Human erythrocyte P and Pk blood group antigens: identification as glycosphingolipids

The human erythrocyte P blood group system consists of three known antigens, P₁, P and P^k. We have identified the P antigen as the glycosphingo-lipid globoside, βGalNAc(1→3)αGal(1→4)βGal(1→4)Glc-cer, and the P^k antigen as ceramide trihexoside, αGal(1→4)βGal(1→4)Glc-cer. These data suggest, in contrast to previous hypotheses, that the P^k antigen is a biosynthetic precursor of P, and that neither P nor P^k is a precursor of P₁. These findings also provide an explanation for the apparent recessive inheritance of the P^k antigen, and for the nature of the biochemical abnormality in individuals of the rare P^k and p phenotypes.