The study of the α-N-acetylgalactosaminyltransferase in the sera of 19 individuals
belonging to the rare A(m) blood group makes it possible to confirm the heterogeneity
of this phenotype established on genetical and immunological criteria. Two groups of
subjects, A(m) and A(y), can be distinguished.
For the individuals of the first group, named A(m), 15 samples (7 families) have been
studied, the phenotype is inherited as an allele at the ABO locus. 14 of these subjects,
have an α-N-acetylgalactosaminyltransferase whose kinetic properties were similar to
those of A(1) subjects. In one family, however, the A transferase detected is of the A(2) type.
On a quantitative level, the enzyme activities of these sera only reached 30-50% of the
average value observed for A(1) or A(2) subjects, respectively.
These facts suggest the existence of a genetic inhibitor, possibly linked to the ABO
locus, preventing either an A(1) or A(2) gene from acting at the level of some cellular lines
and leading therefore to the recognition of phenotypes named A(m)^A1 and A(m)^A2.
On the contrary, under the experimental conditions used, no α-N-acetylgalactosaminyltransferase
activity was detected among the four individuals of the second group, named
Ay by Weiner et al. [37], and whose appeareance in siblings results from the action of a
recessive modifying y^A gene.