Is Type O Really the Oldest Blood Type?

Human blood is categorized into different types, prompting questions about their origins. A common inquiry is whether Type O, known as the “universal donor,” is the oldest human blood type. Exploring the evolutionary history of the ABO blood system offers insights into how these classifications emerged and diversified across human populations.

Understanding the ABO Blood System

The ABO blood group system classifies human blood into four primary types: A, B, AB, and O. This classification depends on the presence or absence of specific protein molecules called antigens on the surface of red blood cells. Type A blood has A antigens, Type B has B antigens, and Type AB features both. Type O blood has neither A nor B antigens.

Blood plasma contains antibodies. Type A individuals naturally have anti-B antibodies, Type B individuals carry anti-A antibodies, and Type O blood contains both anti-A and anti-B antibodies. Type AB blood has neither.

The inheritance of these blood types is governed by a single gene, the ABO gene, located on chromosome 9. This gene has three main alleles: A, B, and O. Alleles A and B are codominant, meaning both are expressed if inherited together, while the O allele is recessive.

Tracing the Origins of Blood Types

The scientific understanding of blood type evolution indicates a complex history. Some theories suggest Type A may be the most ancient, or an O-like precursor emerged first. The ABO system evolved over millions of years, predating modern humans. The A and B alleles are found in various primate species, suggesting a common ancestral origin for these traits.

Type O blood is thought to have arisen from a mutation in the A allele, leading to a non-functional enzyme that cannot produce A or B antigens. Consequently, the red blood cells of Type O individuals lack these surface markers. While early theories considered Type O ancestral due to its “universal donor” quality, current genetic evidence points to A or an A-like precursor as potentially older, with O resulting from a loss-of-function mutation.

Evolutionary Pressures and Blood Type Diversity

The diversity and distribution of ABO blood types across human populations are influenced by environmental pressures and human migration. Infectious diseases have played a significant role as selective forces. For example, Type O blood has shown increased susceptibility to certain infections like cholera and norovirus, while exhibiting some protection against severe malaria.

Conversely, Type A blood has been linked to a higher risk for some infections, including smallpox in some historical contexts and certain bacterial infections. The varying resistance or susceptibility to pathogens among different blood types likely contributed to their prevalence in regions where specific diseases were endemic. Human migration patterns further shaped this distribution. As early humans moved across continents, founder effects and subsequent mixing of populations led to the distinct frequencies of ABO blood types observed globally today.