Serology Slides Marchionne

Unit 4: Serology - Blood Serum Diagnostics

Overview

  • Study of blood immunology focusing on antibody-antigen interactions.

  • Essential for understanding blood typing and diagnosis through blood serum.

Serology Vocabulary

  • Agglutination: Clumping of cells in response to antibodies.

  • Allele: Variants of a gene at a specific locus on a chromosome.

  • Antibody: Protein produced by the immune system to identify and neutralize antigens.

  • Antigen: A substance that induces an immune response; usually a protein on the surface of pathogens or cells.

  • Antiserum: Serum containing specific antibodies for laboratory tests.

  • Chromosome: Structure in cells containing DNA; humans have 46.

  • Cystic fibrosis: Genetic disorder affecting the respiratory and digestive systems.

  • Dominant trait: Genetic trait that expresses itself even when only one copy is present.

  • DNA: Molecule containing the genetic information of organisms.

  • Egg: Female reproductive cell.

  • Enzyme: Protein that accelerates biochemical reactions.

  • Erythrocyte: Red blood cell responsible for oxygen transport.

  • Erythroblastosis fetalis: Condition in newborns due to Rh incompatibility.

  • Gene: Unit of heredity; segment of DNA.

  • Genotype: Genetic constitution of an individual.

  • Hemoglobin: Protein in red blood cells that carries oxygen.

  • Heterozygous: Having two different alleles at a locus.

  • Homozygous: Having two identical alleles at a locus.

  • Leukocyte: White blood cell that fights infection.

  • Locus: Specific location of a gene on a chromosome.

  • Malaria: Disease caused by Plasmodium parasites, transmitted by mosquitoes.

  • Phenotype: Observable characteristics of an organism.

  • Plasma: Liquid component of blood, accounting for 55%.

  • Precipitin: Antibody that forms a precipitate with its corresponding antigen.

  • Recessive trait: Trait that is expressed only in homozygous conditions.

  • Serology: Study of blood serum, especially regarding immune responses.

  • Serum: Liquid part of blood after clotting proteins have been removed.

  • Sickle Cell: Genetic disorder caused by abnormal hemoglobin.

  • Spermatid: Male reproductive cell.

  • Thalassemia: Genetic blood disorder affecting hemoglobin production.

  • X Chromosome: One of the two sex chromosomes, contributing genes such as those for color vision.

  • Y Chromosome: Male sex chromosome responsible for male traits.

  • Zygote: Fertilized egg forming after the union of sperm and egg.

Part 1: Blood

Introduction

  • In 1901, Karl Landsteiner discovered blood typing.

  • Received a Nobel Prize 29 years later, following earlier transfusion failures.

  • Developed the A-B-O blood system; more than 100 other blood factors discovered (e.g., Rh factor).

What is Blood?

  • Composed of:

    • Blood Cells: Erythrocytes (RBCs), leukocytes (WBCs), platelets.

    • Plasma: Fluid portion of blood, containing water, ions, proteins, nutrients, waste products, and gases.

Components of Blood

  • Erythrocytes: Carry oxygen and carbon dioxide.

  • Leukocytes: Combat infections.

  • Platelets: Assist in clotting.

  • Plasma: The fluid component that contains serum, minerals, proteins, and other substances.

Blood Coagulation

  • Cascade reaction leading to clot formation; a challenge to Darwin's theory of evolution suggesting complexity in biological systems.

Blood Clot (Thrombus)

  • Formation through the accumulation of blood cells and platelets, blocking arteries (e.g., in heart disease).

Clarification of Terms

  • Agglutination = Coagulation = Clotting: Clumping of cells together (e.g., due to antibodies).

  • Precipitation: Formation of visible clumps from a solution, significant in serological tests.

Antigens & Antibodies

  • Antigens are protein structures on red blood cells recognized by the immune system.

  • Each antigen matches a specific antibody leading to agglutination.

Blood Typing

  • Blood consists of different antigens resulting in various blood types (A, B, AB, O) differentiated by their antibodies.

  • Rh Factor: Determines positive or negative blood type based on presence of Rh antigen.

Part 2: Immunoassay Techniques & Blood Stains

Detection of Drugs

  • Specific antigen-antibody reactions aid in drug detection in blood and urine.

  • Immunoassays are rapid tests often needing confirmation for accuracy.

Preliminary Color Tests

  • Kastle-Meyer test: Pink color indicates blood presence when mixed with H₂O₂.

  • Hemastix strips: Green color change indicates blood presence.

Luminol & Bluestar

  • Luminol: Detects blood through light emission in dark conditions.

  • Bluestar: Similar to luminol but more visible, does not require darkness.

Precipitin Test

  • Used to identify if blood is of human or animal origin, indicating specific antigens.

Gel Diffusion

  • Type of precipitin test where blood and antibodies form a precipitant in a gel.

Part 3: Principles of Heredity

Genes and Chromosomes

  • Gene: Basic unit of heredity found on chromosomes.

  • Humans possess 46 chromosomes in 23 pairs, including sex chromosomes (XX for female, XY for male).

Alleles

  • Positioned at corresponding loci and can have multiple forms affecting traits.

  • Homozygous: Two identical alleles; Heterozygous: two different alleles.

Genotypes and Phenotypes

  • Genotype: Genetic constitution; Phenotype: observable trait resulting from the genotype.

Blood Type Inheritance

  • Blood type alleles A, B, and O located on chromosome 9 leading to various genotypes.

  • Punnett squares are used to predict offspring blood types based on parental genotypes.

Paternity Testing

  • Blood type testing can provide evidence for paternity cases along with DNA testing for higher accuracy.

Blood and Genetic Disorders

Erythroblastosis Fetalis

  • Occurs when an Rh- mother has an Rh+ child, leading to fetal complications in subsequent pregnancies.

Sickle Cell Anemia

  • Caused by a mutation in hemoglobin, affecting oxygen transport and red blood cell shape.

Thalassemia

  • Genetic disorder impacting hemoglobin production, offering resistance to malaria.

Cystic Fibrosis

  • Caused by mutations in the CFTR gene, leading to thick mucus production affecting respiratory health.