What Is AB+? The Universal Recipient Blood Type

Blood is categorized into types like A, B, O, and AB, along with the Rh factor. This classification is fundamental for safe medical procedures, particularly blood transfusions. This article explores the characteristics of the AB+ blood type, including its biological composition, role in transfusions, and genetic inheritance.

Defining AB+ Blood

The AB+ blood type is defined by specific components found on the surface of red blood cells. Individuals with AB blood possess both A and B antigens. The “positive” aspect of AB+ indicates the presence of the Rh antigen (D antigen) on these cells. AB blood types lack anti-A or anti-B antibodies in their plasma. This means their immune system will not react against A or B antigens.

AB+ in Transfusions

The unique composition of AB+ blood has significant implications in transfusions. Individuals with AB+ blood are considered “universal recipients” for red blood cell transfusions. Their blood lacks anti-A and anti-B antibodies, allowing them to safely receive red blood cells from any ABO blood type and from both Rh-positive and Rh-negative donors.

AB+ individuals can only donate red blood cells to other AB+ individuals. However, plasma from AB blood type donors (both AB+ and AB-) is known as “universal donor” plasma. This is because AB plasma does not contain anti-A or anti-B antibodies, making it compatible for transfusion to patients of any ABO blood type.

The Inheritance of AB+

The AB+ blood type is inherited through specific genetic mechanisms involving both the ABO and Rh blood group systems. The ABO blood type is determined by three main alleles: A, B, and O. The A and B alleles are codominant, meaning that if an individual inherits both, they will express both A and B antigens. A person acquires the AB blood type by inheriting an A allele from one biological parent and a B allele from the other.

The Rh factor, which determines whether blood is positive or negative, is inherited independently of the ABO blood type. The Rh-positive trait is dominant over the Rh-negative trait. For an individual to have AB+ blood, they must have inherited at least one dominant Rh-positive allele from either parent, in addition to the A and B alleles.