Blood Type

There are several types of red blood cells and each person has red blood cells of just one type. Blood type is determined by the occurrence or absence of substances, known as recognition markers or antigens, on the surface of the red blood cell. Type A blood has just marker A on its red blood cells while type B has only marker B. If neither A nor B markers are present, the blood is type O. If both the A and B markers are present, the blood is type AB. Another marker, the Rh antigen (also known as the Rh factor), is present or absent regardless of the presence of A and B markers. If the Rh marker is present, the blood is said to be Rh positive, and if it is absent, the blood is Rh negative. The most common blood type is A positive—that is, blood that has an A marker and also an Rh marker. More than 20 additional red blood cell types have been discovered.

Blood typing is important for many medical reasons. If a person loses a lot of blood, that person may need a blood transfusion to replace some of the lost red blood cells. Since everyone makes antibodies against substances that are foreign, or not of their own body, transfused blood must be matched so as not to contain these substances. For example, a person who is blood type A positive will not make antibodies against the A or Rh markers, but will make antibodies against the B marker, which is not on that person’s own red blood cells. If blood containing the B marker (from types B positive, B negative, AB positive, or AB negative) is transfused into this person, then the transfused red blood cells will be rapidly destroyed by the patient’s anti-B antibodies. In this case, the transfusion will do the patient no good and may even result in serious harm. For a successful blood transfusion into an A positive blood type individual, blood that is type O negative, O positive, A negative, or A positive is needed because these blood types will not be attacked by the patient’s anti-B antibodies.

Blood Type

Blood Type, in medicine, classification of red blood cells by the presence of specific substances on their surface. Typing of red blood cells is a prerequisite for blood transfusion. In the early part of the 20th century, physicians discovered that blood transfusions often failed because the blood type of the recipient was not compatible with that of the donor. In 1901 the Austrian pathologist Karl Landsteiner classified blood types and discovered that they were transmitted by Mendelian heredity (see Mendel's Laws).

The four blood types are known as A, B, AB, and O. Blood type A contains red blood cells that have a substance A on their surface. This type of blood also contains an antibody directed against substance B, found on the red cells of persons with blood type B. Type B blood contains the reverse combination. Serum of blood type AB contains neither antibody, but red cells in this type of blood contain both A and B substances. In type O blood, neither substance is present on the red cells, but the individual is capable of forming antibodies directed against red cells containing substance A or B. If blood type A is transfused into a person with B type blood, anti-A antibodies in the recipient will destroy the transfused A red cells. Because O type blood has neither substance on its red cells, it can be given successfully to almost any person. Persons with blood type AB have no antibodies and can receive any of the four types of blood; thus blood types O and AB are called universal donors and universal recipients, respectively.

Other hereditary blood-group systems have subsequently been discovered. The hereditary blood constituent called Rh factor is of great importance in obstetrics and blood transfusions because it creates reactions that can threaten the life of newborn infants. More than twenty additional blood types have been discovered. Their primary importance is in legal cases involving proof of paternity. See also Genetics.