ABO blood group system gives type O. As both "I" and "I" are dominant over "i", only "ii" people have type O blood. Individuals with "II" or "Ii" have type A blood, and individuals with "II" or "Ii" have type B. "II" people have both phenotypes, because A and B express a special dominance relationship: codominance, which means that type A and B parents can have an AB child. A couple with type A and type B can also have a type O child if they are both heterozygous ("Ii","Ii"). The "cis-AB" phenotype has a single enzyme that creates both A and B antigens.
Blood type severe acute hemolytic reaction with hemolysis (RBC destruction), renal failure and shock is likely to occur, and death is a possibility. Antibodies can be highly active and can attack RBCs and bind components of the complement system to cause massive hemolysis of the transfused blood. Patients should ideally receive their own blood or type-specific blood products to minimize the chance of a transfusion reaction. Risks can be further reduced by cross-matching blood, but this may be skipped when blood is required for an emergency. Cross-matching involves mixing a sample of the recipient's serum with a sample of the donor's red