Background and Objectives: This study aimed to show the full sequence and f
unction of the O-2 allele, and investigate whether it accounts for the inco
mpatible expression of A antigens in gastric carcinomas of blood group O pe
rsons. Materials and Methods: By PCR, we determined the ABO genotype of gro
up O subjects (76 gastric carcinoma patients and 165 blood donors). Two exp
ression constructs, encoding either the putative soluble or full-length O-2
protein, were used to transfect Sf9 cells. The expression and the activity
of the O-2 protein were analysed by immunohistochemistry and enzymatic ass
ays, respectively. Results: No significant difference was detectable betwee
n the O-2 allele frequency in gastric carcinoma patients (3.9%) and blood d
onors (4.2%). Sequencing analysis of the O-2 allele revealed an intact read
ing frame identical to that of A transferase except for four nucleotide sub
stitutions. O-2-transfected Sf9 cells and gastric carcinomas genotyped as (
OO2)-O-1 both expressed a protein recognized by anti-A/B transferase monocl
onal antibodies. In enzymatic assays, the O-2 protein failed to show measur
able A transferase activity. Conclusion: The O-2 allele has an intact readi
ng frame encoding a protein immunologically related to A/B transferases and
enzymatically inactive. Further, our data gave no indication that the O-2
allele is related to the phenomenon of incompatible A antigen expression in
gastric cancer. Copyright (C) 2000 S. Karger AG, Basel.