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Index >> Blood Group Inheritance and Immunogenetics >> The H Antigen

The H Antigen

The H Antigen
In individuals with genotypes HH or Hh, a so called H-substance is present on the erythrocytes and may be demonstrated by agglutination by anti-H serum. The H antigen is believed to be an intermediate between a precursor mucopolysaccharide and antigens A and B to which it is partly converted in the presence of genotypes LA- or LB-. So long as they are of genotype H-, group individuals produce antigens A and H, group B person test positively for antigens Band H, and group AB persons produce antigens A, B, and H. Individuals of group 0 produce only H antigen if their genotype is LOLOHH or LOLOHh, but none of these antigens if the genotype is LOLOhh.

Substance
Precursor
Mucopolysaccharide
 
H, h genotypes:
(HH or Hh)
(hh)
 
Substance
H Substance
Unchanged precursor
 
 
LA,B,1
genotypes:
LALA
LBLB
LALB
LOLO
LA-
LB-
LALB
LOLO
 
LALO
LBLO
 
 
AH
BH
ABH
H
None

Persons whose blood gives no reaction with anti-A, anti-B, or anti-H belong to the very rare Bombay phenotype, so named because it was first described in a small group from that city. Chemical tests have revealed the fact that the alpha-L-fucosyl residue is associated with H substance specification.

 

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