Antibodies and Antigens - MCAT Biological and Biochemical Foundations of Living Systems

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Question

A patient requiring a blood transfusion is discovered to have type AB- negative blood. Which donor blood types can they accept?

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Answer

In blood typing, the concern is avoiding the administration a blood transfusion that will be attacked by the body's immune system. For each antigen not present on the recipient's blood cells, there will be an antibody present in their blood stream. Therefore, someone who has type A blood will have an "anti-B" antibody. A transfusion of blood presenting the B antigen would be attacked and rejected by the type A individual's body. The Rh group (+/-) works similarly. Those who are Rh negative will have an antibody present to attack blood cells with the Rh group. Similarly, if someone is is Rh positive, there will be no Rh antibodies in his or her body and he or she could accept either Rh- or Rh+ blood. The patient in this question has type AB- blood, so he or she has no antibodies except for those that bind to Rh-positive blood. Therefore, all Rh-negative blood types are acceptable. (Type O blood signifies that the blood cells have no antigens present.)

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