Blood types are a crucial part of your overall health and are determined by genes inherited from your parents. You inherit either the presence or the absence of substances known to trigger an immune response to a foreign invader in the body (antigens). It is important to understand your blood type as the presence of certain antigens in transfused blood can be deadly.
The month of January is designated as National Blood Donor Month. Historically, it is a period where the nation experiences a critical shortage of blood. Bad weather, the holidays, and colds and flu contribute to a reduced number of people donating blood in January, and throughout the winter months. What makes a blood type?
There are four main blood types, each requiring blood typing and crossmatching before you receive a transfusion. The key components of blood include red blood cells, white blood cells, plasma, and platelets. The red blood cells are responsible for carrying oxygen to the body, white blood cells help the immune system, plasma contains proteins and salts, and platelets help the blood to clot.
Your blood group is determined by what type of antigen binds to the surface of your red blood cells. Antigens can contain sugars or proteins and vary in duties based on small genetic differences. There are two main types of antigens that help to classify a blood type - ABO antigens and Rh antigens.
Common functions of antigens include:
Detecting foreign cells that could cause illness or interactions
Maintain the structure of red blood cells
Transports molecules in and out of cells
ABO blood system
There are several blood groups that help to classify blood types based on the antibodies present in plasma and antigens on the surface of red blood cells. The four ABO groups include:
Group A is defined by A antigens present at the surface of red blood cells while the plasma contains B antibodies. Those with group A blood will experience a serious reaction to blood transfusions that contain blood cells with B antigens.
Group B is defined by B antigens present at the surface of red blood cells with A antibodies in the plasma. These people will experience an internal attack if they receive blood that contains type A antigens.
Group AB patients have red blood cells that contain antigens A and B, but the plasma doesn’t have anti-A or B antibodies. Those with AB blood can receive blood from any ABO blood type.
Group O is defined as no presence of A or B antigens on the red blood cells but plasma contains anti-A and anti-B antibodies. Those with group O blood can give blood to any ABO blood group.
What is the rhesus factor?
The Rhesus factor (Rh factor) is a protein in the blood that is inherited from parents. If your blood cells contain this protein, your ABO type is considered positive if your blood cells do not contain this protein, your ABO type is negative. While there are four ABO groups, there are eight possible blood types after considering the Rhesus factor - A+, A-, B+, B-, AB+, AB-, O+, and O-. Those with O- blood are considered universal donors as they can give blood to any and all other blood types.
Why are blood types important?
The immune system works diligently to protect the body from foreign invaders that can cause illness or disease. Nearly 16 million units of blood products are given each year in the United States alone. Transfusions are given in emergency situations and could be the determining factor between life and death for a person. If donor cells are not properly crossmatched and types, the recipient's body will recognize these cells as foreign invaders and attack them as they meet with other cells. Takeaway
Understanding your blood type can help to save your life in a true emergency. While hospitals and emergency rooms try to maintain a hefty supply of universal donor blood, the supply levels of O- blood frequently reach critically low levels.
If you do not know your blood type, you can use an at-home kit, contact your primary care provider, or donate blood to learn more.
And remember, donating blood and plasma can have a lifesaving impact on another person.