Why can people with type AB blood receive red blood cells from all ABO blood types?
People with type AB blood are considered universal recipients of red blood cells because their blood lacks the antibodies that would attack A or B antigens.1
In the ABO blood group system, an individual's blood type is determined by the presence or absence of specific antigens on the surface of their red blood cells. Individuals produce antibodies in their serum that oppose any antigens they do not possess themselves.2345
Because type AB individuals have both A and B antigens on their red cells, they do not produce anti-A or anti-B antibodies. Consequently, they can receive red blood cells from donors with type A, type B, type AB, or type O blood without triggering an immune reaction, such as agglutination or the destruction of the transfused cells.13