Why blood type differences cause immune reactions and transfusion problems

Leveraging New Approaches to Unravel ABO Blood Group Immunity and Incompatibility

NIH-funded research Brigham and Women's Hospital · NIH-11135369

Researchers are trying to understand why some people make antibodies against ABO blood types and why only some incompatible transfusions cause harmful reactions, to help people who need transfusions or transplants.

Quick facts

Grant typeP01 program project
Study typeNIH-funded research
Funding institutionBrigham and Women's Hospital NIH-funded
Lab location1 site (Boston, United States)
Project IDNIH-11135369 on NIH RePORTER

What this research studies

This project uses new tools from glycoscience to map the exact sugar structures (ABO(H) antigens) on blood cells and to characterize the antibodies that recognize them. Investigators will analyze blood samples, antibody binding patterns, and clinical transfusion outcomes to find what triggers hemolytic transfusion reactions in some but not all incompatible exposures. The team will apply advanced molecular and structural methods and develop laboratory tests beyond traditional agglutination to better detect risky incompatibilities. Findings are intended to explain variable patient responses and point toward safer matching or new diagnostic approaches.

Who could benefit from this research

Good fit: Ideal candidates would include people who have had or may need blood transfusions or transplants, individuals with known ABO incompatibilities, or people willing to donate blood samples for research.

Not a fit: People who never need transfusions or transplants and those unwilling to provide samples are unlikely to see direct benefit from participation.

Why it matters

Potential benefit: If successful, this work could lead to more precise blood matching and fewer dangerous transfusion or transplant reactions.

How similar studies have performed: Traditional agglutination tests have a long history but newer glycoscience tools are only recently being applied, so this integrated approach is relatively novel with promising preliminary advances in the field.

Where this research is happening

Boston, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-09 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.