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Human blood group systems
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Thirty major blood group systems (including the AB and Rh systems) are currently
recognised by the International Society of Blood Transfusion (ISBT).
[1]
Thus, in addition to
the ABO antigens and Rhesus antigens, many other antigens are expressed on the red blood
cell surface membrane. For example, an individual can be AB RhD positive, and at the same
time M and N positive (MNS system), K positive (Kell system), and Le
a
or Le
b
positive
(Lewis system). Many of the blood group systems were named after the patients in whom the
corresponding antibodies were initially encountered.
The ISBT definition of a blood group system is where one or more antigens are "controlled at
a single gene locus or by two or more very closely linked homologous genes with little or no
observable recombination between them".
[2]

Contents
1 Blood grouping postulates
2 Rare blood types
3 Blood group systems
4 References
5 External links
Blood grouping postulates
Blood is composed of cells suspended in a liquid. The liquid portion is the plasma, from
which therapeutic fractions and derivatives are made.
Suspended in the plasma are three types of cells:
Red cells carry oxygen
White cells fight infection
Platelets stop bleeding in injuries
The most common type of grouping is the ABO grouping. The varieties of protein coating on
red blood cells divides blood into four groups:
A (A oligosaccharide is present)
B (B oligosaccharide is present)
AB (A and B oligosaccharides are present)
O (neither A nor B, only their precursor H oligosaccharide present)
There are subtypes under this grouping (listed as A1, A2, A1B or A2B) some of which are
quite rare. Apart from this there is a protein which plays an important part in the grouping of
blood. This is called the Rh factor. If this is present, the particular blood type is called
positive. If it is absent, it is called negative. Thus we have the following broad categories:
[3]

A1 Negative (A1 -ve)
A1 Positive (A1 +ve)
A1B Negative (A1B -ve)
A1B Positive (A1B +ve)
A2 Negative (A2 -ve)
A2 Positive (A2 +ve)
A2B Negative (A2B -ve)
A2B Positive (A2B +ve)
B Negative (B -ve)
B Positive (B +ve)
B1 Positive (B1 +ve)
O Negative (O -ve)
O Positive (O +ve)
Rare blood types
In the "ABO" system, all blood belongs to one of four major groups: A, B, AB, or O. But
there are more than two hundred minor blood groups that can complicate blood transfusions.
These are known as rare blood types. Whereas common blood types are expressed in a letter
or two, with maybe a plus or a minus, a smaller number of people express their blood type in
an extensive series of letters in addition to their 'AB-' type designation.
Blood group systems
ISBT

System name
System
symbol
Epitope or carrier, notes Chromosome
001 ABO ABO
Carbohydrate (N-Acetylgalactosamine,
galactose). A, B and H antigens mainly elicit
IgM antibody reactions, although anti-H is
very rare, see the Hh antigen system
(Bombay phenotype, ISBT #18).
9
002 MNS MNS
GPA / GPB (glycophorins A and B). Main
antigens M, N, S, s.
4
003 P P1 Glycolipid. Antigen P1. 22
004 Rh (Rhesus) RH
Protein. C, c, D, E, e antigens (there is no
"d" antigen; lowercase "d" indicates the
absence of D).
1
005 Lutheran LU
Protein (member of the immunoglobulin
superfamily). Set of 21 antigens.
19
ISBT

System name
System
symbol
Epitope or carrier, notes Chromosome
006 Kell KEL
Glycoprotein. K
1
can cause hemolytic
disease of the newborn (anti-Kell), which
can be severe.
7
007 Lewis LE
Carbohydrate (fucose residue). Main
antigens Le
a
and Le
b
- associated with tissue
ABH antigen secretion.
19
008 Duffy FY
Protein (chemokine receptor). Main antigens
Fy
a
and Fy
b
. Individuals lacking Duffy
antigens altogether are immune to malaria
caused by Plasmodium vivax and
Plasmodium knowlesi.
1
009 Kidd dbMHC
Protein (urea transporter). Main antigens Jk
a

and Jk
b
.
18
010 Diego DI
Glycoprotein (band 3, AE 1, or anion
exchange). Positive blood is found only
among East Asians and Native Americans.
17
011 Yt or Cartwright YT Protein (AChE, acetylcholinesterase). 7
012 XG XG Glycoprotein. X
013 Scianna SC Glycoprotein. 1
014 Dombrock DO
Glycoprotein (fixed to cell membrane by
GPI, or glycosyl-phosphatidyl-inositol).
12
015 Colton CO
Aquaporin 1. Main antigens Co(a) and
Co(b).
7
016
Landsteiner-
Wiener
LW
Protein (member of the immunoglobulin
superfamily).
19
017 Chido/Rodgers CH/RG C4A C4B (complement fractions). 6
018 Hh/Bombay H Carbohydrate (fucose residue). 19
019 Kx XK Glycoprotein. X
020 Gerbich GE GPC / GPD (Glycophorins C and D). 2
021 Cromer CROM
Glycoprotein (DAF or CD55, regulates
complement fractions C3 and C5, attached
to the membrane by GPI).
1
022 Knops KN
Glycoprotein (CR1 or CD35, immune
complex receptor).
1
023 Indian IN Glycoprotein (CD44 adhesion function?). 11
024 Ok OK Glycoprotein (CD147). 19
025 Raph MER2 Transmembrane glycoprotein. 11
026 JMH JMH Protein (fixed to cell membrane by GPI). 6
027 Ii I
Branched (I) / unbranched (i)
polysaccharide.
6
028 Globoside GLOB Glycolipid. Antigen P. 3
029 GIL GIL Aquaporin 3. 9
ISBT

System name
System
symbol
Epitope or carrier, notes Chromosome
030
Rh-associated
glycoprotein
RHAG Rh-associated glycoprotein. 6

Langereis
[4]
LAN ABCB6. Porphyrin transporter 2

Junior
[4]
JR ABCG2. Multi-drug transporter protein 4
References
1. ^ "Table of blood group systems". International Society of Blood Transfusion.
October 2006. Retrieved 2006-11-14.
2. ^ ISBT Committee on Terminology for Red Cell Surface Antigens. "Terminology
Home Page". Retrieved 2009-02-13.
3. ^ Information Courtesy: Indian Red Cross Society, Tamil Nadu Branch.
4. ^
a

b
Helias V, Saison C, Ballif BA, Peyrard T, Takahashi J, Takahashi H, Tanaka M,
Deybach J-C, Puy H, le Gall M, Sureau C, Pham B-N, le Pennec P-Y, Tani Y, Cartron
J-P, Arnaud L (2012) ABCB6 is dispensable for erythropoiesis and specifies the new
blood group system Langereis. Nature Genetics 44 (2): 170 DOI: 10.1038/ng.1069
External links
ISBT Table of blood group antigens within systems Updated August 2008.
BGMUT Blood Group Antigen Gene Mutation Database at NCBI, NIH.
Blood Groups and Red Cell Antigens National Center for Biotechnology Information
(NCBI).
Distribution of Blood Types, Behavioral Sciences Department, Palomar College.
Blood group antigen proteins
[hide]
v
t
e
Transfusion medicine

General concepts
Apheresis (plasmapheresis, plateletpheresis, leukapheresis)
Blood transfusion
Coombs test (direct and indirect)
Cross-matching
Exchange transfusion
International Society of Blood Transfusion
Intraoperative blood salvage
ISBT 128
Transfusion reactions


Blood group
systems /
ABO
Chido-Rodgers
blood types Colton
Cromer
Diego
Dombrock
Duffy
Gerbich
GIL
Hh
Ii
Indian
JMH
Kell (Xk)
Kidd
Knops
LW
Lewis
Lutheran
MNS
OK
P
Raph
Rh and RHAG
Scianna
T-Tn
Xg
Yt
Other


Blood products /
blood donation
Whole blood
Platelets
Red blood cells
Plasma / Fresh frozen plasma / PF24 (Cryoprecipitate +
Cryosupernatant)
Blood substitutes


M: MYL cell/phys (coag, heme,
immu, gran), csfs
rbmg/mogr/tumr/hist,
sysi/epon, btst
drug (B1/2/3+5+6),
btst, trns

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Blood antigen systems
Transfusion medicine
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This page was last modified on 8 January 2013 at 06:48.
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