Final answer:
The reaction between mismatched blood groups occurs due to antibodies in the recipient's plasma recognizing antigens on the donor blood cells as foreign, leading to agglutination and destruction of the RBCs, which can cause severe transfusion reactions and potential fatality.
Step-by-step explanation:
The reaction between mismatched blood groups occurs because of the presence of specific antigens on the surface of red blood cells (RBCs) and the corresponding antibodies in the plasma. When blood from incompatible groups is mixed, the antibodies recognize the foreign antigens on the RBCs as threats and bind to them, causing agglutination and hemolysis. This immune response is triggered because the body sees the antigens from the transfused blood as foreign, leading to the activation of the complement system, which enhances the immune reaction and may result in severe outcomes including clumped blood cells, restricted blood flow, damage to organs, and potentially death.
This was understood after the discovery of blood groups by Karl Landsteiner in 1900. Based on this discovery, it became possible to match blood types and prevent such severe transfusion reactions. If a person with type B blood receives type A blood, for example, the anti-A antibodies will attack the A antigens on the transfused RBCs, leading to clumping, inflammation, and destruction of the transfused cells—a process that can cause fatal complications.