Act 4B IMMUNOHEMA
Act 4B IMMUNOHEMA
Act 4B IMMUNOHEMA
RQ
The slide test is relatively the least sensitive method among others for BG determination, but
due to its prompt results, it is very much valuable in emergency cases. In this method, a glass
slide or white porcelain support is divided into three parts, as for each part, a drop of donor or
recipient blood is mixed with anti-A, anti-B and anti-D separately. The agglutination or blood
clumping pattern can be visually observed from which the ABO and rhesus D (RhD) type of blood
can be determined. The test completes in 5–10 min and is inexpensive, which requires only a
small volume of blood typing reagents. However, it is an insensitive method and only useful in
preliminary BG matching for getting an early result. The test cannot be conducted for weakly or
rarely reactive antigens from which the results are difficult to interpret, and additionally, a low
titer of anti-A or anti-B could lead to false positive or false negative results. Although the slide
test [6] is useful for outdoor blood typing, it is not reliable enough for completely safe
transfusion.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4732084/
2. what are the sources of blood typing sera and how is it manufactured.
https://courses.kcumb.edu/physio/btypes/blood_typing.htm
https://www.sigmaaldrich.com/technical-documents/articles/ivd-immunoassay/blood-grouping-
reagent-development.html
Monoclonal antibodies are produced by a single clone of plasma cells and are homogeneous.
They can be produced by hybridoma technology in which mouse spleen cells (B cells) and
myeloma cells are fused to create a hybridoma cell which only secretes homogeneous antibodies.
In blood banking, monoclonal typing sera are being produced. These reagents are both sensitive
and specific. Also, in cold AIHA (idiopathic type), the autoanti-I produced is monoclonal,
whereas the harmless autoanti-I that everyone has is polyclonal. Monoclonal antibodies will be
of the same immunoglobulin class (and subclass) and have the same light chains and genetic
markers.
. Lectins are seed extracts that agglutinate human cells with some degree of
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specificity. Anti-A1 lectin agglutinates A1 (or A1B) cells but does not agglutinate A2
(or A2B cells). Box 6–4 lists some of the lectins used in blood banking.
Harmening, D. (2019). Modern blood banking & transfusion practices. F.A. Davis
Company.