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Agglutination (biology)

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Type of antibody response
For the linguistics concept, seeAgglutination.
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(June 2015)
This image explains agglutination in the blood

Agglutination is the clumping of particles. The wordagglutination comes from theLatinagglutinare (glueing to).

Agglutination is a reaction in which particles (as red blood cells or bacteria) suspended in a liquid collect into clumps usually as a response to a specific antibody.

Agglutination(clumping) of red blood cells.


This occurs in biology in two main examples:

  1. The clumping of cells such as bacteria or red blood cells in the presence of anantibody orcomplement. The antibody or other molecule binds multiple particles and joins them, creating a large complex. This increases the efficacy of microbial elimination byphagocytosis as large clumps of bacteria can be eliminated in one pass, versus the elimination of single microbial antigens.
  2. When people are given blood transfusions of the wrong blood group, the antibodies react with the incorrectly transfused blood group and as a result, theerythrocytes clump up and stick together causing them to agglutinate. The coalescing of small particles that are suspended in a solution; these larger masses are then (usually) precipitated.

In immunohematology

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Hemagglutination

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Main article:Hemagglutination
The 'bedside card' method of blood typing, in this case using a Serafol card. The result is blood group A positive.

Hemagglutination is the process by whichred blood cells agglutinate, meaning clump or clog. The agglutin involved in hemagglutination is calledhemagglutinin. Incross-matching,donor red blood cells and the recipient's serum or plasma are incubated together. If agglutination occurs, this indicates that the donor and recipient blood types areincompatible.

When a person producesantibodies against their own red blood cells, as incold agglutinin disease and otherautoimmune conditions, the cells may agglutinate spontaneously.[1] This is calledautoagglutination and it can interfere with laboratory tests such asblood typing and thecomplete blood count.[2][3]

Leukoagglutination

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Leukoagglutination occurs when the particles involved arewhite blood cells.

An example is the PH-L form ofphytohaemagglutinin.

In microbiology

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Agglutination is commonly used as a method of identifying specific bacterial antigens and the identity of such bacteria, and therefore is an important technique in diagnosis.

History of discoveries

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Two bacteriologists,Herbert Edward Durham (1866-1945) andMax von Gruber (1853–1927), discovered specific agglutination in 1896. The clumping became known as Gruber-Durham reaction. Gruber introduced the term agglutinin (from the Latin) for any substance that caused agglutination of cells.

French physicianFernand Widal (1862–1929) put Gruber and Durham's discovery to practical use later in 1896, using the reaction as the basis for a test fortyphoid fever. Widal found that blood serum from a typhoid carrier caused a culture of typhoid bacteria to clump, whereas serum from a typhoid-free person did not. ThisWidal test was the first example of serum diagnosis.

Austrian physicianKarl Landsteiner found another important practical application of the agglutination reaction in 1900. Landsteiner's agglutination tests and his discovery of ABO blood groups was the start of the science ofblood transfusion andserology which has made transfusion possible and safer.

See also

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References

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  1. ^Quist, Erin; Koepsell, Scott (2015)."Autoimmune Hemolytic Anemia and Red Blood Cell Autoantibodies".Archives of Pathology & Laboratory Medicine.139 (11):1455–8.doi:10.5858/arpa.2014-0337-RS.PMID 26516943.
  2. ^Denise M Harmening (30 November 2018).Modern Blood Banking & Transfusion Practices. F.A. Davis. p. 141.ISBN 978-0-8036-9462-0.
  3. ^Bain, BJ; Bates, I; Laffan, MA (2017).Dacie and Lewis Practical Haematology (12 ed.). Elsevier Health Sciences. pp. 32–3.ISBN 978-0-7020-6925-3.
Medical tests used inimmunology (CPT 86000–86849)
Immunoprecipitation
Immunoassay
Agglutination
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