PMID- 15935894 OWN - NLM STAT- MEDLINE DCOM- 20051212 LR - 20061115 IS - 0198-8859 (Print) IS - 0198-8859 (Linking) VI - 66 IP - 5 DP - 2005 May TI - Inferred HLA haplotype information for donors from hematopoietic stem cells donor registries. PG - 563-70 AB - Human leukocyte antigen (HLA) matching remains a key issue in the outcome of transplantation. In hematopoietic stem cell transplantation with unrelated donors, the matching for compatible donors is based on the HLA phenotype information. In familial transplantation, the matching is achieved at the haplotype level because donor and recipient share the block-transmitted major histocompatibility complex region. We present a statistical method based on the HLA haplotype inference to refine the HLA information available in an unrelated situation. We implement a systematic statistical inference of the haplotype combinations at the individual level. It computes the most likely haplotype pair given the phenotype and its probability. The method is validated on 301 phase-known phenotypes from CEPH families (Centre d'Etude du Polymorphisme Humain). The method is further applied to 85,933 HLA-A B DR typed unrelated donors from the French Registry of hematopoietic stem cells donors (France Greffe de Moelle). The average value of prediction probability is 0.761 (SD 0.199) ranging from 0.26 to 1. Correlations between phenotype characteristics and predictions are also given. Homozygosity (OR = 2.08; [2.02-2.14] p <10(-3)) and linkage disequilibrium (p <10(-3)) are the major factors influencing the quality of prediction. Limits and relevance of the method are related to limits of haplotype estimation. Relevance of the method is discussed in the context of HLA matching refinement. FAU - Gourraud, Pierre-Antoine AU - Gourraud PA AD - Faculty of Medicine, INSERM, Toulouse, France. gourraud@cict.fr FAU - Lamiraux, Phillipe AU - Lamiraux P FAU - El-Kadhi, Nabil AU - El-Kadhi N FAU - Raffoux, Colette AU - Raffoux C FAU - Cambon-Thomsen, Anne AU - Cambon-Thomsen A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20050303 PL - United States TA - Hum Immunol JT - Human immunology JID - 8010936 RN - 0 (HLA Antigens) SB - IM MH - Algorithms MH - France MH - Gene Frequency MH - HLA Antigens/*genetics MH - Haplotypes/*genetics MH - Hematopoietic Stem Cells/*immunology MH - Homozygote MH - Humans MH - Linkage Disequilibrium MH - Models, Genetic MH - *Models, Statistical MH - Phenotype MH - *Registries MH - *Tissue Donors EDAT- 2005/06/07 09:00 MHDA- 2005/12/15 09:00 CRDT- 2005/06/07 09:00 PHST- 2004/12/10 00:00 [received] PHST- 2005/01/03 00:00 [revised] PHST- 2005/01/11 00:00 [accepted] PHST- 2005/06/07 09:00 [pubmed] PHST- 2005/12/15 09:00 [medline] PHST- 2005/06/07 09:00 [entrez] AID - S0198-8859(05)00023-6 [pii] AID - 10.1016/j.humimm.2005.01.011 [doi] PST - ppublish SO - Hum Immunol. 2005 May;66(5):563-70. doi: 10.1016/j.humimm.2005.01.011. Epub 2005 Mar 3.