Scientists discover how and why human blood types evolved

Blood type is more than a medical label—it’s a key to understanding health risks, evolutionary history, and the potential for personalized care.

A-positive, A-negative, B-positive, B-negative, O-negative, O-positive, AB-positive, and AB-negative are not just mere labels; they hold implications far beyond their hospital utility.

A-positive, A-negative, B-positive, B-negative, O-negative, O-positive, AB-positive, and AB-negative are not just mere labels; they hold implications far beyond their hospital utility. (CREDIT: CC BY-SA 4.0)

Blood, a vital force of life, reveals more than meets the eye. Its microscopic variations divide humanity into distinct groups, each with unique implications for health and medicine.

Far from being mere labels, these differences provide a glimpse into evolutionary puzzles, medical mysteries, and the potential for personalized healthcare.

The Science Behind Blood Types

At its core, blood type is defined by the presence or absence of specific proteins, called antigens, on the surface of red blood cells. The ABO gene determines these antigens. For example, individuals with type AB blood possess both A and B antigens, while type O lacks them entirely.

The ABO system is the best known way of classifying blood types. (CREDIT: Ekachai Lohacamonchai/EyeEm/Getty Images)

Another critical factor is the Rhesus (Rh) protein, determining whether blood is "positive" or "negative." This distinction has profound implications for compatibility in blood transfusions and other medical procedures.

The universal donor, O-negative blood, exemplifies the importance of these variations. Free of antigens, it can be safely transfused to anyone, making it invaluable in emergencies.

Dr. Douglas Guggenheim, a hematologist at Penn Medicine, describes blood diversity as an evolutionary enigma. "Your blood may not evolve with current threats, but it certainly tells tales of past encounters," he explains.

Theories suggest these variations may have evolved in response to infections or environmental pressures, providing insights into humanity’s distant past.

The Blood-Health Connection

Recent research has uncovered surprising links between blood type and health, particularly in cardiovascular diseases. The American Heart Association reports a significant disparity: individuals with A, B, or AB blood face greater risks of heart attacks and heart failure compared to those with type O.

An extensive study quantified these risks, revealing that type A and B blood carriers have an 8% higher likelihood of heart attacks and a 10% increased risk of heart failure. The risks extend to blood clotting disorders. Deep vein thrombosis and pulmonary embolism rates are 51% and 47% higher, respectively, in individuals with A or B blood types.

The underlying cause lies in the proteins associated with these blood types, which may contribute to blockages in veins and arteries, increasing susceptibility to clotting and cardiovascular conditions.

Deep vein thrombosis (DVT) occurs when a blood clot forms in deep leg veins. (CREDIT: CC BY-SA 4.0)

The COVID-19 pandemic brought another dimension to the discussion. Anecdotal evidence and subsequent studies indicate that type O blood may offer some protection against severe forms of the disease. The virus appears to interact differently with blood types, though researchers caution that these findings are not definitive.

Blood type also influences other health outcomes. For instance, while type O blood offers some cardiovascular benefits, it presents challenges in situations involving significant blood loss.

Research highlights an increased risk of postpartum hemorrhaging and complications from traumatic injuries in O-type individuals.

Meanwhile, type AB blood may be linked to cognitive vulnerabilities. Studies suggest individuals with this blood type might experience greater difficulties with memory, focus, and decision-making than their type O counterparts.

While O-type individuals might have some cardiovascular advantages, they aren't exempt from challenges. (CREDIT: CC BY-SA 4.0)

Blood Type and Lifestyle

Given these findings, should blood type dictate your lifestyle choices? Dr. Guggenheim advises against overemphasizing its importance. "Heart health is shaped by numerous factors," he notes, emphasizing the roles of diet, exercise, and environmental influences.

However, the potential for blood type-specific medical guidance is growing. As research advances, healthcare providers might tailor recommendations more precisely. For example, a type A individual with high cholesterol might benefit from daily aspirin, while a type O person might not require the same intervention.

For now, general health advice remains unchanged. A heart-healthy diet, regular exercise, and preventive care are universally beneficial, regardless of blood type. "Don't presume type O blood grants immunity from health challenges," Guggenheim cautions.

Heart health is shaped by numerous factors — from diet and exercise to environmental pollutants. (CREDIT: CC BY-SA 4.0)

The study of blood types opens doors to personalized medicine, offering a window into how genetics and evolution influence health. By decoding these nuances, scientists hope to develop targeted interventions that address individual risks and needs.

As research continues, understanding your blood type may become more than a piece of trivia—it could shape the future of healthcare. For now, maintaining a balanced lifestyle is the best approach to safeguarding your well-being, no matter your blood type.

Note: Materials provided above by The Brighter Side of News. Content may be edited for style and length.


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Joseph Shavit
Joseph ShavitSpace, Technology and Medical News Writer
Joseph Shavit is the head science news writer with a passion for communicating complex scientific discoveries to a broad audience. With a strong background in both science, business, product management, media leadership and entrepreneurship, Joseph possesses the unique ability to bridge the gap between business and technology, making intricate scientific concepts accessible and engaging to readers of all backgrounds.