Assessment by Extended-Coverage Next-Generation Sequencing Typing of DPA1 and DPB1 Mismatches in Siblings Matching at HLA-A, -B, -C, -DRB1, and -DQ Loci.

作者: Livia Mariano , Bing Melody Zhang , Kazutoyo Osoegawa , Robert Lowsky , Marcelo Fernandez-Vina

DOI: 10.1016/J.BBMT.2019.07.033

关键词:

摘要: ABSTRACT Allogeneic hematopoietic stem cell transplant from an HLA matched sibling donor is usually the preferable choice. The use of next-generation sequencing (NGS) for typing in clinical practice provides broader coverage and higher resolution genes. We evaluated frequency DPB1 crossing-over events among patients potential related donors typed with NGS. From July 2016 to January 2018, 593 2385 siblings were typed. matching status 546 patients, 44.8% these had that at HLA-A, -B, -C, -DRB1, -DQB1 loci. In 306 patient–HLA pairs, we found 6 pairs (1.96%) 1 mismatch, 5 included additional mismatch DPA1. No mismatches observed low expression Using T epitope algorithm, 4 DP classified as permissive, nonpermissive host-versus-graft direction, graft-versus-host direction. DPA1 low, their impact transplants not well established. Although goes beyond guidelines, it especially relevant sensitized patients. NGS-based full gene coverage, its can enable better selection.

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