Human 0-erythrocytes, when incubated with UDP-N-acetyl-D-galactosamine and a-N-acetyl-D-galactosaminyl transferase prepared from gastric mucosa of blood-group A, individuals, first acquired A,-specificity and, after continued incubation, became agglutinable by anti-A, reagents. Group-H specificity gradually disappeared. When A,-erythrocytes were subjected to the same treatment, they required a shorter time of incubation than 0-cells to develop A,-properties. These findings support the hypothesis of low and high densities of A-specific sites on the cell surfaces of A,-and A,-erythrocytes, respectively.Acetylgalactosaminyl transferase prepared from the gastric mucosa of blood-group-A, individuals was similar to the corresponding enzyme from A,-individuals in being capable of transferring acetylgalactosamine from UDP-acetylgalactosamine to water-soluble H-substance and of converting 0-erythrocytes into A,-cells. With H-substance as the substrate the bloodgroup-A, enzyme was considerably less active than the A,-enzyme based on equal weights of mucosal material extracted. When preparations of A,-enzyme were diluted so as to show a transferase activity towards blood-group-H substance equal to that of the A,-enzyme preparation, there was still a marked difference between the enzymes with regard to 0-erythrocytes, the speed of their conversion into A,-cells being much less with the blood-group-A, enzyme as compared with blood-group-A, enzyme. These experiments clearly indicate that blood-group-A, and A, enzymes have different substrate specificities.The substances responsible for blood-type A of erythrocytes are predominantly glycolipids, whereas the water-soluble blood-group substances of secretions are glycoproteins [l]. As proved for the latter, group-A specificity is determined by terminal a-N-acetyl-D-galactosamine residues [ 11. In the course of the biosynthesis of group-A substance these residues are attached to a glycoprotein precursor, i.e.