Skip to main content

O negative blood type

What O− means for antigens, compatibility and inheritance

What O negative (O−) blood means: no A, B, or RhD antigens, why O− is called the universal red cell donor, who O− can receive from, plasma notes, and inheritance context.

Quick answer

O negative (O−) means red blood cells carry no A antigen, no B antigen, and no RhD antigen. Because these red cells lack the antigens most likely to trigger a reaction, O− is often called the universal red cell donor. O− people can generally receive red cells only from other O− donors.

What O− means

O indicates no A or B antigens; the minus sign indicates no RhD antigen. With none of these three major antigens present, O− red cells are generally compatible with all eight common recipient types.

O− plasma, by contrast, contains both anti-A and anti-B antibodies and is generally compatible only with type O recipients.

O− is frequently used in emergencies when a patient's type is not yet known, which is one reason blood services actively recruit O− donors.

O negative at a glance
PropertyValue
ABO groupO
Rh (D) statusNegative (RhD antigen absent)
Red cell antigensNone (ABO); no RhD
Plasma antibodies (typical)anti-A, anti-B

Compatibility summary

General red cell and plasma compatibility for O− under the simplified ABO/Rh model. Real transfusions also depend on antibody screening and crossmatching.

General compatibility for O−
ProductCan give toCan receive from
Red blood cellsO−, O+, A−, A+, B−, B+, AB−, AB+O−
Plasma (ABO only)OA, B, AB, O

See the full compatibility chart for all eight types.

Inheritance context

Type O requires the OO genotype and Rh-negative requires dd. Each parent contributed an O allele and a d allele.

An O− child can have Rh-positive parents (if both are Dd) and A or B parents (if they are AO or BO).

Two O− parents are expected to have only O− children under the standard model, which is the one combination the baby calculator reports as an exact 100%.

Work through specific parent combinations with the baby blood type calculator, or find which parent types could produce a O− child with the parent calculator.

Limitations

  • Blood type can only be confirmed by laboratory testing. Family history, calculators, and self-report are not substitutes.
  • Compatibility rules on this page are general educational summaries. Real transfusion decisions also depend on antibody screening, crossmatching, product type, and clinical judgment.
  • Rare variants such as the Bombay phenotype, cis-AB, and weak or partial D expression can produce results that differ from the simplified ABO/Rh model.

Frequently asked questions

Who can O− donate red blood cells to?
Under general compatibility rules, O− red cells can be given to: O−, O+, A−, A+, B−, B+, AB−, AB+.
Who can O− receive red blood cells from?
Under general compatibility rules, O− recipients can receive red cells from: O−.
Is O− rare?
O− is one of the less common blood types. Frequencies vary by population, so donors of this type are especially valued by blood services.

Try O− in our tools

Sources

Information on this page is paraphrased from the following authoritative sources.

  1. Facts About Blood and Blood Types(opens in a new tab)American Red Cross
  2. Blood typing(opens in a new tab)MedlinePlus, U.S. National Library of Medicine
  3. Rh Incompatibility(opens in a new tab)MedlinePlus, U.S. National Library of Medicine