The Kidd antigen system (also known as Jk antigen) are proteins found in the Kidd's blood group, which act as antigens, i.e., they have the ability to produce antibodies under certain circumstances. The Jk antigen is found on a protein responsible for urea transport in the red blood cells and the kidney.[1] They are important in transfusion medicine. People with two Jk(a) antigens, for instance, may form antibodies against donated blood containing two Jk(b) antigens (and thus no Jk(a) antigens). This can lead to hemolytic anemia, in which the body destroys the transfused blood, leading to low red blood cell counts. Another disease associated with the Jk antigen is hemolytic disease of the newborn, in which a pregnant woman's body creates antibodies against the blood of her fetus, leading to destruction of the fetal blood cells. Hemolytic disease of the newborn associated with Jk antibodies is typically mild, though fatal cases have been reported.[2]
The gene encoding this protein is found on chromosome 18.[3] Three Jk alleles are Jk (a), Jk (b)and Jk3. Jk (a) was discovered by Allen et al. in 1951 and is named after a patient (Mrs Kidd delivered a baby with a haemolytic disease of the newborn associated with an antibody directed against a new antigen Jk (a). Whereas Jk (b) was discovered by Plant et al. in 1953, individuals who lack the Jk antigen (Jk null) are unable to maximally concentrate their urine.[4]
^Olives B, Mattei MG, Huet M, Neau P, Martial S, Cartron JP, Bailly P. "Kidd blood group and urea transport function of human erythrocytes are carried by the same protein." Journal of Biological Chemistry. 1995 Jun 30;270(26):15607-10. doi:10.1074/jbc.270.26.15607 PMID 7797558
^Kim WD, Lee YH. "A fatal case of severe hemolytic disease of newborn associated with anti-Jk(b)." Journal of Korean Medical Science. 2006 Feb;21(1):151-4. PMID 16479082
^Geitvik GA, Hoyheim B, Gedde-Dahl T, Grzeschik KH, Lothe R, Tomter H, Olaisen B. "The Kidd (JK) blood group locus assigned to chromosome 18 by close linkage to a DNA-RFLP." Human Genetics. 1987 Nov;77(3):205-9. doi:10.1007/BF00284470 PMID 2890568
^Sands JM, Gargus JJ, Frohlich O, Gunn RB, Kokko JP. "Urinary concentrating ability in patients with Jk(a-b-) blood type who lack carrier-mediated urea transport." Journal of the American Society of Nephrology. 1992 Jun;2(12):1689-96. PMID 1498276
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