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​The structure and process of formation of different antigens in the blood ABO system are given in the following statements:A. Galactose is added to t
Question

The structure and process of formation of different antigens in the blood ABO system are given in the following statements:

A. Galactose is added to the terminal of H-antigen by a transferase expressed in individuals with type A blood.
B. The B antigen is formed by a transferase expressed in individuals with type B blood, which adds a terminal N-acetylgalactosamine to H-antigen.
C. The H-antigen is formed by fucose transferase, which adds a terminal fucose to its precursor.
D. The H-antigen is the precursor of both A- and B-antigens, and it is the blood group antigen in persons of type O blood.

Which one of the following options represents the correct combination of statements?

A.

​A and B

B.

​B and C

C.

​C and D

D.

A and D

Correct option is C

A. Galactose is added to the terminal of H-antigen by a transferase expressed in individuals with type A blood.(Incorrect)

  • In individuals with type A blood, a specific glycosyltransferase enzyme (A-transferase) adds N-acetylgalactosamine (not galactose) to the H-antigen.

B. The B antigen is formed by a transferase expressed in individuals with type B blood, which adds a terminal N-acetylgalactosamine to H-antigen.(Incorrect)

  • In individuals with type B blood, a specific glycosyltransferase enzyme (B-transferase) adds galactose (not N-acetylgalactosamine) to the H-antigen.

C. The H-antigen is formed by fucose transferase that adds a terminal fucose to its precursor.(Correct)

  • The H-antigen is the foundation for the ABO blood group antigens and is produced when the fucosyltransferase enzyme (FUT1) adds fucose to the precursor.

D. The H-antigen is the precursor of both the A- and B-antigens, and it is the blood group antigen in persons of type O blood. (Correct)

  • Type O individuals do not have functional A- or B-transferases, so they retain the H-antigen as their blood group marker.
  • A- and B-antigens are derived from the H-antigen by specific transferases.

Information Booster:

  1. The ABO blood group system is determined by specific glycosyltransferase enzymes that modify the H-antigen.
  2. H-antigen is essential for A and B antigen formation; without it, no ABO blood type can develop.
  3. The FUT1 gene encodes the enzyme that synthesizes H-antigen, which is modified further to form A or B antigens.
  4. Type O blood lacks the enzymes to add extra sugars, leaving only the H-antigen on red blood cells.
  5. Bombay phenotype (hh) individuals lack the FUT1 enzyme, meaning they do not even have the H-antigen.
  6. Blood transfusion compatibility depends on the presence or absence of A, B, and H antigens.

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