“…However, RBC alloantigenicity depends primarily on residues/modifications exposed to the extracellular milieu, regardless of their role in expression, localization, or function. Many blood group antigenic sites will not be subject to strong evolutionary pressure, as described previously for Diego and Kell . Biochemical differences in amino acid substitutions may also not be as critical for immunohematology, since several proven antigenic variations (Wu/DISK, KEL:‐22, KUCI‐, Co(b+), etc) result from amino acid substitutions that are considered “conservative.” Möller and colleagues filtered variants with extracellular localization for possible antigenicity, and Howe and Stack reported that meta‐SNP scores can be helpful.…”