Xiao Y, Lazaro A M, Masaberg C, Haagenson M, Vierra-Green C, Spellman S, Dakshanamurthy S, Ng J, Hurley C K
Department of Pediatrics and Oncology, C.W. Bill Young Marrow Donor Research and Recruitment Program, Georgetown University Medical Center, Washington, DC 20057, USA.
Tissue Antigens. 2009 Jun;73(6):595-8. doi: 10.1111/j.1399-0039.2009.01245.x. Epub 2009 Apr 6.
DNA sequencing of 268 individuals drawn from four US populations carrying two unresolved DRB114 alleles differing only outside the antigen recognition site identified DRB11454 in the majority. A database of 4222 human leukocyte antigen (HLA)-matched hematopoietic stem cell transplantation donor-recipient pairs was queried to determine the number likely mismatched for DRB1140101/DRB11454 but matched for class I loci. A power calculation suggests that more than 88,000 transplants among European Americans will be needed to identify sufficient 7/8 allele-matched pairs to evaluate the impact of the DRB1140101/DRB11454 mismatch on transplant outcome. Molecular modeling of the HLA-DR interaction with the T-cell receptor and with CD4 suggests that the amino acid substitution distinguishing the two alleles will have minimal impact on allorecognition.
对来自美国四个群体的268名个体进行DNA测序,这些个体携带两个未解析的DRB114等位基因,它们仅在抗原识别位点之外存在差异,结果在大多数个体中鉴定出DRB11454。查询了一个由4222对人类白细胞抗原(HLA)匹配的造血干细胞移植供受者组成的数据库,以确定可能在DRB1140101/DRB11454上不匹配但在I类基因座上匹配的数量。一项功效计算表明,在美国白人中需要进行超过88,000例移植,才能识别出足够数量的7/8等位基因匹配对,以评估DRB1140101/DRB11454不匹配对移植结果的影响。HLA-DR与T细胞受体以及与CD4相互作用的分子模型表明,区分这两个等位基因的氨基酸取代对同种异体识别的影响极小。