Molecular Classification
Membrane protein
Other Names
RhD Antigen, CD240D, Cluster designation: CD240D, RHDVA(TT), RHDel, RHPII
Disease Roles
Hemolytic Disease of the Fetus and Newborn (HDFN)Transfusion reactionsHemolytic anemia

D Antigen Overview

The D antigen, also known as the RhD antigen, is a protein found on the surface of red blood cells (RBCs). It is the most clinically significant and immunogenic antigen in the Rh blood group system. Presence or absence of this antigen determines whether an individual’s blood type is classified as RhD positive or negative. While not fully understood, evidence suggests that members of the broader Rh family function in gas transport across membranes—possibly ammonia or carbon dioxide. Loss of all components in this complex leads to abnormal RBC shape, increased fragility, shortened lifespan, and mild hemolytic anemia.

Mechanism of Action

Biological Functions

Membrane integrity
Possible role in ammonia transport
Possible role in carbon dioxide transport

Disease Associations

Hemolytic Disease of the Fetus and Newborn (HDFN)
Transfusion reactions
Hemolytic anemia

Safety Considerations

  • Alloimmunization
  • Hemolytic transfusion reactions
  • Hemolytic disease of fetus/newborn (HDFN)

Associated Biomarkers

Biomarker
RhD antigen presence or absence as a determinant of blood type