Each blood group system (BGS) has a unique inheritance, some more complex than others. See Suggested reading for more details. For purposes of this module, only a few examples will be presented, and at a basic level.
Antithetical antigens in this system include K and k; Kpa and Kpb; Jsa and Jsb; and more. At the routine level K (also known as KEL1) and k (KEL2) are the most significant; their inheritance is controlled by K and k, which are co-dominant alleles. Most individuals (91% of Caucasians and 98% of Blacks) have the red cell phenotype K-k+.
An example of Kk inheritance is shown in Figure1-19.
Duffy is controlled by two co-dominant alleles, Fya and Fyb; as well as Fy, a third allele, very rare in Caucasians but common in Blacks. There are four red cell phenotypes:
Most Caucasians (~49%) inherit both Fya and Fyb and type as Fy(a+b+). Most Blacks (68% in USA; higher in African countries) inherit two Fy genes and type as Fy(a-b-).
The MNSs system is controlled by two sets of co-dominant alleles, MN and Ss, which are inherited at fairly closely linked loci. Unlike the Rh system, crossing over is possible in MNSs.
Rh BGS | Other BGS | Enrichment Article |