phenotype and denoted as Fy(a0b0). When Duffy-negative individuals of African descent develop anti-Duffy alloanti-NE OF THE MOST notable achievements of biomedical research in the first half of this century was the identification of red blood cell (RBC) antigens and the recog-bodies, they are almost always anti-Fy a rather than anti-Fy b . 19,20 The genotype designated FY/FY, which gives rise nition of their importance to transfusion medicine and hemolytic disease of the newborn. 1,2 These discoveries gave rise to the Fy(a0b0) erythroid phenotype, contains a coding sequence identical to that of FY*B. 21 In individuals of the to an era of descriptive RBC serology during which a complex array of RBC membrane antigens were defined by their Fy(a0b0) phenotype, this sequence remains silent in erythroid cells but is transcribed and expressed on endothelial reactivity with specific alloantibodies. 3,4 In recent years, RBC immunohematology has progressed from descriptive cells of postcapillary venules. 22 Reactivity with anti-Fy a and anti-Fy b alloantibodies is serology into an era of structural and functional analysis of blood group antigens, many of which are expressed in both abolished after chymotrypsin or papain treatment of intact RBCs. 23,24 Albrey et al 25 described an anti-Duffy alloanti-erythroid and nonerythroid tissue. [5][6][7][8] Here we will focus on the Duffy blood group antigen, a structure that has been of body, denoted anti-Fy3, that reacts with chymotrypsinand papain-treated RBCs. Anti-Fy3 reacts with both particular interest because it serves as a receptor on the RBC for the malarial parasite, Plasmodium vivax (P vivax). [8][9][10] Fy(a/b0) and Fy(a0b/) RBCs, but not Fy(a0b0) RBCs. Adsorption and elution experiments showed that anti-Fy3 We will attempt to highlight recent advances in our understanding of the molecular basis for the interaction of the P reacts with a site common to both Fy(a/b0) and Fy(a0b/) RBCs. Although initially described in the se-vivax malaria parasite with the Duffy blood group antigen and indicate how this information also contributed to the rum of a rare Fy(a0b0) white woman (AZ) with a history of pregnancy and blood transfusions, anti-Fy3 can also identification of an important gene family for cytoadherence proteins of P falciparum. In the context of normal physiol-occur in Duffy-negative individuals of African descent, often in conjunction with anti-Fy a . 18 Other Duffy-related ogy, the Duffy blood group antigen has been shown to be receptor for chemoattractant cytokines, or chemokines, and epitopes have been defined by rare antisera, anti-Fy4 and anti-Fy5. 26,27 Anti-Fy4 reacts only with Fy(a0b0) RBCs to be expressed by endothelial cells of postcapillary venules and by Purkinje cells of the cerebellum. 11,12 We will attempt from individuals of African descent. 26 Anti-Fy5 reacts with all human RBCs except those that are Fy(a0b0) and to review this important area of chemokine receptor research and discuss the potential relevance of the Duffy chemokine Rh null or expre...