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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.

By BloodTypeCalc.com Editorial TeamPublished Suggest a correction

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.

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