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    6th Presentation

    A101 ScienceProblem 01: Rescue Mission

    Copyright 2011

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    The Problem

    Your task today was to examine:

    the essential difference between each persons

    blood type.

    why certain combinations of donor and recipient

    blood types are not suitable for blood

    transfusion.

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    What Do You Recognize?

    There are differences between blood types of

    certain groups of individuals.

    There is something on the donor red blood cells

    that causes transfusions to fail and it may be

    related to the presence of foreign surface

    molecules on donor red blood cells.

    In order for blood transfusion to be successful, the

    donor and recipients blood type must be matched.

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    Difference between blood types Blood Type Molecules

    Closer examination of blood reveals the presence of surface

    molecules on the red blood cells of some individuals:

    The effect of having different surface molecules (as shown

    above) can be tested by mixing donor and recipient blood

    samples. The observations in the following slides are made:

    Note: These are only representations of red blood cells and surface molecules

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    Difference between blood types Effect on Transfusion

    When donor red blood cells have foreign (not found on the

    recipients red blood cells) surface molecules, clumping of

    red blood cells is observed.

    Otherwise, no clumping occurs.

    Foreign to recipient

    Found on both donor and

    recipients red blood cell

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    If the donors blood produces clumping when mixed with the

    recipients blood, the transfusion fails.

    Difference between blood types Effect on Transfusion

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    The presence of foreign surface molecules on donor

    red blood cells causes transfusions to fail.

    Medical professionals and doctors named the different types of

    blood based on the presence or absence of such molecules:

    The matching of donor blood types to recipient blood types

    drastically increased the success rate of transfusions.

    A B AB O

    ABO Typing System

    Difference between blood types Effect on Transfusion

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    The discovery of the Rhesus Protein expanded the

    ABO typing system:

    Difference between blood types Other Surface Molecules

    A+ B+ AB+ O+

    ABO Typing System Including Rhesus Protein

    A- B- AB- O-

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    Over time, more surface molecules with different

    functions were discovered.

    Basis for other typing systems (e.g. the MNS,

    Kell, Duffy, Lewis systems).

    Common red blood cell functions (e.g. carrying of

    oxygen). These molecules are less likely to cause

    transfusions to fail, as they are less likely to beforeign to recipients.

    Difference between blood types Other Surface Molecules

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    Stage 6

    In order to identify the surface molecules on each of the

    unknown blood types, we need to conduct a series of tests.

    Unknown blood type 1 has .

    Not foreign to recipient

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    Stage 6

    Unknown blood type 1 does not have .

    Unknown blood type 1 contains a foreign surface molecule

    which must be .

    Foreign to recipient

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    Stage 6

    Therefore, the unknown blood type 1 has the following

    surface molecules:

    Similar tests can be used to determine the surface

    molecules of the other unknown blood types.

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    In Summary

    There are different types of blood although blood may look

    similar for different individuals.

    Blood typing is based on the blood type molecules that are

    present or absent on the surface of red blood cells.

    A molecule that a recipient does not already have is foreign

    to him/her. The presence of foreign surface molecules on

    donor red blood cells causes transfusions to fail.

    There are total of 8 blood types:

    O- O+ A- A+ B- B+ AB- AB+

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    In Summary

    The compatibility of transfusion of blood is summarised in

    the table below:

    - successful transfusion2 - unsuccessful transfusion

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    Learning points

    Understand that there are different blood types in human

    population

    Understand that the difference in blood type is due to the

    surface molecule on the red blood cells.

    Understand that the transfusion of blood can be only done

    when the donors blood type is compatible with the

    recipients blood type.

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    Discussion

    Study the relation below.

    Can donate bloodsuccessfully to

    Can donate bloodsuccessfully to

    Person

    A

    Person

    B

    Person

    C

    Person

    D

    Person

    E

    Discuss and explain your answers to the following questions.

    I. Can Person A donate blood successfully to Person E?

    II. Can Person E donate blood successfully to Person A?

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    Blood donation:

    Source:

    Trail ofBlood (3 Oct 2009). The Straits Times, pp D11.

    Post-Problem Reading

    Trail of Blood