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常见且有充分文献记载的人类白细胞抗原(HLA)等位基因:美国组织相容性与免疫遗传学学会特设委员会报告

Common and well-documented HLA alleles: report of the Ad-Hoc committee of the american society for histocompatiblity and immunogenetics.

作者信息

Cano Pedro, Klitz William, Mack Steven J, Maiers Martin, Marsh Steven G E, Noreen Harriet, Reed Elaine F, Senitzer David, Setterholm Michelle, Smith Anajane, Fernández-Viña Marcelo

机构信息

University of Texas M. D. Anderson Cancer Center, HLA Typing Laboratory, Houston, Texas 77054, USA.

出版信息

Hum Immunol. 2007 May;68(5):392-417. doi: 10.1016/j.humimm.2007.01.014. Epub 2007 Feb 15.

Abstract

In histocompatibility testing some genotype ambiguities are almost always resolved into the genotype with the most common alleles. To achieve unambiguous assignments additional unwieldy tests are performed. The American Society for Histocompatibility and Immunogenetics formed a committee to define what human leukocyte antigen (HLA) genotypes do not need to be resolved in external proficiency testing. The tasks included detailed analysis of large datasets of high-resolution typing and thorough review of the pertinent scientific literature. Strict criteria were used to create a catalogue of common and well-documented (CWD) alleles. In total, 130, 245, 81, and 143 of the highly polymorphic HLA-A, -B, -C, and DRB1 loci fell into the CWD category; these represent 27%-30% of all alleles recognized. For the loci DRB3/4/5, DQA1, DQB1, and DPB1, a total of 29, 16, 26, and 52 CWD alleles were identified. A recommendation indicated that an acceptable report should only include one possible genotype; multiple genotypes can only be reported if only one of these includes two alleles of the CWD group. Exceptions in which resolution is not necessary are ambiguities involving functional alleles with identical sequences in the antigen recognition site. The criteria were established for proficiency testing, which could be a valuable tool when making clinical histocompatibility decisions.

摘要

在组织相容性检测中,一些基因型的模糊性几乎总是被解析为具有最常见等位基因的基因型。为了实现明确的分型,需要进行额外繁琐的检测。美国组织相容性与免疫遗传学协会成立了一个委员会,以确定在外部能力验证中哪些人类白细胞抗原(HLA)基因型无需解析。任务包括对高分辨率分型的大型数据集进行详细分析以及对相关科学文献进行全面审查。使用严格的标准创建了一份常见且有充分记录(CWD)的等位基因目录。高度多态的HLA-A、-B、-C和DRB1基因座中,分别有130个、245个、81个和143个属于CWD类别;这些占所有已识别等位基因的27%-30%。对于DRB3/4/5、DQA1、DQB1和DPB1基因座,共鉴定出29个、16个、26个和52个CWD等位基因。一项建议指出,一份可接受的报告应仅包括一种可能的基因型;只有当其中只有一种基因型包含两个CWD组的等位基因时,才可以报告多种基因型。无需解析的例外情况是涉及抗原识别位点具有相同序列的功能性等位基因的模糊性。这些标准是为能力验证而制定的,在做出临床组织相容性决策时可能是一个有价值的工具。

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