Blood group antibodies (A, B, AB, O) that can destroy red blood cells bearing the antigen to which they are directed; also called “agglutinins.” These red-cell antigens are the phenotypic expression of inherited genes, and the frequency of the four main groups varies in populations throughout the world. The antigens of the ABO system are an integral part of the red-cell membrane as well as all cells throughout the body, and they are the most important in transfusion practice.