with selective IgA deficiency, which compensatory mechanism is MOST likely to maintain immune protection at mucosal surfaces?
Which scenario BEST illustrates how the hinge region of an antibody facilitates its function in response to complex antigens?
Which scenario BEST illustrates how the hinge region of an antibody facilitates its function in response to complex antigens?
A researcher discovers a novel red cell antigen expressed in a unique ethnic population. What approach would BEST determine the biochemical nature (glycolipid, glycoprotein, or protein) of this new antigen?
A researcher discovers a novel red cell antigen expressed in a unique ethnic population. What approach would BEST determine the biochemical nature (glycolipid, glycoprotein, or protein) of this new antigen?
During a blood transfusion, a patient experiences a severe hemolytic reaction due to incompatibility in a minor blood group system. Which aspect of the recipient’s immune system MOST directly mediates the rapid destruction of the transfused red blood cells?
During a blood transfusion, a patient experiences a severe hemolytic reaction due to incompatibility in a minor blood group system. Which aspect of the recipient’s immune system MOST directly mediates the rapid destruction of the transfused red blood cells?
A patient’s red blood cells are treated with enzymes that cleave sialic acid residues, resulting in altered reactivity with certain antibodies. Which blood group system is MOST likely affected by this treatment?
A patient’s red blood cells are treated with enzymes that cleave sialic acid residues, resulting in altered reactivity with certain antibodies. Which blood group system is MOST likely affected by this treatment?
A researcher is developing a novel therapeutic antibody that targets a specific receptor on malignant B cells. To enhance its efficacy in eliminating these cells, which modification to the antibody’s constant region would be MOST effective?
A researcher is developing a novel therapeutic antibody that targets a specific receptor on malignant B cells. To enhance its efficacy in eliminating these cells, which modification to the antibody’s constant region would be MOST effective?
A laboratory is investigating a series of transfusion reactions where standard compatibility testing showed no irregularities. What follow-up action would BEST identify potential rare or novel red cell antigen incompatibilities?
A laboratory is investigating a series of transfusion reactions where standard compatibility testing showed no irregularities. What follow-up action would BEST identify potential rare or novel red cell antigen incompatibilities?
A research team is studying the genetic basis of blood group antigen expression in a remote indigenous population. What genomic approach would MOST comprehensively identify novel variations influencing red cell antigen profiles?
A research team is studying the genetic basis of blood group antigen expression in a remote indigenous population. What genomic approach would MOST comprehensively identify novel variations influencing red cell antigen profiles?
A patient with a history of multiple transfusions develops an unexpected antibody against a high-frequency red cell antigen. Which strategy is MOST appropriate for managing future transfusion needs for this patient?
A patient with a history of multiple transfusions develops an unexpected antibody against a high-frequency red cell antigen. Which strategy is MOST appropriate for managing future transfusion needs for this patient?
How does the formation of antigen-antibody complexes primarily rely on weak interactions?
How does the formation of antigen-antibody complexes primarily rely on weak interactions?
What determines an antibody's ability to activate the classical complement pathway?
What determines an antibody's ability to activate the classical complement pathway?
Which of the following steps is directly mediated by the C1 complex in the classical complement pathway?
Which of the following steps is directly mediated by the C1 complex in the classical complement pathway?
What enzymatic activity does the C3 convertase complex (C4b2a) directly exhibit within the classical complement pathway?
What enzymatic activity does the C3 convertase complex (C4b2a) directly exhibit within the classical complement pathway?
Which event MOST directly follows the activation of C5 convertase in the classical complement pathway, leading towards cell lysis?
Which event MOST directly follows the activation of C5 convertase in the classical complement pathway, leading towards cell lysis?
What critical function does C6 serve in the formation of the membrane attack complex (MAC)?
What critical function does C6 serve in the formation of the membrane attack complex (MAC)?
How does the membrane attack complex (MAC) cause cell lysis?
How does the membrane attack complex (MAC) cause cell lysis?
What is the significance of achieving an equilibrium in concentrations of antigens and antibodies in immunohematological reactions?
What is the significance of achieving an equilibrium in concentrations of antigens and antibodies in immunohematological reactions?
In a scenario where an individual inherits a dominant gene for a specific blood group antigen but fails to express the antigen, which genetic mechanism is MOST likely responsible for this lack of expression?
In a scenario where an individual inherits a dominant gene for a specific blood group antigen but fails to express the antigen, which genetic mechanism is MOST likely responsible for this lack of expression?
Which of the following best describes the relationship between allelic genes within a blood group system?
Which of the following best describes the relationship between allelic genes within a blood group system?
How does the presence of a 'silent,' 'amorph,' or 'null' gene typically affect the expression of blood group antigens?
How does the presence of a 'silent,' 'amorph,' or 'null' gene typically affect the expression of blood group antigens?
If two individuals, both heterozygous for a dominant blood group gene but also carrying a suppressor gene, have offspring, what is the MOST likely outcome regarding the expression of that blood group antigen in their children?
If two individuals, both heterozygous for a dominant blood group gene but also carrying a suppressor gene, have offspring, what is the MOST likely outcome regarding the expression of that blood group antigen in their children?
In the context of polymorphic genes within blood group systems, what is the PRIMARY implication of having multiple alleles at a particular locus?
In the context of polymorphic genes within blood group systems, what is the PRIMARY implication of having multiple alleles at a particular locus?
Which scenario would MOST likely result in an individual with a blood type that appears to contradict Mendelian inheritance patterns based solely on the parents' blood types?
Which scenario would MOST likely result in an individual with a blood type that appears to contradict Mendelian inheritance patterns based solely on the parents' blood types?
How do amorphic genes directly impact the expression of blood group antigens in an individual's phenotype?
How do amorphic genes directly impact the expression of blood group antigens in an individual's phenotype?
An individual with the genotype AO, hh will phenotypically express which ABO blood group?
An individual with the genotype AO, hh will phenotypically express which ABO blood group?
Which scenario would MOST likely result in an individual with a seemingly 'O' blood type despite possessing A or B genes?
Which scenario would MOST likely result in an individual with a seemingly 'O' blood type despite possessing A or B genes?
A mother with blood type A and a father with blood type B have a child with blood type O. What are the MOST probable genotypes of the parents?
A mother with blood type A and a father with blood type B have a child with blood type O. What are the MOST probable genotypes of the parents?
In a population with a high frequency of the Bombay phenotype (hh), which genetic testing strategy would be MOST effective in accurately determining paternity in cases involving individuals phenotypically typed as blood group O?
In a population with a high frequency of the Bombay phenotype (hh), which genetic testing strategy would be MOST effective in accurately determining paternity in cases involving individuals phenotypically typed as blood group O?
An individual is found to have a rare genetic mutation that completely inactivates the FUT1 gene. How would this MOST directly affect their red blood cell antigen expression?
An individual is found to have a rare genetic mutation that completely inactivates the FUT1 gene. How would this MOST directly affect their red blood cell antigen expression?
A researcher discovers a new glycosyltransferase enzyme that modifies the H antigen, creating a novel red blood cell antigen. If this enzyme is controlled by a single dominant gene, what is the probability that an offspring will inherit this novel antigen if one parent is heterozygous for the gene and the other parent does not carry the gene?
A researcher discovers a new glycosyltransferase enzyme that modifies the H antigen, creating a novel red blood cell antigen. If this enzyme is controlled by a single dominant gene, what is the probability that an offspring will inherit this novel antigen if one parent is heterozygous for the gene and the other parent does not carry the gene?
A patient with the Bombay phenotype (hh) requires a blood transfusion. Which type of blood is MOST suitable for this patient?
A patient with the Bombay phenotype (hh) requires a blood transfusion. Which type of blood is MOST suitable for this patient?
In a scenario where a person who is a 'SeSe' secretor also inherits the 'H' gene, how would this influence their expression of ABO blood group antigens?
In a scenario where a person who is a 'SeSe' secretor also inherits the 'H' gene, how would this influence their expression of ABO blood group antigens?
A researcher is studying the genetic inheritance patterns of a rare blood group antigen in a family. They observe that the antigen is present in every generation, and affected individuals always have at least one affected parent. This pattern is MOST consistent with which mode of inheritance?
A researcher is studying the genetic inheritance patterns of a rare blood group antigen in a family. They observe that the antigen is present in every generation, and affected individuals always have at least one affected parent. This pattern is MOST consistent with which mode of inheritance?
If two individuals, both heterozygous for the Se gene (Se/se), have offspring, what is the probability that their child will be a non-secretor (se/se)?
If two individuals, both heterozygous for the Se gene (Se/se), have offspring, what is the probability that their child will be a non-secretor (se/se)?
How does the molecular structure of IgM antibodies directly contribute to their characteristic reactivity at lower temperatures?
How does the molecular structure of IgM antibodies directly contribute to their characteristic reactivity at lower temperatures?
Why does the IgG isotype's ability to cross the placenta present a complex challenge in immunohematology regarding hemolytic disease of the fetus and newborn (HDFN)?
Why does the IgG isotype's ability to cross the placenta present a complex challenge in immunohematology regarding hemolytic disease of the fetus and newborn (HDFN)?
How does the use of Low Ionic Strength Solution (LISS) in immunohematological testing enhance antibody-antigen reactions?
How does the use of Low Ionic Strength Solution (LISS) in immunohematological testing enhance antibody-antigen reactions?
If both parents are phenotypically blood type B, but genotypically heterozygous (BO), what is the theoretical probability that their offspring will phenotypically express blood type O?
If both parents are phenotypically blood type B, but genotypically heterozygous (BO), what is the theoretical probability that their offspring will phenotypically express blood type O?
What is the central genetic principle that explains why individuals with both A and B genes express both A and B antigens on their red blood cells?
What is the central genetic principle that explains why individuals with both A and B genes express both A and B antigens on their red blood cells?
In a scenario where accurate red cell antigen phenotyping is crucial, which quality control measure would MOST effectively ensure the reliability of test results?
In a scenario where accurate red cell antigen phenotyping is crucial, which quality control measure would MOST effectively ensure the reliability of test results?
How does the concentration gradient of immunoglobulin isotypes in serum, generally ordered as GAMDE (IgG, IgA, IgM, IgD, IgE) from highest to lowest, influence the choice of diagnostic tests in immunohematology for detecting specific antibodies?
How does the concentration gradient of immunoglobulin isotypes in serum, generally ordered as GAMDE (IgG, IgA, IgM, IgD, IgE) from highest to lowest, influence the choice of diagnostic tests in immunohematology for detecting specific antibodies?
How would the genetic phenomenon of 'suppressor genes' impact the expected inheritance patterns and phenotypic expression of ABO blood group antigens?
How would the genetic phenomenon of 'suppressor genes' impact the expected inheritance patterns and phenotypic expression of ABO blood group antigens?
In complex cases of disputed parentage, what is the role of statistical analysis, such as calculating the probability of paternity, after genetic testing has identified potential matches and exclusions?
In complex cases of disputed parentage, what is the role of statistical analysis, such as calculating the probability of paternity, after genetic testing has identified potential matches and exclusions?
How do advancements in molecular techniques, like next-generation sequencing, enhance the accuracy and scope of red cell antigen genotyping compared to traditional serological methods?
How do advancements in molecular techniques, like next-generation sequencing, enhance the accuracy and scope of red cell antigen genotyping compared to traditional serological methods?
If an individual inherits a gene for blood group antigen A from chromosome 9 and a gene for Kell antigen K from chromosome 7, how will these antigens be expressed according to the principle of independent assortment?
If an individual inherits a gene for blood group antigen A from chromosome 9 and a gene for Kell antigen K from chromosome 7, how will these antigens be expressed according to the principle of independent assortment?
In a scenario where an individual has the phenotype Jk(a+b-), which of the following statements MOST accurately describes their genotype and antigen expression?
In a scenario where an individual has the phenotype Jk(a+b-), which of the following statements MOST accurately describes their genotype and antigen expression?
When testing for the Jka antigen using anti-Jka antibodies, a strong three-plus reaction is observed. What is the MOST likely reason for this strong reaction?
When testing for the Jka antigen using anti-Jka antibodies, a strong three-plus reaction is observed. What is the MOST likely reason for this strong reaction?
Given that the M and N genes are located closely to the Ss genes, what is the significance of this proximity in terms of inheritance?
Given that the M and N genes are located closely to the Ss genes, what is the significance of this proximity in terms of inheritance?
If two parents, both with blood type AB, have multiple children, what blood types are definitively possible in their offspring according to Mendelian inheritance?
If two parents, both with blood type AB, have multiple children, what blood types are definitively possible in their offspring according to Mendelian inheritance?
What is the fundamental principle behind the use of genograms in illustrating the law of independent assortment?
What is the fundamental principle behind the use of genograms in illustrating the law of independent assortment?
How does the understanding of independent assortment specifically inform transfusion practices in immunohematology?
How does the understanding of independent assortment specifically inform transfusion practices in immunohematology?
What is the MOST significant implication of understanding that the ABO blood group originates from chromosome 9 and the Kell blood group from chromosome 7?
What is the MOST significant implication of understanding that the ABO blood group originates from chromosome 9 and the Kell blood group from chromosome 7?
An individual has a genotype that results in the expression of both M and N antigens, but lacks the expression of big S antigen on their red blood cells. Considering the relationship between M/N and S/s genes, what can be definitively concluded about their S antigen status?
An individual has a genotype that results in the expression of both M and N antigens, but lacks the expression of big S antigen on their red blood cells. Considering the relationship between M/N and S/s genes, what can be definitively concluded about their S antigen status?
If a patient requires a blood transfusion and possesses a rare combination of Kidd and MNS blood group antigens, how might the principle of independent assortment complicate the selection of compatible blood?
If a patient requires a blood transfusion and possesses a rare combination of Kidd and MNS blood group antigens, how might the principle of independent assortment complicate the selection of compatible blood?
An antigen with multiple epitopes elicits the production of various antibodies. How does the specificity of these antibodies correlate with the epitopes?
An antigen with multiple epitopes elicits the production of various antibodies. How does the specificity of these antibodies correlate with the epitopes?
If a novel antigen is introduced into a host, what properties would classify it as a potent immunogen relative to other antigens?
If a novel antigen is introduced into a host, what properties would classify it as a potent immunogen relative to other antigens?
In the context of antigen recognition, how are allogeneic and autologous antigens differentiated by the immune system, and what is the outcome of each interaction?
In the context of antigen recognition, how are allogeneic and autologous antigens differentiated by the immune system, and what is the outcome of each interaction?
An experimental drug is designed to selectively inhibit the presentation of a specific alloantigen. What cellular mechanism would this drug MOST likely target?
An experimental drug is designed to selectively inhibit the presentation of a specific alloantigen. What cellular mechanism would this drug MOST likely target?
How would an absence or deficiency in T helper cells specifically affect the ability of B lymphocytes to respond to complex protein antigens, such as those found on viral surfaces?
How would an absence or deficiency in T helper cells specifically affect the ability of B lymphocytes to respond to complex protein antigens, such as those found on viral surfaces?
Flashcards
First Line of Defense
First Line of Defense
The body's initial defense against pathogens, preventing their entry.
Components of First Defense
Components of First Defense
Includes skin and mucus-secreting cells.
Monocyte-Macrophage Role
Monocyte-Macrophage Role
Phagocytic cells that present antigens to T cells.
Antigen Presentation
Antigen Presentation
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T Lymphocytes (T cells)
T Lymphocytes (T cells)
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Immunohematology
Immunohematology
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Immune System
Immune System
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Immune System Functions
Immune System Functions
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Location of Immune Responses
Location of Immune Responses
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Myeloid Progenitor Cell
Myeloid Progenitor Cell
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Polymorphonuclear cells (PMN)
Polymorphonuclear cells (PMN)
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Neutrophil
Neutrophil
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Site of Immune Cell Production
Site of Immune Cell Production
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Innate Immunity
Innate Immunity
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Innate Physical Barriers
Innate Physical Barriers
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Characteristics of Innate Response
Characteristics of Innate Response
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Adaptive Immunity
Adaptive Immunity
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Adaptive Response Properties
Adaptive Response Properties
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Adaptive Immunity - Repeated Exposure
Adaptive Immunity - Repeated Exposure
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Antibody Specificity
Antibody Specificity
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B Lymphocytes
B Lymphocytes
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Blood Type AB
Blood Type AB
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Codominant Inheritance
Codominant Inheritance
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Dominant Gene
Dominant Gene
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Dominant Inheritance
Dominant Inheritance
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Pairing with Recessive Gene
Pairing with Recessive Gene
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Organ Transplantation Matching
Organ Transplantation Matching
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Genotype Present in Blood Type
Genotype Present in Blood Type
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Percentage Distribution
Percentage Distribution
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Homozygous Population Proportion
Homozygous Population Proportion
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Gene Frequency Equation Applicability
Gene Frequency Equation Applicability
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DNA Paternity Testing
DNA Paternity Testing
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Blood Typing in Paternity
Blood Typing in Paternity
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Obligatory Gene
Obligatory Gene
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Indirect Exclusion
Indirect Exclusion
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Indirect Exclusion Cause
Indirect Exclusion Cause
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Suppressor Gene
Suppressor Gene
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Intravenous Administration
Intravenous Administration
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Blood Group Systems
Blood Group Systems
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Inheritance of RBC Antigens
Inheritance of RBC Antigens
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Three Forms of RBC Antigens
Three Forms of RBC Antigens
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Glycolipid Antigens
Glycolipid Antigens
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Protein Antigens
Protein Antigens
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Antibodies
Antibodies
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Antibody Variable Region
Antibody Variable Region
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Antibody Constant Region
Antibody Constant Region
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IgE and IgD Location
IgE and IgD Location
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IgG and IgM Location
IgG and IgM Location
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IgA Location
IgA Location
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Antibody Hinge Region
Antibody Hinge Region
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Papain Action on Antibodies
Papain Action on Antibodies
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Glycoproteins
Glycoproteins
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Activation (Ag-Ab)
Activation (Ag-Ab)
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Affinity (antibody)
Affinity (antibody)
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Classical Complement Pathway Initiation
Classical Complement Pathway Initiation
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C3 Convertase Formation
C3 Convertase Formation
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C5 Convertase Formation
C5 Convertase Formation
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C5b Attachment
C5b Attachment
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Membrane Attack Complex (MAC)
Membrane Attack Complex (MAC)
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MAC Function
MAC Function
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IgM Antibody
IgM Antibody
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IgG Antibody
IgG Antibody
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Potentiators
Potentiators
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22% albumin
22% albumin
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Low Ionic Strength Solution (LISS)
Low Ionic Strength Solution (LISS)
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Genotype
Genotype
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Phenotype
Phenotype
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Codominance in Blood Type
Codominance in Blood Type
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Nitrogenous Bases
Nitrogenous Bases
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Possible Offspring Blood Types
Possible Offspring Blood Types
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Independent Assortment
Independent Assortment
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Genogram
Genogram
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Phenotype “A”
Phenotype “A”
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Jk (a+ B-) Phenotype
Jk (a+ B-) Phenotype
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ABO Blood Group Location
ABO Blood Group Location
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Kell Blood Group Location
Kell Blood Group Location
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Anti-Jka Antibodies
Anti-Jka Antibodies
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Jka Antigen Testing
Jka Antigen Testing
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M/N Gene Relationship
M/N Gene Relationship
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S and s Gene Location
S and s Gene Location
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HLA
HLA
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Organ Transplant Match
Organ Transplant Match
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HLA Complexity
HLA Complexity
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Lu Antigens
Lu Antigens
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Lu(a-b-)
Lu(a-b-)
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Lu(a-b-) Inheritance
Lu(a-b-) Inheritance
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Separate Expression
Separate Expression
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Separately Expressed Genes
Separately Expressed Genes
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Independent Inheritance
Independent Inheritance
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Allelic Genes
Allelic Genes
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Antithetical Genes
Antithetical Genes
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Polymorphic Genes
Polymorphic Genes
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Gene Loci Specificity
Gene Loci Specificity
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Silent/Amorph/Null Genes
Silent/Amorph/Null Genes
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Action of Suppressor Genes
Action of Suppressor Genes
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Suppressor Gene Impact
Suppressor Gene Impact
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Immunogen
Immunogen
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Antigen
Antigen
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Epitopes
Epitopes
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Alloantigens
Alloantigens
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Autologous Antigens
Autologous Antigens
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Study Notes
Immunology and Serology
- The science of Immunohematology embodies blood group antigens and antibodies
- Immunohematology relies on immunology for understanding immune responses to cellular element transfusions
- The body's immune system is a network of cells, tissues, organs, barriers, and molecules
- The immune system has three main functions: defense, homeostasis, and surveillance
Cells of the Immune System
- Immune responses mainly in blood and lymphoid organs
- Most immune cells originate in bone marrow from the same stem cells, differentiating into myeloid and lymphoid lineages
- Myeloid Progenitor Cells differentiate into granulocytes such as:
- Neutrophils: Active in bacterial infections, migrate to tissues during infection through diapedesis
- Eosinophils: Contain major basic protein, important for fighting parasites
- Basophils: Granules contain histamine, mediate hypersensitivity responses
- Mast Cells: Found in tissues, also trigger hypersensitivity reactions
- Monocytes:
- Become dendritic cells or macrophages, antigen-presenting cells
- Capture and break down antigens through phagocytosis
- Present antigenic remnants to T lymphocytes
- Lymphoid Stem Cells give rise to lymphocytes
- NK cells release chemicals to kill infected, foreign, and tumor cells
- T lymphocytes/cells: Key immune cells that mature in the thymus
T Cell Classes
- T-helper cells: (CD4+) Activate macrophages and B cells by secreting cytokines and determine immune responses
- T-cytotoxic cells: (CD8+) Kill infected/foreign cells and tumors using chemicals such as perforins & granzymes
Lymphocyte Details
- B Lymphocytes are produced and mature in the bone marrow, differentiating into plasma cells
- Plasma cells activated by T-helper cells produce antibodies (humoral immunity) to block infections
- They are Derived from the bone marrow stem cells, and are involved in humoral immunity
- They transform into plasma cells to produce antibodies
B Lymphocyte Activation
- There are two ways B Lymphocytes are activated
- Binding of an antigen to IgD/IgM on B cell surfaces activates B cells; and become plasma cells = antibody secretion
- Cytokine signaling from T-helper cells activates B cells and become plasma cells, and release antibodies
Innate vs Adaptive Immunity
- Innate immunity involves the first line of defense against pathogens and physical barriers
- Including: skin, Mucus, secreting cells, enzyme producing cells
- Phagocytic cells and chemical mediators also promote inflammatory responses
- Such as: skin, Mucosal linings, HCl of stomach, Flushing action of the urine, Unsaturated fatty acids, Sweat, tears, saliva
- Inflammation occurs if pathogens bypass the first line of defense
- Inflammation signs: pain, heat, redness, and swelling
- Vasodilation (increased blood vessel diameter) leads to redness and heat
- Influx of phagocytes via diapedesis into the infected site
- Adaptive immunity results from immunologic memory and specificity
- Adaptive immunity involves the ability
- The adaptive response will be the Production of antibodies specific to an infectious agent
Antigens
- Key antigen characteristics: foreignness, high molecular weight, complexity
- Molecular size: Antigens larger than 10,000 daltons are more effective
- Molecular complexity: Proteins are most effective antigens, followed by carbohydrates and glycolipids
- The Route of administration affects immune response
- The Degree of foreign material must be identified as nonself
- Introduced antigens which often administered intravenously to check for immune response,
- Intravenous administration is the the best routes for inducing an immune response
- Immunogen is an antigen that produces an immune response.
- Epitopes (antigenic determinants) are recognized by corresponding antibodies
- Allogeneic Antigens: From the same species, but a difference between indivduals = foreign
- Autologous Antigens: Tolerated and known or recognized as self
Antibodies
- Antibodies are the counterpart of antigens and are specific to them
- They Are created by plasma cells that are activated B cells that made proteins
- Antibodies produce 5 types of antibodies: IgG, IgA, IgM, IgE, IgD
- Made of monomer units (some with more than one): Monomer IgG, IgE, IgD, Dimer IgA, and Pentamer IgM
- The heavy chains unique and determine immunoglobulin class, biological function
- Variable region: Binds to the antigen
- Constant region: Determines Antibody class functions such as the complement.
- IgG mainyl in the serum with antigen attachment
- IgE and IgD antigen attachment to other cells, while IgM attach to surface of B cells
- The Hinge region is flexible, aids antigen attachment
- Heavy chains determine Antibody specificity
- Papain and pepsin enzymes act on antibodies
- Heavy chains consist IgG, which indicates gamma form
Immunoglobulin Details
- IgM
- Accounts for 5-10% of the immunoglobulin pool.
- Largest antibody, a pentamer
- Found primarily in the intravascular space, activates the classical complement pathway
- Does not cross the placenta
- Saline agglutinins
- IgG
- Most abundant in plasma (80% of the total immunoglobulin)
- Can cross the placental which provides protection for developing fetus and during pregnancy
- Reactivity at 37°C (body temperature)
- Can activate the component system, through indirect agglutination and hemolysis
- There are 4 subclasses w/ minor variations on gamma heavy cahins with slight differences in amino acids
Antigen-Antibody Complex
- Binding relies on noncovalent forces that include:
- Electrostatic Forces: Attraction between opposite charges
- Hydrogen Bonds: Hydrogen shared between electronegative atoms (N, O)
- Van Der Waals Forces: Fluctuations between electron clouds
- Hydrophobic Forces: Exclusion of water molecules. Weak bond formed because it is formed after liquid is excluded.
- Affinity: The tendency of an epitope for combining with the antigen binding site of antibody molecule.
- Avidity: Represents the strength of the bond between antigen and antibody.
The Component System
- Complement: Serum proteins that enhance immunologic processes, trigger antigenic clearance, cell lysis, and vasodilation
- Components circulate as inactive pro-enzymes, activated during the immune response
- Functions: opsonization, anaphylaxis, lysis, and chemotaxis
- Opsonization: clearing of immune complexes
- Anaphylaxis: increase smooth muscle contraction, induces inflammation
- Lysis: Foreign antigen destruction by membrane lysis, which requires antibody to bind to antigen of red cells
- Chemotaxis: the recruitment of platelets and phagocytes induces immune repsosnse
- There are 3 Methods to activate the components, and include:
- Classical Pathway, MB-Lectin Pathway, and the Alternative pathways
- NOTE:, not all antibodies activate components, some are not able to, but can support anitbody process
Cascade Of The Classical Component cascade System:
- Involve An Ab-Ag Complex - That results from having been introduced in the the antigen stimulus
- C1 Component - Which recognize's portions of Antibodies which are labeled, these portions are also recognized by C1qr2
- The combination of 4b2a is known as C3 convertase, and helps cleave your C3
- C5 convertase will then cleave the C3, which then will lead to the membrane
- C5 will eventually lead to MAC, a new membrane attack complex, that will induce cell lysis
Isoagglutinins
- The term isoagglutination refers to agglutination that occurs among members of the same species
- These are frequently the result of antibodies to the ABO
- What occurs is that the individual to the individual of the that species
Antiserum
- Defined as blood serum containing antibodies against a particular antigen
- Used in tests to determine the antigen in the blood
- If the antibodies that has to be removed then: Add Reagents Be familiar so it wont have false information, which include testing of antibody
- Be sure and remember as well that most of the commercial are: anti- sera A/ B commercial reagem
Methods for Testing For antibodies
Forward typing is done when known antiserum or another reagent used to identify antigens on cells surface
•Reverse test- patients serum is reacted against known test cells to determine nature of antibody, is reverse typing
Important Reminders For a test
(1) Use Proper Techniques For Testing (For a valid, Accurate test) (2) Use Quality Control Methods (For a good quality test) (3) Perform All Recommended Calculations: As well, in all steps of the test (4) Note limitations/ interfering substances before doing
ABO and ABO blood groups
(1)Blood group system is based on antigens and antibodies in certain individual which then lead to recognition of blood group: A,B O individuals
-
- 2 Individuals can be grouped by the antibodies, And then can be given their A B status
-
-- Individuals that are able to produce AB antigens but there’s certain individuals who can’t due to other factors
(ABO BLOOD GROUPS) A: red cells carry A antigen B red cells carry B antigen Neither: O means neither 4 In serum: Ant- A& Antibody B
Technical tests to perform
- *Antiglobulin: (AHG) (coombs) phase or test-**
Used to determine warm- reacting antibodies\ - Immediate spin phase:*
Used determine Cold- reacting antibodies - *Normal saline Solution ** solution: isotonic with tissue cells , so cells are in appropriate tonicity will not
- LISS* and or 22 percentalbumin: Used as potentiators to get to react more frequently
The testing and inheritance of genes
- -- If test is negative, it does not mean what you are testing for is there. A person cannot produce an antibody
- --If the parents are AB blood type, that does not mean the child will be AB blood type
Technical Problems
- Can come down to testing and can come down to error
Testing with patient
When the Forward technique and Reverse technique do not the come out the SAME is because that then there is a discrepancy
- -- In ABO Blood Group Systems If that happens then something wrong!
- -- When there the 2 techniques DO come out the SAME ! Then ok, there are not any problems
- -- Forward type test tells the Antigens in the red cell --- While type tests to you the Antibodies in the plasma
The testing and inheritance of genes
O will not agglutinate to any test or type •A1 to test A antigens on red cell with specific type 1 •B will mix type B blood together •If the 2 sides that are performed do not match the 2 testing is done in correctly
Important Info To remember
Remember forward test for Antigen type; Reverse test: helps detects antibodies
Notes
Test result with the known antigens: What to expect
•Type A, then Anti-B antibody = to have Antibodies to have
•B group and Ant -A antibody = to have,
•Ab antibody = Both have but neither do they have any antibodies
•O types and Anti A& B antibody. That group then has Antibodies towards whatever is negative
•So what to remember is that a red blood cell is then not to be produced within serum or you would have problems
•One then test does not work you can test the antibody test, one of the great things perform that is is the test to check for blood
•If the test doesn’t work the is a false negative as long as it is a true positive
Last Step
When performing Test
- (1) Do testing for ABO/ Rh compatibility
- (2) Do you the antibody screen and/ or cell identification?
Note is is most is the red cells with most important and all that are able to get to with O Neg
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