Coupling of an inert polymer to the surface of red cells was examined
as a potential means of covering blood group antigens and producing ce
lls that could serve as universal donor cells for transfusion. Effecti
ve blockade of red cell antigens was achieved with N-hydroxysuccinimid
e-activated esters of polyethylene glycol. It was possible to block al
l antigens tested, but lower concentrations of reactants were required
to block peptide-defined antigens than carbohydrate-defined antigens.
Red cells remained intact after modification but were significantly d
amaged. Our results demonstrate the feasibility of antigenic blockade
of red cells, but there is a need to reduce damage during coupling rea
ctions to produce viable red cells.