Thereby, the aggregation of findings analyzed 
from protein concentration and blood agglutination 
showed a paralleling and complementing 
dependency resulted by washing treatment. 
This study is based in blood tissue cellular 
content. Conceptually, protein content and 
agglutination level determine the behavior and state 
of the blood cellular composition. Focusing on red 
blood cell (erythrocytes), the contained protein 
integrates with the cell wall, which is antigenic. The 
composition of the red blood cell membrane is 49% 
protein, 43% lipids and 8% carbohydrates. This 
variation in protein in erythrocytes, which results in 
blood, is divided into several groups called blood 
groups (Silverthorn, 2014). 
Thus, each blood group has its own antigen on 
the surface of the red blood cell membrane. Blood 
type antigens consist of carbohydrates and proteins. 
They together form glycoproteins and all are 
attached to various components in the red blood cell 
membrane. Protein is one of the macromolecules 
that make up more than half of the cell (Silverthorn, 
2014). Hence, the amount of protein contained 
directly affect agglutinin reaction. Thus, the more 
damaging and destruction to cellular protein, the 
more it responds to weakened agglutination in order 
to complicate in ascertaining and determination of 
the forensic inquiry. 
4  CONCLUSIONS 
Forensic examination of bloodstain provides 
important information to uncover inquired offenses 
because blood is easily scattered in almost all forms 
of violence. In this study, the difference of washing 
treatment on bloodstain proved to affect protein 
content and agglutination levels. There was a 
gradual significant decrease in the average of protein 
content and level of agglutination in blood spots 
washed using tap water only, detergent, and bleach. 
The decrease in the average of protein content and 
the level of agglutination in this study was caused by 
various factors, including mechanical factors derived 
from washing machines, chemical factors provided 
by detergents and bleach liquids, and thermal factors 
provided by water with a detergent mixture. In 
addition, the temperature factor, time, pH, and 
antigens-antibodies concentration also affect the 
decrease in the average protein content and the level 
of agglutination in blood spots. In general, a 
decreased protein content and agglutination level is 
by protein denaturation and destruction due to 
washing treatment and exposure to detergent 
chemicals and stain cleaning fluids. 
Hence, amount of protein contained is directly 
affected by agglutinin reaction. Thus, the more 
damaging and destruction to cellular protein, the 
more it responds to weakened agglutination in order 
to complicate in ascertaining and determination of 
the forensic inquiry. The study opens up a new 
approach to blood identification even after washed 
with detergent, which could prove useful in solving 
important forensic criminal cases 
ACKNOWLEDGEMENTS 
The authors would like to thank the technicians of 
the Human Genetic of Tropical Diseases (ITD) 
Laboratory of Airlangga University and all those 
who have assisted in the completion of this research. 
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