2020
DOI: 10.1038/s41598-020-75462-2
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Expresser phenotype determines ABO(H) blood group antigen loading on platelets and von Willebrand factor

Abstract: ABO blood group is associated with cardiovascular disease, with significantly lower risk in blood group O individuals. ABO(H) blood group determinants are expressed on different glycoproteins on platelet surfaces. In addition, ABO(H) structures are also present on VWF glycans. These ABO(H) carbohydrates influence both platelet and VWF function. Previous studies have reported that approximately 5–10% of normal blood donors express abnormally high or low levels of A or B blood group antigens on their platelet su… Show more

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Cited by 8 publications
(6 citation statements)
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“…It follows that more extensive glycosylation of VWF found in group A secretors but lacking in group O secretors would also result in higher circulating levels of high molecular weight VWF multimers in Group A. In addition, it has been observed that ABO genotype is a major determinant of ABO expression on platelets with homozygous A giving the highest expression [39]; ABO expression on platelets determines how they adhere to VWF captured by exposed collagen in the endothelium [40], with non-group O platelets adhering more strongly than group O. This leads to increased and more stable thrombus production in non-group O individuals.…”
Section: Discussionmentioning
confidence: 99%
“…It follows that more extensive glycosylation of VWF found in group A secretors but lacking in group O secretors would also result in higher circulating levels of high molecular weight VWF multimers in Group A. In addition, it has been observed that ABO genotype is a major determinant of ABO expression on platelets with homozygous A giving the highest expression [39]; ABO expression on platelets determines how they adhere to VWF captured by exposed collagen in the endothelium [40], with non-group O platelets adhering more strongly than group O. This leads to increased and more stable thrombus production in non-group O individuals.…”
Section: Discussionmentioning
confidence: 99%
“…Therefore, the association of ABO polymorphisms with ACS observed in this study may be mediated by microbiota. Second, A, B, and H carbohydrates are expressed on different glycoproteins on platelet surfaces and are also present on glycans of the von Willebrand factor [ 34 ]. Consequently, ABO group determinants may affect the thrombotic process during a coronary event.…”
Section: Discussionmentioning
confidence: 99%
“…Even if controversial, our data and previous reports suggest an association of the rs579459 T/C, rs8176746 T/G, and rs8176740 A/T SNPs with cardiovascular events. The potential mechanisms that could explain the statistical association of ABO polymorphisms with cardiovascular outcomes may involve the gut microbiota and platelets aggregation [8,[29][30][31][32][33][34]. First, A, B, and H carbohydrates are expressed in different tissues and may also be secreted as soluble molecules in certain individuals.…”
Section: Discussionmentioning
confidence: 99%
“…The ABO blood group antigens are the most studied and genetically polymorphic blood group system among the over 300 different blood group antigens identified on the membranes of red blood cells (RBCs) [1]. Although the A, B, and H determinants, which make up the ABO blood group system, are typically thought to be found on red blood cells, they may also be expressed on a range of different cell types, including platelets, von Willebrand factor (vWF), and endothelial cells [2]. The ABO blood group phenotype is regarded as one important determinant of the wide variation of plasma vWF antigen (vWF: Ag) levels in normal individuals, even though other contributing factors such as age, stress, medications, and hormones have been identified [3,4].…”
Section: Introductionmentioning
confidence: 99%