Skip to content

Hemagglutination

Definition

Agglutination specifically involving red blood cells as the antigen-bearing particles. Direct hemagglutination occurs when antibodies bind surface antigens naturally present on red cell membranes, as in ABO typing. It is distinguished from indirect hemagglutination, where red cells are coated with exogenous antigens.

Definition
Agglutination of red blood cells as antigen carriers
Direct type
Antibody binds native red cell surface antigens
Example
ABO blood typing
Contrast
Indirect: cells coated with exogenous antigen

Common questions

How does direct hemagglutination confirm a person's ABO blood type?+

Anti-A and anti-B reagent antibodies are mixed separately with a blood sample; visible clumping in a given reagent shows the corresponding antigen is present, and the pattern of which reagents clump identifies the blood type.

Why would a forensic laboratory use indirect rather than direct hemagglutination?+

Indirect hemagglutination lets examiners detect antibodies or antigens that red cells do not naturally carry, by first coating the cells with a chosen antigen, extending the technique beyond native blood-group markers.

Related terms

Agglutination Titre
The reciprocal of the highest dilution of a serum or antigen solution at which visible agglutination still occurs. A titre of 1:64...
Antiglobulin (Coombs) Test
A two-stage assay that detects IgG antibodies bound to red blood cells. The direct test detects in-vivo cell-bound IgG; the indirect test...
Low-Ionic-Strength Saline (LISS)
A reaction medium with reduced salt concentration used to enhance agglutination sensitivity, particularly for IgG antibodies. Lowering ionic strength reduces the electrostatic...
Passive (Indirect) Agglutination
An agglutination format in which a soluble antigen or antibody is adsorbed or covalently linked to a carrier particle (latex bead, tanned...
Prozone (Hook) Effect
A false-negative agglutination result caused by antibody excess. When antibody molecules outnumber antigen sites, each site is occupied by a single antibody...

Explained in

Your journey to becoming a forensic professional starts here.

Practice with mock tests, learn from structured notes, and get your questions answered by a global forensic community, all in one place.