Tag Archives: Universal Blood

The Promising Near Future of Blood Transfusions

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Rendering of red blood cells. Source: Flickr Creative Commons – Nocturnal lust

Have you ever donated blood? Canadian Blood Services is always looking for more blood, because they need lots of it. For example, here’s a table of the required donations per single procedure.

Required amount of blood donors per case. Source: Canadian Blood Services – Who does my donation help?

As you can see, a single car crash can require blood from up to 50 donors. Such events can cause a shortage of blood. In fact, just last year, Canadian Blood Services issued an appeal for more blood donations, as blood supplies hit an all-time low, especially for type O universal donors.

What are universal donors? Donors of blood type O can donate to every other blood type, because they have no antigens (molecules that can cause severe and harmful responses by immune system on the recipient of the transfusion). The video below explains the concept of blood types and why some people can flexibly donate to all others blood types. Credit for this video goes to user nafis A on Youtube.

The problem with blood donations is that we can’t simply take many donations and stop worrying about blood reserves. This is because, just like milk, blood is perishable. Blood Centers Organization states that red blood can only be stored for 42 days before going bad. This creates a need for a continuous supply of blood donations to account for any emergencies.

On the bright side, the future of blood supplies look promising due to a recent publication by a research group at the University of British Columbia (UBC) at the Centre for Blood Research. They discovered a method to genetically enhance an enzyme which removes the antigens from blood. To do this, they used a genetic manipulation method called directed evolution.

David Withers’ Research Group at the Centre for Blood Research. Source: UBC Centre for High-Throughput Biology

This process introduces step-wise mutations in the DNA that encodes the enzyme. They use a multi-pronged approach by introducing many random mutations to the gene, and select the best performing mutants and do this for multiple rounds. The researchers at UBC claim that after five rounds of directed evolution, the enzyme which removes antigens from red blood cells is 170 times faster than the original enzyme. The original enzyme, although functional, was never fast enough to be a feasible way of removing antigens from blood. This genetically enhanced enzyme, however, can be used practically in the medical setting.

This discovery could potentially eliminate the shortage of antigen-specific blood by converting all donated blood to donor types! I think this has great potential for saving lives. From what I know about Biology, once the DNA of this hyper-enzyme has been sequenced, it can be easily generated from protein farms – where bacteria produce large quantities of the protein which can be purified and extracted for clinical use. I think it’s amazing to hear that my university is at the frontier of such impactful discoveries!

Blog by Justin Yoon

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Almost there! Universal blood for all.

Researchers of The Centre for Blood Research and The Chemistry Department in University British Columbia (UBC) have been experimenting to generate an enzyme that makes eight different blood types to be the safe universal blood for everyone.

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Blood transfusion (source: Flickr Commons)

As it is generally known, our blood type lies into four major groups: A,B, AB and O. Also, there are positive types and negative types on each four types. Overall, eight different blood types differentiate from each other by additional sugar structure that lies on the surface of the red blood cells which decide presence or absence of antigens. Failure in performing correct blood transfusion can bring life-threatening situation due to immune responses to patients. The importance of correctly identifying the blood type and its transfusion to the patient in need is absolutely critical in the matter of life and death. An example of wrong blood type transfusion can be found in the link.

Drawing from the above importance of identifying blood for patients, the blood type O is known as universal blood because type A and B share the same core sugar structure as type O.  More specifically, only type O negative can be called universal blood because type O positive can not be transfused to patients who have negative blood type. Blood type O negative can be donated to patients with negative blood types as well as positive blood types. The universal blood type O negative is the key to blood transfusion; one which is in need, but not enough of.

Above diagram indicates blood type O as universal donor due to absence of antigen.

Therefore, David Kwan (UBC Chemistry department), Jayachandran Kizhakkedathu (UBC the Centre for Blood Research) and others are in process of finding a way to create an enzyme that can cut off the additional sugar structure (antigen) on surface of the blood cell so that all blood types can be donated and transfused safely as blood type O. Such research is the breakthrough in the clinical use of blood transfusion in saving the lives of critical patients.

Researchers used a new technology called directed evolution to generate the “sugar(antigen)-cutting” enzyme. Through directed evolution technology, researchers were possible to insert mutation gene into the gene that codes for the enzyme. Currently, thanks to their efforts, the enzyme under research became 170 times more effective at cutting majority of antigens in type A and B.

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[Credit to: City]

Since the enzyme cuts majority of antigens but not all, the research is still underway. Human immune system is critically sensitive to even tiniest of antigens; adding to the importance of the successful research. This study needs further improvement before the enzyme can be used for clinical use.

by Grace Kim.