The Kell blood group protein is a metalloendopeptidase that preferentially cleaves a Trp 21 -Ile 22 bond of big endothelin-3 producing bioactive endothelin-3. Kell is a polymorphic protein, and 25 different phenotypes, because of point mutations resulting in single amino acid substitutions, have been described. It was recently reported that a recombinant form of KEL1 (K, K1) phenotype, expressed in K562 and HEK293 cells, had no endothelin-3-converting activity, in contrast to the common KEL2 (k, K2) phenotype. We demonstrate that KEL1 red blood cells and also a soluble recombinant form of KEL1 protein (s-Kell KEL1) have similar enzymatic activity as the common Kell phenotype. In addition we show that KEL6 red blood cells, which are more prevalent in persons of African heritage than in Caucasians also have endothelin-3-converting enzyme activity and that the recombinant soluble form of KEL6 protein (s-Kell KEL6) has similar K m values as the wild-type.The Kell blood group system is highly polymorphic, expressing over 25 antigens that have been classified into five antithetical sets of high and low prevalence antigens with the others being independently expressed or having unknown antithetical partners. The different phenotypes are due to single nucleotide mutations that result in an amino acid substitution (1, 2). Two antithetical allelic sets of antigens, KEL1 (K, K1)/KEL2 (k, K2) and KEL6 (Js a )/KEL7(Js b ) are of particular interest because they are more prevalent in certain racial groups. For example, KEL1 is present in 9% of Caucasians and in 2% of persons of African heritage, whereas KEL6 is present in 20% of persons of African heritage and in less than 1% of Caucasians. KEL1 is due to a 698C3 T mutation that results in a Thr 193 3 Met substitution at an N-glycosylation consensus sequence (3). KEL6 is due to a 1910T3 C mutation that results in a Leu 597 3 Pro substitution, which is located between two closely placed non-conserved cysteine residues (596CPAC599), and the antigen is more sensitive to reducing agents (4).The Kell blood group protein, a 93-kDa, type II membrane glycoprotein, is a member of the M13 family of zinc endopeptidases (5). Within this large group, Kell has significant similarity with six other type II membrane glycoproteins: neutral endopeptidase 24.11 (6), neprilysin 2 (NL1/SEP) (7-9), two different endothelin-converting enzymes (ECE-1 and ECE-2) (10, 11), PEX (PHEX) (12), and X-converting enzyme (endothelin-converting enzyme-like 1/damage-induced neutral endopeptidase; ECEL1/DINE) (13). As a group, the M13 family of zinc endopeptidases either degrades bioactive peptides or cleaves intermediate inactive peptides to produce smaller bioactive peptides (14). However, in some cases, for example X-converting enzyme, the substrates are unknown. Unlike endothelin-converting enzyme-1 and -2 that preferentially activate endothelin-1 (ET 2 -1) (10, 11), Kell has strong preference for big endothelin-3 (big ET-3) and has much less activity with big endothelin-1 (big ET-1) and big endothelin-2 (bi...