The Rh Antigen
The Rh blood group system is the second most important blood group system out of the 30 human blood group system after the ABO blood groups.
So here are some interesting facts I picked up during my reading :
1. It is called the Rh
factor because:
Karl Landsteiner and Alexender Wiener used
the Rbc's of the Rhesus macaque monkey to be injected into a rabbit. The
serum from the rabbit agglutinated 85% of different
human Rbc's (because of the formation of anti-D agglutinin in the rabbit). This led to the discovery of
the Rh factor.
2. In the ABO blood group
system..the antibodies A and B are of the IgM type. But in the Rh
blood group system..the anti-D agglutinin is of the IgG type. So the anti-D agglutinins..
1 .can cross the placenta,
2. it is an
incomplete antibody (detected in the serum using coombs test),
3. it appears in
the plasma 2 to 3 months after exposure to the D antigen.
3 The basic importance of this blood group is when an Rh negative mother
concieves an Rh positive baby.
Anti-D agglutinin are
formed in the mother's blood due to prior sensitization..either by Rh positive
blood transfusion or due to mixing of blood during the birth of a previous Rh
positive baby.
These antibodies cross the placenta and destroy the baby's red
blood cells, a disease called erythroblastosis fetalis..symptoms are severe
anaemia, jaundice, kernicterus, hepato and splenomegaly and eventual death.
Also to meet the excess Rbc's demands..the bone marrow
produces excess of Rbc's..these are immature blast forms which are nucleated.
Hence, the name erythroblastosis fetalis.
The cure for this is to
replace the Rh positive blood of the baby with Rh negative blood during the
first few weeks of life( until the anti-D agglutinins from the mothers
curculation are destroyed).
To prevent this
disease..administer the mother with anti-D antibody during preganancy or after
birth of the baby, which binds to the anti-D agglutinins.

- The man with the golden
arm. James
Harrison was born in 1936. At the age of 13, he underwent a major chest surgery
to extract a lung with metastasised pneumonia, and required 13 litres of blood.
After surgery, he was in the hospital for three months. Realising the blood had
saved his life, he made a pledge to start donating blood as soon as he turned
eighteen.
- Since
his first donation in 1954, he has donated more than 1000 times. After the
first few donations, it was discovered that his blood contained an antibody
that prevents infants who receive his blood from dying of erythroblastosis
fetalis. This blood is given to one in ten women whose blood is not compatible
with that of their children.The uniqueness of his blood also created the Anti-D antibody vaccine. When he originally began
donating blood, his life was insured for one million dollars. He reached
his 1000th donation in May 2011. His blood has helped to save over 2.4 million
babies with hundreds of thousands of women being treated with his antibodies.
posted by- M