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The Creepy Reason Evolution Split Humans Into Different Blood Types (It’s Not Random). — Transcript

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  1. 0:00If you ever need a life-saving fluid
  2. 0:02transfer in an emergency room, your own
  3. 0:04sibling might be biologically toxic to
  4. 0:07you.
  5. 0:07That makes zero sense on the surface.
  6. 0:10Every person on Earth shares 99.9%
  7. 0:13of the exact same DNA.
  8. 0:15Our hearts pump to the same beat. Our
  9. 0:18lungs pull in the same oxygen. Yet, if a
  10. 0:20doctor transfers a single cup of fluid
  11. 0:22from a type A brother into a type B
  12. 0:25sister, her immune system reacts as if
  13. 0:27she just swallowed a pint of hornet
  14. 0:29venom. Within seconds, her defense cells
  15. 0:31lock onto her brother's red cells and
  16. 0:33clump them into microscopic brick walls.
  17. 0:36Now add an even stranger twist.
  18. 0:38Genetically speaking, if you carry type
  19. 0:40A blood, the molecular tag on your red
  20. 0:42cells has more in common with a wild
  21. 0:44gibbon swinging through a Malaysian
  22. 0:46rainforest than with your own type B
  23. 0:48neighbor across the street. Evolution
  24. 0:51spent millions of years making sure
  25. 0:53human kidneys, livers, and eyeballs all
  26. 0:56run on one universal blueprint. Yet, it
  27. 0:59intentionally shattered our bloodstream
  28. 1:01into rival incompatible camps that
  29. 1:03cannot stand the sight of each other.
  30. 1:05For centuries, physicians had no idea
  31. 1:08those rival camps existed.
  32. 1:10In the 1600s, doctors in Paris and
  33. 1:12London actually tried perking up weak
  34. 1:14patients by hooking them up to calm
  35. 1:16sheep, figuring gentle lamb blood would
  36. 1:19soothe the restless human mind. It went
  37. 1:21about as poorly as you would expect.
  38. 1:23Even when doctors switched to human
  39. 1:25donors in the 1800s, the procedure
  40. 1:27remained a terrifying coin toss. One
  41. 1:30patient would sit up rosy and energetic,
  42. 1:33while the patient in the next bed
  43. 1:34received a transfer from the exact same
  44. 1:36donor and suffered immediate organ
  45. 1:38failure. The mystery finally cracked in
  46. 1:411900 inside a quiet Vienna laboratory
  47. 1:44run by a 32-year-old Austrian physician
  48. 1:47named Karl Landsteiner. Instead of
  49. 1:50guessing inside hospital wards,
  50. 1:52Landsteiner drew tiny fluid samples from
  51. 1:54himself and five of his lab assistants,
  52. 1:57separated the clear liquid serum from
  53. 1:58the red cells, and mixing them on glass
  54. 2:01slides like a bartender testing cursed
  55. 2:03cocktail recipes. Some combinations
  56. 2:06glided together smoothly, others
  57. 2:08instantly curdled into thick red clumps
  58. 2:10right on the glass. Landsteiner realized
  59. 2:13human blood was not a single uniform
  60. 2:15liquid at all, winning him a Nobel Prize
  61. 2:17and saving millions of modern patients.
  62. 2:20What Landsteiner could not answer in
  63. 2:221900 was the question that kept
  64. 2:24evolutionary biologists awake for the
  65. 2:26next century. Why on earth would natural
  66. 2:29selection design a species where half
  67. 2:31the tribe cannot share life-saving fluid
  68. 2:33with the other half?
  69. 2:35To see why that split exists, you have
  70. 2:37to shrink down to the size of a single
  71. 2:39red blood cell. Right now, you have
  72. 2:42roughly 25 trillion of these tiny cells
  73. 2:44racing through your vessels at about 3
  74. 2:46ft per second. Your bone marrow prints 2
  75. 2:49million brand new ones every single
  76. 2:51second just to keep up with demand.
  77. 2:53Unlike almost every other cell in your
  78. 2:55body, a mature red blood cell has no
  79. 2:58nucleus and zero DNA inside it. It
  80. 3:00ejects its own control center before
  81. 3:02leaving the bone marrow, so it can pack
  82. 3:04itself wall-to-wall with iron-rich
  83. 3:06hemoglobin, turning into a hollowed-out
  84. 3:08delivery van for oxygen. Because the
  85. 3:11inside is just cargo space, all the
  86. 3:13identity badges have to hang on the
  87. 3:15outside of the van. And despite what
  88. 3:17people usually picture, those A, B, and
  89. 3:20O badges are not complex proteins. They
  90. 3:23are microscopic chains of simple sugars
  91. 3:25sticking out from the cell's outer
  92. 3:27membrane like festive bakery sprinkles.
  93. 3:29Every standard red cell starts by
  94. 3:31building the exact same foundational
  95. 3:33sugar stock on its roof, known as the H
  96. 3:36antigen. Think of the H antigen as a
  97. 3:39plain wooden signpost planted on top of
  98. 3:41the cell. What happens next comes down
  99. 3:44to a single gene sitting on chromosome 9
  100. 3:46that codes for a tiny molecular builder
  101. 3:48enzyme. If you inherit the A version of
  102. 3:51that gene, your builder enzyme grabs a
  103. 3:53specific sugar molecule called N-acetyl
  104. 3:57glucosamine and glues it onto the tip of
  105. 3:59the wooden signpost.
  106. 4:01If you inherit the B version, the
  107. 4:03builder enzyme differs by just four tiny
  108. 4:06amino acids, which causes it to grab a
  109. 4:08slightly different sugar called
  110. 4:10galactose and glue that onto the
  111. 4:12signpost instead. If you inherit from
  112. 4:14both parents, you stick both sugars on
  113. 4:17the roof and become type AB.
  114. 4:19And if you are type O, your chromosome
  115. 4:21nine carries a tiny genetic typo,
  116. 4:24a missing single letter of DNA that
  117. 4:26breaks the builder enzyme completely.
  118. 4:29Nothing gets glued to the top of the
  119. 4:30signpost. Your red cells roll through
  120. 4:33your veins, displaying only the bare,
  121. 4:35undecorated H antigen stock.
  122. 4:38Four letters of protein code and a pinch
  123. 4:40of sugar are the entire difference
  124. 4:42between life and death in an operating
  125. 4:44theater. That leads straight into the
  126. 4:46first genuinely creepy puzzle of human
  127. 4:49immunology.
  128. 4:50Normally, your immune system only builds
  129. 4:53targeted weapons after it gets ambushed
  130. 4:55by an invader. You do not carry
  131. 4:57antibodies against chickenpox or measles
  132. 4:59until you either catch the virus or get
  133. 5:01a vaccine. Yet a baby born with type A
  134. 5:04blood starts manufacturing heavy-duty
  135. 5:06attack antibodies against type B sugar
  136. 5:08within the first six months of life,
  137. 5:10even if that baby has never received a
  138. 5:12transfusion or touched a single drop of
  139. 5:14type B blood.
  140. 5:15Why is your body preloading weapons
  141. 5:17against a neighbor's blood type it has
  142. 5:18never met?
  143. 5:20The answer is sitting inside your lunch.
  144. 5:22Those exact same A and B sugar chains
  145. 5:24are not exclusive to human red cells.
  146. 5:27They also coat the outer walls of
  147. 5:28trillions of common bacteria living
  148. 5:30inside your intestines, along with dust
  149. 5:32particles, plant pollen, and bits of
  150. 5:34food you swallow every day.
  151. 5:36Within months of being born, as milk and
  152. 5:39solid food populate a baby's gut with
  153. 5:41microbes, the infant's immune system
  154. 5:43inspects all the new bacteria moving
  155. 5:45into the neighborhood. If the baby has
  156. 5:47type A blood, the immune system
  157. 5:49recognizes A-shaped sugars on gut
  158. 5:51bacteria as friendly household furniture
  159. 5:54and leaves them alone. When it spots a
  160. 5:56gut bacterium wearing a B-shaped sugar
  161. 5:58coat, the immune system flags it as a
  162. 6:00foreign trespasser and builds a
  163. 6:02permanent stockpile of anti-B antibodies
  164. 6:05to patrol the bloodstream.
  165. 6:07Type O individuals, who have neither A
  166. 6:09nor B sugars on their own cells, treat
  167. 6:12both bacterial sugar coats as
  168. 6:13trespassers and spend their entire lives
  169. 6:16patrolling with both anti-A and anti-B
  170. 6:19weapons locked and loaded.
  171. 6:21For decades, pop science books and
  172. 6:23late-night talk shows tried to explain
  173. 6:25this setup with a neat, tidy story that
  174. 6:27millions of people still believe. In the
  175. 6:301990s, a massive diet craze swept the
  176. 6:32world, claiming that blood types were a
  177. 6:34recent calendar of human eating habits.
  178. 6:37According to that popular myth, Type O
  179. 6:39was the original Paleolithic
  180. 6:41hunter-gatherer who lived on mammoth
  181. 6:43steaks. Type A popped up 10,000 years
  182. 6:45ago when Neolithic farmers started
  183. 6:48boiling wheat and lentils, and Type B
  184. 6:50appeared later among Eurasian cattle
  185. 6:52herders drinking milk.
  186. 6:53It sounded great on the back of a
  187. 6:55cookbook.
  188. 6:56There is just one problem. When
  189. 6:58geneticists actually sequenced the DNA
  190. 7:00across primates, that entire timeline
  191. 7:02fell apart in about 10 seconds.
  192. 7:05In 2012, evolutionary geneticist Laura
  193. 7:08Segurel and her colleagues at the
  194. 7:10University of Chicago and the French
  195. 7:12National Center for Scientific Research
  196. 7:15compared the exact DNA sequences of the
  197. 7:17gene across humans, chimpanzees,
  198. 7:21bonobos, gorillas, orangutans, gibbons,
  199. 7:25and Old World monkeys like baboons and
  200. 7:27macaques. If Type A and Type B had
  201. 7:29evolved recently inside human farming
  202. 7:31villages, then human A and human B genes
  203. 7:34should look almost identical, like two
  204. 7:36sibling branches that just sprouted at
  205. 7:38the very top of a tree. Instead,
  206. 7:41Segurel's team found the exact opposite.
  207. 7:44The genetic code that makes Type A in a
  208. 7:46human is far closer to the code that
  209. 7:48makes Type A in a gibbon than it is to
  210. 7:51the Type B gene sitting inside another
  211. 7:53human. Even baboons and macaques carry
  212. 7:55the exact same two core amino acid
  213. 7:58switches distinguishing A from B.
  214. 8:01That discovery proved that the split
  215. 8:02between A and B did not happen when
  216. 8:04humans picked up a plow 10,000 years
  217. 8:06ago.
  218. 8:07It happened at least 20 million years
  219. 8:09ago in an ancient primate ancestor long
  220. 8:12before humans, chimps, or gorillas even
  221. 8:14existed as separate lineages.
  222. 8:17In evolutionary biology, this is called
  223. 8:19a trans-species polymorphism, and it is
  224. 8:22exceedingly rare.
  225. 8:24Usually, when a gene mutates into two
  226. 8:26versions, one version is slightly better
  227. 8:28at helping creatures survive or random
  228. 8:31chance in small populations wipes one
  229. 8:33version out within a few hundred
  230. 8:35thousand years. Keeping both A and B
  231. 8:38alive side by side across 20 million
  232. 8:40years of extinctions, ice ages, and
  233. 8:42continental splits means something
  234. 8:44terrifying was actively punishing
  235. 8:46primates every time they drifted toward
  236. 8:48having just one blood type.
  237. 8:50Imagine a neighborhood where every
  238. 8:52single house uses the exact same master
  239. 8:54key for the front door.
  240. 8:56The moment a burglar figures out how to
  241. 8:58file a copy of that key, every house on
  242. 9:00the street gets robbed in a single
  243. 9:02night.
  244. 9:03Now imagine a street where a third of
  245. 9:05the houses use pin tumbler locks, a
  246. 9:07third use magnetic key cards, and a
  247. 9:10third have welded the keyhole shut
  248. 9:12altogether. A burglar carrying a pocket
  249. 9:14full of lock picks might break into the
  250. 9:16first house only to hit a brick wall at
  251. 9:18the house next door.
  252. 9:20For 20 million years, viruses, bacteria,
  253. 9:23and blood-borne parasites have been the
  254. 9:25burglars, and the sugar sprinkles on
  255. 9:27your cells have been the front door
  256. 9:28locks. Glycan evolutionary biologist
  257. 9:31Ajit Varki at the University of
  258. 9:33California, San Diego, demonstrated that
  259. 9:36many enveloped viruses, the kind that
  260. 9:38wrap themselves in a piece of their host
  261. 9:40cell membrane as they burst out of an
  262. 9:42infected cell, accidentally decorate
  263. 9:44their own outer coats with the blood
  264. 9:46type sugars of the person they just
  265. 9:47infected. Think about how sneaky that
  266. 9:49is. If a virus infects a person with
  267. 9:52type A blood, every new viral particle
  268. 9:55it coughs out into the air is wearing
  269. 9:57stolen type A sugar tags like a stolen
  270. 9:59security uniform. If that person sneezes
  271. 10:02on another type A individual, the new
  272. 10:04victim's immune system sees the familiar
  273. 10:06A tags and hesitates, giving the virus a
  274. 10:09head start. If that same sneeze lands on
  275. 10:11someone with type B or type O blood,
  276. 10:14their preloaded anti-A antibodies spot
  277. 10:16the stolen uniform instantly and shred
  278. 10:18the virus before it can unpack its bags.
  279. 10:21That single mechanism explains why
  280. 10:23natural selection never let one blood
  281. 10:25type conquer the entire human species.
  282. 10:27Whenever one blood type becomes too
  283. 10:29common in a valley or a city, pathogens
  284. 10:31adapt to crack that specific lock,
  285. 10:34triggering waves of illness that hit the
  286. 10:36majority blood type hardest while
  287. 10:38sparing the rare minority blood types.
  288. 10:40Over generations, the rare blood types
  289. 10:43survive and multiply until they become
  290. 10:45the new majority, at which point the
  291. 10:47pathogens pivot and start targeting them
  292. 10:49instead.
  293. 10:51Nowhere is this microscopic tug-of-war
  294. 10:53more visible than on a world map of
  295. 10:55human blood types today. If you look at
  296. 10:57indigenous populations in South and
  297. 10:59Central America, nearly 100% of people
  298. 11:02carry type O blood, and type O is also
  299. 11:05the dominant blood group across large
  300. 11:07swaths of sub-Saharan Africa. Why did
  301. 11:09type O win by a landslide in the
  302. 11:11tropics? Because of a single-celled
  303. 11:13parasite called Plasmodium falciparum,
  304. 11:15the deadliest form of malaria.
  305. 11:17When a mosquito injects Plasmodium
  306. 11:19falciparum into a human bloodstream, the
  307. 11:21parasite dives inside red blood cells to
  308. 11:24hide and multiply. There is a catch for
  309. 11:26the parasite. Your spleen acts like a
  310. 11:28ruthless quality control shredder at the
  311. 11:31end of the bloodstream highway. Every
  312. 11:33few minutes, your red cells have to
  313. 11:35squeeze through tiny, narrow slits in
  314. 11:37the spleen.
  315. 11:38Healthy, flexible cells squish right
  316. 11:40through. Red cells stiffened by a
  317. 11:42bloated malaria parasite inside them get
  318. 11:45stuck in the filter and destroyed.
  319. 11:47To avoid getting dragged into the
  320. 11:49spleen's shredder, the malaria parasite
  321. 11:51manufactures sticky protein hooks and
  322. 11:53pokes them out through the roof of the
  323. 11:55infected red cell. Those sticky hooks
  324. 11:57grab onto the A and B sugar chains of
  325. 11:59healthy neighboring red cells, gluing 10
  326. 12:02or 12 healthy cells around the infected
  327. 12:04cell like a clump of grapes in a process
  328. 12:07called rosetting. Anchored to the vessel
  329. 12:09wall inside that sticky fortress, the
  330. 12:11parasite avoids the spleen while
  331. 12:13clogging tiny capillaries inside the
  332. 12:15host's brain and lungs.
  333. 12:17Here is why type O became the ultimate
  334. 12:19tropical survival card. Because type O
  335. 12:22results from a broken builder enzyme
  336. 12:24that leaves the H antigen stalk
  337. 12:26completely bare, the malaria parasite's
  338. 12:29sticky hooks have nothing to grab onto.
  339. 12:31The clumps fall apart. Even better, a
  340. 12:33landmark study led by Dr. Kevin Kain at
  341. 12:36the University of Toronto revealed that
  342. 12:38human immune cleanup cells, called
  343. 12:40macrophages, spot and gobble up
  344. 12:42malaria-infected type O cells far faster
  345. 12:45than infected type A or B cells. You can
  346. 12:48still catch malaria with type O blood,
  347. 12:51and you will still feel miserable for a
  348. 12:52week, but your odds of sliding into
  349. 12:54life-threatening cerebral malaria drop
  350. 12:56dramatically.
  351. 12:58Across thousands of generations in
  352. 12:59tropical malaria zones, children
  353. 13:01carrying the broken type O gene survived
  354. 13:03to adulthood, while A and B carriers
  355. 13:06were slowly filtered out.
  356. 13:08If type O is so great at dodging severe
  357. 13:10malaria, why isn't every human on Earth
  358. 13:12type O? Take a flight from West Africa
  359. 13:15or the Amazon basin over to South Asia,
  360. 13:18right where the Ganges and Brahmaputra
  361. 13:20Rivers empty into the Bay of Bengal.
  362. 13:22Suddenly, type O plunges to some of the
  363. 13:25lowest rates on the planet, while type B
  364. 13:27surges to dominate the population. What
  365. 13:30changed in the river delta? Another
  366. 13:32ancient microscopic killer stepped onto
  367. 13:34the stage, Vibrio cholerae, the
  368. 13:37waterborne bacterium that causes
  369. 13:38cholera.
  370. 13:39When cholera bacteria enter the small
  371. 13:41intestine, they release a potent toxin
  372. 13:44that looks for a molecular dock on the
  373. 13:46cells lining the gut wall. Ironically,
  374. 13:48the bare, undecorated H antigen sugar of
  375. 13:51type O, the exact same bare stump that
  376. 13:53starved malaria of a foothold in the
  377. 13:55bloodstream, turns out to be the perfect
  378. 13:58landing pad for cholera dynamics in the
  379. 14:00digestive tract. In people with type A,
  380. 14:02B, or AB, the extra sugar molecules
  381. 14:05crowding the intestinal lining
  382. 14:07physically block and buffer the toxin's
  383. 14:09ability to lock in at full throttle.
  384. 14:12Studies inside cholera clinics in
  385. 14:14Bangladesh showed that while anyone can
  386. 14:16swallow the bacteria, individuals with
  387. 14:19type O blood are vastly more likely to
  388. 14:21suffer rapid, severe fluid loss that
  389. 14:24requires immediate hospitalization,
  390. 14:26whereas people with type AB blood are
  391. 14:28the most resistant on earth, sometimes
  392. 14:31drinking contaminated water and walking
  393. 14:33away with barely a stomach rumble. Where
  394. 14:35ancient river deltas brewed cholera for
  395. 14:37millennia, type O became a liability and
  396. 14:40type B and AB took over the map. If you
  397. 14:43enjoy discovering how invisible battles
  398. 14:45from millions of years ago are still
  399. 14:47quietly running the rules inside your
  400. 14:49own body, hit subscribe right now. This
  401. 14:52channel is built for people who never
  402. 14:53stopped asking why we are wired this
  403. 14:55way.
  404. 14:56The plot gets even stranger when you
  405. 14:58realize your blood type is not even
  406. 14:59confined to your blood. Around 80% of
  407. 15:02humans carry an active version of a
  408. 15:04second gene called FUT2. In the medical
  409. 15:07world, these people are known as
  410. 15:08secretors. If you are part of that 80%
  411. 15:11majority, your body takes your A, B, or
  412. 15:14O sugar tags and sprays them into your
  413. 15:17saliva, your tears, your sweat, and the
  414. 15:20protective mucus lining your stomach and
  415. 15:21intestines.
  416. 15:23Essentially, four out of five people are
  417. 15:25walking around broadcasting their blood
  418. 15:27type out of every pore and salivary
  419. 15:29gland they own.
  420. 15:30Why would evolution wire 80% of us to
  421. 15:33leak our blood type into our spit and
  422. 15:35stomach mucus while the other 20% keep
  423. 15:38their blood type strictly locked inside
  424. 15:39their veins as non-secretors? Because
  425. 15:42the stomach lining is another front door
  426. 15:44where bacteria and viruses go shopping
  427. 15:46for locks. Consider norovirus, the
  428. 15:50infamous winter stomach bug that can
  429. 15:51turn a cruise ship or an elementary
  430. 15:53school into a quarantine zone in 48
  431. 15:56hours.
  432. 15:57Different strains of norovirus have
  433. 15:59evolved specialized molecular claws
  434. 16:01designed to grab onto the floating H and
  435. 16:04A blood type sugars sitting on the gut
  436. 16:05lining of secretors. If you belong to
  437. 16:08the 20% of humans who inherited two
  438. 16:10deactivated copies of the FUT2 gene,
  439. 16:13your gut lining has zero blood type
  440. 16:15sugars floating in its mucus.
  441. 16:17When the most common strain of norovirus
  442. 16:19washes into a non-secretor's stomach, it
  443. 16:22slides right down the digestive tract
  444. 16:24like a climber trying to scale a greased
  445. 16:26glass wall.
  446. 16:28You can sit at the same dinner table
  447. 16:29while your entire family battles the
  448. 16:31winter stomach bug and never feel a
  449. 16:32thing. Yet being a non-secretor comes
  450. 16:35with its own tradeoff.
  451. 16:36Those floating sugars in secretor mucus
  452. 16:39also feed friendly gut bacteria, meaning
  453. 16:41non-secretors face higher odds of
  454. 16:43certain chronic digestive inflammations.
  455. 16:46And the system is only the loud
  456. 16:48celebrity on the marquee. Most people
  457. 16:50only know the four famous letters plus a
  458. 16:52positive or negative sign. Yet the
  459. 16:54International Society of Blood
  460. 16:56Transfusion currently recognizes more
  461. 16:58than 45 distinct blood group systems
  462. 17:01across over 300 different cellular
  463. 17:03surface markers. Every single one of
  464. 17:05those lesser-known systems is a
  465. 17:07fossilized scar from an ancient
  466. 17:08microbial siege. Look at the Duffy blood
  467. 17:11group system, named after a patient
  468. 17:13named Richard Duffy who helped doctors
  469. 17:15identify it in 1950. On most red blood
  470. 17:18cells across Europe and Asia, the Duffy
  471. 17:21protein sits on the cell surface, acting
  472. 17:24as a mop that soaks up excess
  473. 17:26inflammatory signals in the blood.
  474. 17:28Millions of years ago, a second species
  475. 17:30of malaria parasite called Plasmodium
  476. 17:33vivax figured out how to use the Duffy
  477. 17:35protein as a private revolving door to
  478. 17:38slip inside human red cells. In
  479. 17:40response, a tiny single letter mutation
  480. 17:43popped up in West and Central Africa
  481. 17:45that didn't destroy the Duffy gene
  482. 17:47completely. It just turned off the
  483. 17:49switch that prints the protein on red
  484. 17:50blood cells while keeping it working
  485. 17:52normally in the rest of the body. That
  486. 17:54mutation was such a masterstroke of
  487. 17:56evolutionary defense that today nearly
  488. 17:59100% of people native to West Africa are
  489. 18:02Duffy negative on their red blood cells,
  490. 18:04locking Plasmodium vivax out of an
  491. 18:07entire region of a continent.
  492. 18:09Then there are the ultra-rare blood
  493. 18:10types that sound like something out of a
  494. 18:12medical thriller. In 1952, in the city
  495. 18:15of Mumbai, then called Bombay, a doctor
  496. 18:18named Y.M. Pande encountered a railway
  497. 18:21worker and a stab wound patient whose
  498. 18:23blood violently rejected every single
  499. 18:25donor bag in the hospital, including
  500. 18:27dozens of bags of universal type O
  501. 18:29blood. When Bende investigated, he
  502. 18:32discovered the patients carried a double
  503. 18:33mutation in the FUT1 gene, the
  504. 18:36foundational builder that constructs the
  505. 18:38wooden H antigen signpost itself.
  506. 18:41Without the H signpost, their red cells
  507. 18:43could not attach A or B sugars, even if
  508. 18:46they carried the A or B genes.
  509. 18:48On a standard hospital test, they looked
  510. 18:50like type O because they lacked A and B.
  511. 18:54In reality, their immune system saw the
  512. 18:57bare H signpost on type O blood as a
  513. 18:59foreign invader and attacked it.
  514. 19:02Known today as the Bombay phenotype,
  515. 19:04this group appears in roughly one in
  516. 19:0610,000 people in India and only four out
  517. 19:09of every million people worldwide,
  518. 19:12forcing carriers to rely on
  519. 19:13international rare donor registries if
  520. 19:16they ever need surgery.
  521. 19:18Even rarer is a condition first spotted
  522. 19:20in an indigenous Australian woman in
  523. 19:221961,
  524. 19:24Rh null, nicknamed golden blood by
  525. 19:26hematologists around the world. When
  526. 19:29doctors say your blood is positive or
  527. 19:30negative, they are usually talking about
  528. 19:32a single protein called the RhD antigen
  529. 19:35out of a big family of 61 Rh proteins
  530. 19:38that help brace the outer frame of your
  531. 19:40red blood cells. Someone with Rh null
  532. 19:43blood is missing not just the main RhD
  533. 19:45marker, but every single one of all 61
  534. 19:48proteins in the entire Rh family.
  535. 19:51Because their red cells are stripped
  536. 19:52completely bare of every Rh tag on
  537. 19:55Earth, their blood is prized like solid
  538. 19:57gold by researchers and emergency
  539. 19:59physicians. It can be donated safely to
  540. 20:02anyone with a rare crisis inside the Rh
  541. 20:04system. The catch is brutal. Fewer than
  542. 20:0750 human beings on the entire planet are
  543. 20:09known to have active Rh null blood
  544. 20:11today. Without those 61 structural
  545. 20:14proteins bracing the cell membrane,
  546. 20:16their red cells are slightly softer and
  547. 20:18more fragile as they bounce through
  548. 20:20narrow capillaries. And if a person with
  549. 20:22golden blood ever gets into an accident
  550. 20:24in Tokyo or London, a compatible bag of
  551. 20:27blood might have to be flown across two
  552. 20:29oceans from a freezer in Brazil or
  553. 20:31Europe just to keep them alive.
  554. 20:33We can actually see what happens when a
  555. 20:35human species loses this wild variety of
  556. 20:38blood types by looking inside
  557. 20:39prehistoric caves.
  558. 20:41For years, anthropologists assumed that
  559. 20:43all Neanderthals were universally type O
  560. 20:46based on early DNA tests of just one or
  561. 20:49two European fossils. Then in 2021,
  562. 20:53paleoanthropologist Silvana Condemi and
  563. 20:56her team at Aix-Marseille University
  564. 20:59decoded the full blood group genomes of
  565. 21:01three Neanderthals and one Denisovan
  566. 21:04spanning Siberia to Croatia. They proved
  567. 21:06that ancient Neanderthals originally
  568. 21:08carried A, B, and O blood types just
  569. 21:11like modern humans, inherited from our
  570. 21:13shared African ancestors. Yet as late
  571. 21:16Neanderthals fractured into tiny
  572. 21:18isolated bands of 20 or 30 cousins
  573. 21:20huddled in Ice Age valleys, inbreeding
  574. 21:23caused their blood type diversity to
  575. 21:24collapse. Almost all late Neanderthals
  576. 21:27ended up carrying the exact same narrow
  577. 21:29set of blood markers alongside a weak Rh
  578. 21:32variant that would have triggered severe
  579. 21:34immune clashes during pregnancy whenever
  580. 21:37they mated with outside groups. When
  581. 21:39bands of Homo sapiens walked out of
  582. 21:41Africa carrying a rich rotating casino
  583. 21:43of A, B, O, and secretor shields, our
  584. 21:46species could absorb novel plagues while
  585. 21:48uniform Neanderthal bands had every
  586. 21:50house on their street unlocked by the
  587. 21:52very first bug that cracked their single
  588. 21:54shared key. And that 20 million-year-old
  589. 21:57security system is still shaping your
  590. 21:59daily life in ways you can witness on a
  591. 22:01warm summer evening. Have you ever sat
  592. 22:03outside at a barbecue while one friend
  593. 22:05gets eaten alive by mosquitoes and the
  594. 22:07person sitting right next to them never
  595. 22:09gets a single bite? In controlled
  596. 22:11laboratory landing tests, entomologists
  597. 22:14discovered that Aedes mosquitoes land on
  598. 22:16the skin of type O secretors nearly
  599. 22:18twice as often as they land on type A
  600. 22:20individuals. Remember that 80% of people
  601. 22:23leak their blood type sugars onto their
  602. 22:24skin through sweat. Mosquitoes use
  603. 22:27chemical sensors on their antennae to
  604. 22:29sniff out those invisible H antigen
  605. 22:31clues from yards away, zeroing in on the
  606. 22:33very same blood group that spent
  607. 22:35millennia adapting to survive the
  608. 22:37malaria parasites those mosquitoes
  609. 22:39carry.
  610. 22:40Even inside your own vessels right now,
  611. 22:43your blood type is quietly adjusting
  612. 22:44your internal plumbing.
  613. 22:46Those A, B, and O sugar sprinkles are
  614. 22:48not just painted on red blood cells.
  615. 22:50They are also attached directly onto a
  616. 22:52giant clotting protein floating in your
  617. 22:54plasma called von Willebrand factor,
  618. 22:57which acts like biological duct tape
  619. 22:59whenever you scrape your knee. When A or
  620. 23:01B sugars are glued onto that clotting
  621. 23:03protein, they act like a protective
  622. 23:05shield that keeps your liver from
  623. 23:07clearing the protein out of circulation
  624. 23:09too quickly. Because type O individuals
  625. 23:11lack those extra A and B sugars, their
  626. 23:14livers clear out clotting proteins much
  627. 23:16faster, leaving type O humans with
  628. 23:18roughly 25 to 30% lower levels of
  629. 23:21clotting factor in their bloodstream
  630. 23:23than type A or B humans. Over a
  631. 23:25lifetime, that tiny sugar difference
  632. 23:27means type O carriers have slightly
  633. 23:29thinner flowing plumbing that lowers
  634. 23:31their risk of dangerous blood clots in
  635. 23:33modern office chairs, while type A and B
  636. 23:35carriers have faster sealing emergency
  637. 23:37patches that helped our ancestors
  638. 23:39survive physical scrapes in the wild.
  639. 23:41Every drop of fluid running through your
  640. 23:43veins is a living museum of every
  641. 23:45parasite, bacterium, and virus your
  642. 23:47ancestors ever outsmarted.
  643. 23:49Which camp did evolution put you in?
  644. 23:52What is your blood type? And if you are
  645. 23:53type O, are you always the first person
  646. 23:56in your friend group that mosquitoes
  647. 23:57treat like an all-you-can-eat buffet?

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