how may antigens does diego have
22
diego has three sets of high and low pairs of antithetical antigens—
Dia/Dib, Wra/Wrb, and Wu/DISK
No racial difference and null phenotype
diego
expressed on BAND3 or red blood cell anion exchanger protein 1 (AE1}
DIEGO
are expressed on RBCs of newborns and in kidney of adults (collecting ducts)
Diego antigen
The gene encoding band 3 and the Diego antigens,
SLC4A1
Role in acid secretion in HCO3 reabsorption
Anion exchanger (AE1)
Chloride shift/ hamburger shift (which is located extracellularly). Bale chloride is dispersed in exchange for bicarbonate
AE1
AE1 defect:
congenital acanthocytosis, hereditary spherocytosis and southeast asian ovalocytosis
INC in HCO3 capacity and osmotic resistance
Mittenberger II red cells
Higher AE1 expression
Mittenberger II red cells
contributed to red cell senescence - affected by cold storage which increases it
AE1
is rare in most populations but is polymorphic in people of Mongoloid ancestry
Dia
The is located on the last (seventh) extracellular loop of the protein.
Dia/Dib polymorphism
associated with an amino acid substitution on the fourth external loop, close to the insertion point of the protein into the RBC membrane.
Wra and Wrb
expression of requires the interaction of band 3 and normal GPA of the MNS blood group system.
Wrb
GPA-deficient RBCs are
Wr(a–b–).
is a relatively common antibody in donors and patients; some are directly agglutinating, but most require the antiglobulin phase of testing to be detected.
Anti-Wra
which antigens of diego causes htr and hdfn
dia = HDFN
Wra = severe HTR
elo = severe hdfn
in diego, is relatively common in the serum of patients with warm autoimmune hemolytic anemia.
Autoanti-Wrb
antithetical and represent an amino acid substitution on the glycosylphosphatidylinositol (GPI) linked RBC glycoprotein acetylcholinesterase (AChE).
cartwright
does cartwright have a null phenotype
no