XKR9 Background Information Kell and XK are two covalently linked plasma membrane proteins that constitute the Kell blood group system, a group of antigens on the surface of red blood cells that are important determinants of blood type and targets for autoimmune or alloimmune diseases. XK is a 444 amino acid protein that spans the membrane 10 times and carries the ubiquitous antigen, Kx, which determines blood type. The XK (X-linked Kx blood group)-related gene family are homologs of XK. XKR9 (XK, Kell blood group complex subunit-related family, member 9), also known as XRG9, is a 373 amino acid multi-pass membrane protein belonging to the XK family. The gene encoding XRG9 maps to human chromosome 8, which consists of nearly 146 million base pairs, houses more than 800 genes and is associated with a variety of diseases and malignancies.