Blood is a complex, living tissue that contains many cell types and proteins. A transporter, regulator, and defender, blood courses through the body carrying out many important functions. Distinct molecules called agglutinogens are attached to the surface of red blood cells. There are two different types of agglutinogens, type “A” and type “B”. Each type has different properties. The ABO blood type classification system uses the presence or absence of these molecules to categorize blood into four types: A, B, AB, and O.
The A and B antigen molecules on the surface of red blood cells are produced by two different enzymes. These two enzymes are encoded by different versions, or alleles, of the same gene: A and B. The A and B alleles code for enzymes that produce the type A and B antigens respectively. A third version of this gene, the O allele, codes for a protein that is not functional and does not produce surface molecules. Two copies of the gene are inherited, one from each parent.
Blood plasma is packed with proteins called antibodies. The body produces a wide variety of antibodies that will recognize and attack foreign molecules that may enter from the outside world. A person’s plasma does not contain any antibodies that will bind to molecules that are part of his or her own body.
When conducting a blood transfusion, it is important to carefully match the donor and recipient blood types. If the donor blood cells have surface molecules that are different from those of the recipient, antibodies in the recipient’s blood recognize the donor blood as foreign. This triggers an immune response resulting in blood clotting. If the donor blood cells have surface molecules that are the same as those of the recipient, the recipient’s body will not see them as foreign and will not mount an immune response.
There are two special blood types when it comes to blood transfusions. People with type O blood are universal donors because there are no molecules on the surface of the red blood cells that can trigger an immune response. People with type AB blood are universal recipients because they do not have any antibodies that will recognize type A or B surface molecules.