Lecture: Lewis, P, Ii, MNS and Lutheran Blood Group Systems Flashcards

1
Q

An alleles that makes no antigen and are very rare

A

Silent or amorphic alleles

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2
Q

A rare autoimmune disorder seen in patient with tertiary syphilis

A

Paroxysmal Cold Hemoglobinuria

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3
Q

serve as a receptor for P-fimbriated uropathogenic E.coli a UTI causative agent

A

P system antigen

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4
Q

early abortion is associated with what antibody?

A

Anti-PP1k and Anti-P

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5
Q

Most commonly encountered lewis antibody and is often detected at RT tests but sometimes react with 37C and in the indirect antiglobulin Test

A

Anti-Le^a

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6
Q

A common phenotype that individuals react with Anti-P1 and Anti P commercial reagents

A

P1

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7
Q

A rare phenotype that reacts with Anti-P1 and anti-pk, but not with anti-P

A

P1k

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8
Q

common precursor for P blood group antigens

A

lactosylceramide

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9
Q

what immunoglobulin does the lewis antibodies have?

A

IgM

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10
Q

Found as naturally occurring alloantibody in the sera of Pk individuals. reactivity is similar to the Anti-PP1Pk and rarely seen but very significant in transfusion because it is hemolytic

A

ALLOANTI-P

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11
Q

Antigens are resistant to what enzymes treatment?

A

ficin and papain, DTT, ang glycine-acid EDTA

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12
Q

originally called Anti-Tja, produced by p null indiivudals early in life without rbc

A

Anti-PP1Pk

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13
Q

Common, naturally occurring IgM in sera of P1 individuals

A

Anti-P1

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14
Q

Soluble Lewis antigens are found in secretions particularly in where? and in what substance?

A

Saliva; as glycoproteins

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15
Q

description of which antigens are present on an
individual’s RBCs and simply indicates the results of serologic
tests on those RBCs

A

phenotype

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16
Q

What test determine only the RBC phenotype

A

Serologic test

17
Q

What gene must be present for a precursor substance to be
converted to Lea and present for
conversion to Leb

A

Le gene for Lea

Se gene for Leb

18
Q

patient with Hodgkin’s Lymphoma

A

LUKE (LKE) ANTIGEN

19
Q

True or False.All p and PK individuals are Luke+

A

False kay neg ans ana

20
Q

Mutations that result in inactivation of the fucosyltransferase
(amorphic/silent le allele

A

RBCs with Le(a-b-) phenotype

21
Q

Soluble Lewis antigens are found in secretions particularly

in saliva as

A

glycoproteins

22
Q

Primary source of Lewis glycolipid in plasma

A

GI tract

23
Q

serve as receptors for P-fimbriated

uropathogenic E.coli (a UTI causative agent

A

P system antigens

24
Q

receptor for shiga toxins (Shigella dysentery) and
E.coli-associated hemolytic uremic syndrome;
recent studies show it also provides some protection against
HIV infection of peripheral blood mononuclear cells

A

Pk antigen

25
Q

receptor of human parvovirus B19

A

P

26
Q

which I/i antibodies associate with HDFN

A

Anti-i kay ang Anti-I is IgM therefore, dili sha mo associate with HDFN

27
Q

cold agglutinin syndrome and M. pneumoniae

A

aNTI-I

28
Q

infectious mononucleosis

A

Anti-i

29
Q

responsible for synthesizing some of the antigen or
encoding the different enzymes that will synthesize the
different antigens of the P blood group

A

P1PK gene and P gene

30
Q

congenital cataract in

Asians

A

Adult i phenotype

31
Q

T/F. MNS are not commonly encountered in BB

A

T

32
Q

M AND N ANTIGENS Found in

A

glycophorin A (

33
Q

M and N differ from their amino acid residues at position sa asa man isulat

A
  • M: (1) serine, (5) glycine

* N: (1) leucine, (5) glutamic acid

34
Q

S AND s ANTIGENS Found in

A

glycophorin B

35
Q

S AND s ANTIGENS Differentiated by amino acid at position 29:

A
  • S: methionine

* s: threonine

36
Q

t/f. S AND s ANTIGENS are Less easily degraded by enzymes because antigens are located
farther down the glycoprotein and enzyme-sensitive sites are
less accessible

A

T

37
Q

True or False. RBCs with null phenotypes are very helpful in
evaluating antibodies to unknown high-prevalence
antigens (

A

True