Reagent Storage and Stability

a. Store the reagent at 2–8°C. Do not freeze.

b. The shelf-life of the reagent is as per the expiry date

mentioned on the reagent vial label.

Principle

Human red blood cells possessing A and/or B antigen will

agglutinate in the presence of antibody directed towards

the antigen. Agglutination of red blood cells with anti-A,

anti-B and anti-AB reagent is a positive test result and

indicates the presence of the corresponding antigen.

Absence of agglutination of red blood cells with anti-A,

anti-B and anti-AB reagent is a negative test result and

indicates the absence of corresponding antigen.

Note

1. In vitro diagnostic reagent for laboratory and professional use only. Not for medicinal use.

2. Erybank reagents are from human source and the

source material used in its manufacture is tested by

approved techniques and found negative for HBsAg

and HIV, HCV antibodies.

3. The reagent contains sodium azide 0.1% as preservative.

Avoid contact with skin and mucosa. On disposal, flush

with large quantities of water.

4. Extreme turbidity may indicate microbial contamination

or denaturation of protein due to thermal damage.

Such reagent should be discarded.

Sample Collection and Preparation

No special preparation of the patient is required prior

to sample collection by approved techniques. Samples

should be stored at 2-8°C if not tested immediately. Do

not use hemolyzed samples. Anticoagulated blood using

various anticoagulants should be tested within the below

mentioned time period:

EDTA or heparin : 2 days

Sodium citrate or sodium oxalate : 14 days

ACD or CPD : 28 days

Clotted whole blood should be tested within 14 days.

Additional Material Required for Slide and Tube

Tests

Glass slide (50 × 75 mm), test tubes (10 × 75 mm), Pasteur

pipettes, isotonic saline, centrifuge, timer, and mixing

sticks.

Test Procedure

Bring reagent and samples to room temperature before

testing.

Slide Test

1. Place one drop of Erybank reagent anti-A or anti-B or

anti-AB on a clean glass slide.

2. To each reagent drop, add one small drop of whole

blood.

3. Mix well with a mixing stick uniformly over an area of

approximately 2.5 cm2

.

4. Rock the slide gently back and forth.

5. Observe for agglutination macroscopically at 2

minutes.

Tube Test

1. Prepare a 2–3% suspension of the red cells to be tested

in isotonic saline.

2. Place one drop of Erybank anti-A, anti-B, anti-AB into

correspondingly labeled test tubes.

3. Pipette into each of the test tubes, one drop of the test

red cell suspension and mix well.

4. Centrifuge for 1 minute at 1000 rpm (125 g) or 20 seconds

at 3400 rpm (1000 g) or incubate at room temperature

for 20–30 minutes.

Blood Banking (Immunohematology) 321

5. Gently resuspend the cell button, observing for agglutination macroscopically.

Interpretation of Results

Slide and Tube Tests

Agglutination is a positive test result and indicates the

presence of A and/or B antigen.

Do not interpret peripheral drying or fibrin strands as

agglutination.

No agglutination is a negative test result and indicates

the absence of A and/or B antigen.

Remarks

1. In the tube test procedure, it is recommended that

tubes with negative reactions should be recentrifuged

and results read again after 5 minutes so that weak

antigens are not overlooked.

2. Anti-A, lectin can be used to differentiate between A,

and A1 subgroups.

3. A3 cells demonstrate a mixed field agglutination.

4. Certain weaker subgroups of A and B may produce

weak reactions with anti-A, B.

5. As undercentrifugation or overcentrifugation could

lead to erroneous results, it is recommended that each

laboratory calibrate its own equipment and determine

the time required for achieving the desired results.

ANTI-A, ANTI-B, ANTI-AB

Monoclonal Blood Grouping Antibodies for

Slide and Tube Tests

(Courtesy: Tulip’s Eryclone Range)

Summary

Monoclonal antibodies are derived from hybridoma cell

lines, created by fusing mouse antibody producing B

lymphocytes with mouse myeloma cells. Each hybridoma

cell line produces homogeneous antibodies of only

one immunoglobulin class, which are identical in their

chemical structure and immunological activity. Human

red blood cell antigens can be divided into four groups

A, B, AB and O depending on the presence or absence

of the corresponding antigens on the red blood cells.

Approximately, 41% of the Caucasian population have the

A antigen, 9% have the B antigen, 4% have both A and B

antigens, while the remaining have neither A nor B antigen.

Reagent

Eryclone® anti-A, anti-B and anti-AB are ready-to-use

reagent prepared from supernatants of mouse hybridoma

cell cultures. These antibodies of immunoglobulin class

IgM are a mixture of several monoclonal antibodies of the

same specificity but having the capability of recognizing

different epitopes of the human red blood cell antigens

A and B. Each batch of reagent undergoes quality control

at various stages of manufacture for its specificity, avidity

and performance.

Reagent Storage and Stability

1. Store the reagent at 2–8°C. Do not freeze.

2. The shelf life of reagent is as per the expiry date mentioned on the reagent vial label.

Principle

Human red blood cells possessing A and/or B antigen will

agglutinate in the presence of antibody directed towards

the antigen. Agglutination of red blood cells with anti-A,

anti-B, anti-AB reagent is a positive test result and indicates

the presence of the corresponding antigen. Absence of

agglutination of red blood cells with anti-A, anti-B, anti-AB

reagent is a negative test result and indicates the absence

of the corresponding antigen.

Note

1. In vitro diagnostic reagent for laboratory and professional use only. Not for medicinal use.

2. The reagent contains sodium azide 0.1% as preservative. Avoid contact with skin and mucosa. On

disposal, flush with large quantities of water.

3. Extreme turbidity may indicate microbial contamination or denaturation of protein due to thermal

damage. Such reagent should be discarded.

4. Eryclone reagent are not from human sources, hence,

contamination due to HBsAg and HIV is practically

excluded.

Sample Collection and Preparation

No special preparation of the patient is required prior

to sample collection by approved techniques. Samples

should be stored at 2–8°C if not tested immediately. Do

not use hemolyzed samples. Anticoagulated blood using

various anticoagulants should be tested within the below

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