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.
Rh blood group system reacts more strongly with red cells homozygous for an antigen than cells heterozygous for the antigen (EE stronger reaction vs Ee). If anti-E is detected, the presence of anti-c should be strongly suspected (due to combined genetic inheritance). It is therefore common to select c-negative and E-negative blood for transfusion patients who have an anti-E. Anti-c is a common cause of delayed hemolytic transfusion reactions. Rh blood group system The Rh blood group system is one of thirty-five known human blood group systems. It is the second most important blood group system, after the ABO blood group system. The Rh