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Default Blood groups can be converted - 2nd April 2007

I stumbled on this article today and I thought it's interesting to share.
================================================== ====

Scientists have developed a way of converting one blood group into another.

The technique potentially enables blood from groups A, B and AB to be converted into group O, which can be safely transplanted into any patient.

The method, which makes use of newly discovered enzymes, may help relieve shortages of blood for transfusions.

The work, led by the University of Copenhagen, is reported in the journal Nature Biotechnology.

Using incompatible blood during a transfusion can put a patient's life in danger.

The blood cells of people with group A and B blood contain one of two different sugar molecules - known as antigens - which can trigger an immune system response.

People with AB blood have both types of molecule, while those with group O blood have neither.

People produce antibodies against the antigens they lack.

This means groups A, B and AB can only be given to patients with compatible blood, while O - as long as it is rhesus negative - can be given to anyone.

The new technique works by using bacterial enzymes to cut sugar molecules from the surface of red blood cells.

After a search of 2,500 fungi and bacteria the researchers discovered two bacteria - Elizabethkingia meningosepticum and Bacterioides fragilis - which contained potentially useful enzymes.

They found that enzymes from both bacteria were able to remove both A and B antigens from red blood cells.

Trials needed

However, they say that patient trials will be needed before the conversion method can be used in hospitals.

Writing in the same journal, blood experts Geoff Daniels, of the Bristol Institute for Transfusion Sciences, and Stephen Withers, of the University of British Columbia, Canada, welcome the research.

They said the use of enzymes to convert blood group has long been proposed, but has proved to be impractical due to the inefficiency and incompatibility of available enzymes.

However, they say the enzymes discovered in the latest study may finally overcome these problems.

They write: "Their method may enable manufacture of universal red cells, which would substantially reduce pressure on the blood supply."

The new process cannot do anything about another antigen that can trigger an immune response. Blood which carries this antigen is known as rhesus positive.

This means that only rhesus negative blood can be used to create the new type of group O supplies.

Source: BBC
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Default 3rd April 2007

in theory, we know that group O is a universal donor, but why in hospitals they still use for each type the corresponding group. A -->A, B-->B, AB-->AB & O-->O ?
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Default 3rd April 2007

Quote:
Originally Posted by Ogeorge View Post
in theory, we know that group O is a universal donor, but why in hospitals they still use for each type the corresponding group. A -->A, B-->B, AB-->AB & O-->O ?
from what is left of my blood banking knowledge, there are other antigens on the surface other than the rhesus factor to account for...

usually, after determining the blood type, there is a test called indirect comb's test that is done to investigate whether there is any type of incompatibility between the donated unit and the receiving patient.

If this test comes out negative, then the blood unit (450mL) is transfused.

If it is positive, then a phenotype is done to determine which Ab the recipient has against a specific donor Ag.

to get back on what is mentioned in the research, since i havent read their article i can only but speculate on the method.

it will break the glycosidic linkage that links the carbohydrate Ag to the RBC releasing those Ags. However, a few problems arise, i dont know if they were tackled by this research...

how will they be able to purify the packed RBC preparation from the remnants of those Ags.
What will be the effect of the purification procedure on the RBCs?
how efficient is the process? can it be applicable for high throughput needs?

it looks interestin for now, lets wait for the follow up article...
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Default 11th April 2007

Quote:
Originally Posted by Diabolo_7 View Post
from what is left of my blood banking knowledge, there are other antigens on the surface other than the rhesus factor to account for...

usually, after determining the blood type, there is a test called indirect comb's test that is done to investigate whether there is any type of incompatibility between the donated unit and the receiving patient.

If this test comes out negative, then the blood unit (450mL) is transfused.

If it is positive, then a phenotype is done to determine which Ab the recipient has against a specific donor Ag.

to get back on what is mentioned in the research, since i havent read their article i can only but speculate on the method.

it will break the glycosidic linkage that links the carbohydrate Ag to the RBC releasing those Ags. However, a few problems arise, i dont know if they were tackled by this research...

how will they be able to purify the packed RBC preparation from the remnants of those Ags.
What will be the effect of the purification procedure on the RBCs?
how efficient is the process? can it be applicable for high throughput needs?

it looks interestin for now, lets wait for the follow up article...
khayyeh charbel , no need for all that ....

blood type isnt the only requirement of blood transfusion. you have to do the cross match test and coombs test ( direct and indirect)
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