This review summarizes present knowledge of the chemistry of histo-blood group ABH and related
antigens. Recent advances in analytical carbohydrate chemistry (particularly mass spectrometry and NMR spectroscopy)
and the introduction of monoclonal antibodies (MoAbs) have made it possible to distinguish structural
variants of histo-blood group ABH antigens. Polymorphism of ABH antigens is induced by; (i) variations in
peripheral core structure, of which four (type 1, 2, 3 and 4) are known in man; (ii) variation in inner core by
branching process (blood group il), leading to variation of unbranched vs. branched ABH determinants; (iii)
biosynthetic interaction with other glycosyltransferases (Lewis, P. T/Tn blood systems) capable of acting on the same
substrate as the ABH-defined transferases, and finally (iv) the nature of the glycoconjugate (glycolipid, glycoprotein
of N- or O-linked type). ABH variants induced by item (i) above have been clearly distinguished qualitatively by
MoAbs; e.g., at least six types of A determinants can be distinguished by qualitatively different classes of antibody.
The variants induced by item (ii) create mono- vs. bivalent antigens which may be responsible for observed
differences in antibody-binding affinity.
Detailed studies of the chemistry of these antigens have increased our insight into blood groups, providing the basis
for blood group ii and A subgrouping, as well as a relation between the ABH and Lewis, P, and T/Tn systems. A survey
of the literature on distribution patterns of ABH variants is presented. It has been assumed that expression of
histo-blood group antigens is developmentally regulated. Relationships between histo-blood group expression,
development, differentiation and maturation, as well as malignant transformation, are discussed.