4 ih genetic principles in blood banking
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Transcript of 4 ih genetic principles in blood banking
GENETIC PRINCIPLES IN BLOOD BANKING
PHENOTYPE VS GENOTYPE
PUNNETT SQUARE
PUNETTE SQUARE
GENES, ALLELES AND POLYMORPHISM
GENES, ALLELES AND POLYMORPHISM
INHERITANCE PATTERNSBlood group antigens are inherited following these patterns:CODOMINANTDOMINANTRECESSIVE
SILENT, AMORPH OR NULL GENES
CAUSES: • Amorphic gene inherited from both parents• Action of Suppressor GenesEXAMPLE PHENOTYPES:
O
Rh negative
Lu (a-b-)
MENDELIAN PRINCIPLESINDEPENDENT SEGREGATIONINDEPENDENT ASSORTMENT
CHROMOSOMAL ASSIGNMENTBLOOD GROUP SYSTEM
CHROMOSOME
Rh 1
Duffy 1
MNS 4
Chido/ Rogers 6
Kell 7
ABO 9
Kidd 18
Lewis 19
LW 19
Lutheran 19
Hh 19
P 22
Xg X
HETEROZYGOSITY VS HOMOZYGOSITY
HETEROZYGOSITY VS HOMOZYGOSITY
LINKAGE, HAPLOTYPES and CROSSING OVER
LINKED GENES ex. MNSsHAPLOTYPE ex. MS, Ms, NS, Ns, LINKAGE DISEQUILIBRIUM
CROSSING OVER
EXCEPTIONS TO THE LAW OF INDEPENDENT ASSORTMENT
POPULATION GENETICS
COMBINED PHENOTYPIC CALCULATIONS- Determines the frequency of a
particular phenotype in a population to find a donor unit of rbcs with certain antigen characteristics
- Provides an estimate of the number of units that may need to be tested to find the unit with desired antigens
COMBINED PHENOTYPIC CALCULATIONS
EX. A Px produced antibodies such as anti-C- anti-E and anti-S. RBC units negative for the antigens, C,E and S would be required for transfusion.The % of donors negative for the individual antigen is expressed as a decimal point and then multiplied.
68% C+ 32%C- = 0.32 C-29% E+ 71% E- =0.71 E-32% S+ 48% S- =0.48 S-
0.32x 0.71 x 0.48= 0.109 or 11%
11 % of the population has a probability of being neg for all 3 antigens.1 out of 10 RBC units are likely to be negative for combined Ags.
COMBINED PHENOTYPIC CALCULATIONS
A px has an anti-Fya, Anti-Jkb and Anti-K, how many units should be tested to find 2 units of the appropriate phenotype?68% Fya+ 32% Fya-74% Jkb+ 26% Jka-9% K+ 91% K-
0.32x0.26x0.91= 0.076 or 8%If 2 units are needed, solve for x:
8/100=2/x, x-=25Why solve x? To determine how many may be required to be tested to find 2 units negative for the three antigens
GENE FREQUENCIES
HARDY- WEINBERG FORMULAEx: p = allele A q= allele aIf the frequency of p is 0.3, what is theValue of q? ANS: 1-0.3= 0.7
What proportion of the pop is AA, Aa and aa?AA= p2 OR 0.09Aa= 2pq or 0.42Aa= q2 or 0.49
HARDY- WEINBERG FORMULA
MOLECULAR GENETICS
TRANSPLANTATION HLA antigen-level and allele typing for HPC and organ transplants
TRANSFUSION Red cell typing in multiply transfused pxDetermine blood types when the DAT is positiveComplex Rh genotypes, weak DepressionScreen for ag-negative donor units when antisera is unavailableDonor antigen screening for prevention of alloimmunization
HDFN Determine parental RhD zygosityType fetal blood
DONOR TESTING Detect virus in donors that may be below detectable levels by Ab detection methods
RELATIONSHIP TESTING Establish paternity and legal relationships for immigration
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HISTORICAL PERSPECTIVES IN BLOOD BANKING