Researchers have developed a technique to turn nearly any blood into a universal type resembling O-type blood, a development which could transform blood transfusion and human health.

Stephen Withers and David Kwan, University of British Columbia researchers, used a technique called directed evolution along with synchrotron-based structural imaging to develop an enzyme that removes A and B type antigens from blood.

The resulting red blood cells, without antigens, are very similar to the O-type blood cells which are the only blood types that can be transfused into anyone without adverse reactions.

Researchers are working to develop an enzyme that would remove both A and B-type antigens from red blood cells, producing a type similar to O-type blood, the universal donor.
Jayachandran N. Kizhakkedathu and his group in the Centre for Blood Research at UBC performed the enzyme testing. 
Alisdair B. Boraston and his group at the University of Victoria, who contributed crystallography work.
Eric Samain and his group at the CNRS in Grenoble, France.

“The idea of changing blood type by removing antigens is certainly not ours. It’s been around for a long time. But when they first came up with this idea, only a very limited repertoire of enzymes was available, and these had very limited activity” says Withers. 

These first A and B type antigen-removing proteins, known as enzymes, came from green coffee beans, and while they worked, but only when used in massive doses.  Withers’ lab harnessed a variety of modern techniques to build a better enzyme, one that would work in smaller quantities and with more efficiency.

Based on Canadian Light Source synchrotron imaging of the structures active in removing antigens, Withers and his collaborators created a library of enzyme “mutants” by introducing targeted variations into the protein structure and selecting the ones that gave the best results in removing antigens. After five rounds of this process where the best enzyme from each round was used as the basis for another series of mutations, their enzyme was 170 times more effective than it had been setting out.

The resulting enzyme works nearly perfectly converting B-type blood to O, but there is work left to be done on A-type, which has several subtypes.

“That’s going to be our challenge, pushing it to 100 per cent. This paper shows that conceptually, it’s possible. There’s going to be a lot of work to do, but it’s doable.”

CITE: Kwan, David H., Iren Constantinescu, Rafi Chapanian, Melanie A. Higgins, Miriam Koetzler, Eric Samain, Alisdair B. Boraston, Jayachandran N. Kizhakkedathu, and Stephen G. Withers. "Towards efficient enzymes for the generation of universal blood through structure-guided directed evolution."Journal of the American Chemical Society (2015).

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About the Canadian Light Source Inc.: 
The CLS is the brightest light in Canada—millions of times brighter than even the sun—used by scientists to get incredibly detailed information about the structural and chemical properties of materials at the molecular level, with work ranging from mine tailing remediation to cancer research and cutting-edge materials development.

The CLS has hosted over 2,500 researchers from academic institutions, government, and industry from 10 provinces and 2 territories; delivered over 40,000 experimental shifts; received over 10,000 user visits; and provided a scientific service critical in over 1,500 scientific publications, since beginning operations in 2005. The CLS has over 200 full-time employees.

CLS operations are funded by Canada Foundation for Innovation, Natural Sciences and Engineering Research Council, Western Economic Diversification Canada, National Research Council of Canada, Canadian Institutes of Health Research, the Government of Saskatchewan and the University of Saskatchewan.

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