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Reference:
Essentials of Glycobiology

by Varki et al.
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>> Blood Group Determinants
In 1901, Karl Landsteiner discovered blood group antigens. Since that time nearly 200 antigens have been identified. Carbohydrate-dependant blood group antigens are carried by both glycoproteins and glycolipids -- some well known carbohydrate antigens belong to the ABO(H), Lewis (Le), and Ii blood group systems.
 
ABO(H) System

click a structure to view it in 3D
 
The ABO(H) system of blood group determination consists of three antigens, H, A, and B, and is the most important in blood transfusions. The H antigen is a disaccharide, Fuc-a2-Gal. a3 Linkage of GalNac to the galactose of the H structure forms the A antigen, while linkage of Galactose in that position forms the B antigen. Gene coding for a2-fucosyltransferase determines formation of the H antigen, while coding for a3-GalNAcT and a3-GalT transferases determines formation of A and B antigens, respectively. Some individuals lack the ability to synthesize H antigen due to a defective FucT gene; these people are classified as "Bombay-type".
Lewis (Le) System
Fucosylated drivatives of Gal-GlcNAc comprise the Lewis (Le) system. The two types of antigen in this system are monofucosylated trisaccharides, Lea and Lex, and difucosylated tetrasaccharides, Leb and Ley. The a and b antigens are isomeric in linkages to the x and y antigens, respectively (See table in diagram). The sialated form of Lex is also very important as a recognition marker for selectins. Important fucosyltransferases are involved in the Lewis Antigens' biosynthesis
 
Lewis Structures - click name for enlarged view

Lea

Leb

Lex

Ley

sLex



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