Blood Group A Glycolipid Antigen Expression in Kidney, Ureter, Kidney Artery, and Kidney Vein from a Blood Group A,Le(a-b+) Human Individual EVIDENCE FOR A NOVEL BLOOD GROUP A HEPTAGLYCOSYLCERAMIDE BASED ON A TYPE 3 CARBOHYDRATE CHAIN*

Kidney, ureter, kidney artery, and kidney vein tissue were obtained from a single human transplant specimen. The donors erythrocyte blood group phenotype was AILe(a-b+). Total non-acid glycolipid fractions were isolated and individual glycolipid components were identified by immunostaining thin layer plates with a panel of monoclonal antibodies and by mass spectrometry of the permethylated and permethylatedreduced total glycolipid fractions. The dominating glycolipids in all tissues were monoto tetraglycosylceramides. In the kidney, ureter, and artery tissue less than 1% of the glycolipids were of blood group type, having more than 4 sugar residues. In contrast, 14% of the vein glycolipids were of blood group type, and the dominating components were type 1 chain blood group H pentaglycosylceramides and A hexaglycosylceramides. Trace amounts of structurally different blood group A glycolipids (type 1 to 4 core saccharide chains”) with up to 10 sugar residues were found in the kidney, ureter, and vein tissues, including evidence for a novel blood group A heptaglycosylceramide based on the type 3 chain in the vein. The only detected A glycolipid antigen in the artery tissue was the blood group A difucosyl type 1 chain heptaglycosylceramide (ALeb) structure. Blood group Lewis and related antigens (Lea, Leb, and ALeb) were expressed in the kidney, ureter, and artery, but were completely lacking in the vein, indicating that the Le gene-coded al-4-fucosyltransferase was not expressed in this tissue. The X and Y antigens (type 2 chain isomers of the Le” and Leb antigens) were detected only in the kidney tissue.