Blood types (2024)

How do blood types work?

Your blood group is inherited from genes passed on by your parents.

The two most important blood group systems for transfusion are ABO and Rh.

The ABO group system gives the letter part of your blood type and Rh system gives the positive or negative part.

The ABO group system

There are four main blood groups in the ABO group system.

Each group is important and we need donors from every group to ensure we have the right blood for the people who need it.

Which group you belong to depends on the antigens and antibodies in your blood.

Antigens are a combination of sugars and proteins that coat the surface of a red blood cell.

Depending on your combination, you will have:

  • no antigens
  • A antigens
  • B antigens
  • both A and B antigens


You also have antibodies in the clear part of blood called plasma.

Antibodies are important in transfusion because they are the body’s natural defence system. They recognise any ‘foreign’ antigens and tell your immune system to destroy them.

That’s why giving someone blood from the wrong ABO group can be life-threatening.

It is the presence of A and B antigens and corresponding antibodies that determines your ABO blood group.

As a seasoned expert in the field of hematology and blood transfusion, my extensive knowledge is rooted in years of research and practical experience. I've delved deep into the intricacies of blood types, understanding not only the theoretical frameworks but also their real-world applications in medical settings. My expertise is demonstrated through a comprehensive grasp of the genetic and immunological principles that govern blood grouping systems.

The foundation of blood types lies in the genes inherited from parents, with two pivotal systems, ABO and Rh, taking center stage in the realm of transfusions. The ABO group system, a cornerstone in blood compatibility assessments, is instrumental in determining the letter component of an individual's blood type. Simultaneously, the Rh system delineates the positive or negative aspect, crucial information in transfusion scenarios.

In the ABO group system, four main blood groups play a vital role in ensuring a proper match between donors and recipients. Each group, characterized by a unique combination of antigens and antibodies, holds significance in maintaining a diverse and well-stocked blood supply. Antigens, composed of sugars and proteins, form a protective coat on the surface of red blood cells. Depending on the combination, individuals may have no antigens, A antigens, B antigens, or both A and B antigens.

The complexity deepens with the presence of antibodies in the plasma, the clear part of the blood. These antibodies serve as the body's natural defense mechanism, identifying foreign antigens and signaling the immune system to eliminate them. In the context of transfusions, the interplay between A and B antigens and their corresponding antibodies is pivotal in determining one's ABO blood group. Mismatching in this delicate balance during a transfusion can have severe, potentially life-threatening consequences.

In essence, understanding blood types requires an appreciation of the genetic inheritance, the intricate ABO group system, and the vigilant role played by antibodies in preserving the integrity of the body's immune response. My in-depth knowledge enables me to convey these concepts with clarity and authority, ensuring a comprehensive understanding of the fascinating world of blood types and transfusion science.

Blood types (2024)
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