Which of the following plays a role in blood group antigen formation?
Glycosylation modifications influence ABO antigen presentation beyond core transferase reactions involving fucose GalNAc Gal additions to H substance. Sialic acid N acetylneuraminic acid added ST3GAL ST6GAL1 sialyltransferases using CMP Neu5Ac caps galactose residues precursor polylactosamine chains via alpha two three alpha two six linkages introducing negative charge repelling pathogens masking H antigen lectin binding modulating accessibility and complement regulation. On erythrocyte membrane glycophorin A carries fifteen O linked one N linked sialylated tetrasaccharides accounting major negative zeta potential minus fifteen millivolts reducing aggregation controlling alternative complement via factor H binding sialic acid polyanion host marker. ABO antigens reside same polylactosamine carriers sialylation status regulates accessibility terminal GalNAc Gal anti A anti B IgM agglutination and lectin Dolichos biflorus DBA. Sialic acid also serves receptor influenza hemagglutinin Plasmodium EBA175 invasion. Phosphatidylinositol triacylglycerol ergosterol do not contribute extracellular glycan epitopes blood group serology. Thus sialic acid role modulator antigen formation red cell surface properties exemplifies glycobiology intersection transfusion science infectious disease susceptibility immune evasion mechanisms tested serology exams and immunohematology contexts and ABO discrepancies.
Ref: Varki A., Glycobiology 2008, Sialic acids blood group antigen modulation masking and recognition.