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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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