PMID- 17868258 OWN - NLM STAT- MEDLINE DCOM- 20071206 LR - 20071008 IS - 0001-2815 (Print) IS - 0001-2815 (Linking) VI - 70 IP - 5 DP - 2007 Nov TI - Reanalysis of sequence-based HLA-A, -B and -Cw typings: how ambiguous is today's SBT typing tomorrow. PG - 383-9 AB - The permanently increasing number of human leukocyte antigen (HLA)-alleles and the growing list of ambiguities require continuous updating of high-resolution HLA typing results. Two different kinds of ambiguities exist: the first, when two or more allele combinations have identical heterozygous sequences, and the second, when differences are located outside the analyzed region. The number of HLA-A, B and C alleles recognized in 1999 was almost tripled in 2006. Two hundred individuals, sequence-based typing (SBT) typed in the period from 1999 to 2002, were reanalyzed using the 2006 database. A final allele typing result of at least four digits was obtained for HLA-A, -B and -C by heterozygous sequencing of exons 2 and 3 and, if necessary, additional exons and/or allele-specific sequencing. Storage of the individual sequences in a specially developed database enabled reanalysis with all present and future HLA releases. In the 5-year period HLA-A, -B and -C typing results became ambiguous in 37%, 46% and 41% of the cases. Most were because of differences outside the analyzed region; ambiguities because of different allele combinations with identical heterozygous sequences were present in 7%, 8% and 13% of the HLA-A, -B and -C typings. These results indicate that within 5 years, approximately half of the HLA SBT typings become ambiguous. FAU - Voorter, C E M AU - Voorter CE AD - Tissue Typing Laboratory, University Hospital Maastricht, Maastricht, The Netherlands. FAU - Mulkers, E AU - Mulkers E FAU - Liebelt, P AU - Liebelt P FAU - Sleyster, E AU - Sleyster E FAU - van den Berg-Loonen, E M AU - van den Berg-Loonen EM LA - eng PT - Journal Article DEP - 20070916 PL - England TA - Tissue Antigens JT - Tissue antigens JID - 0331072 RN - 0 (HLA-A Antigens) RN - 0 (HLA-B Antigens) RN - 0 (HLA-C Antigens) SB - IM MH - *Alleles MH - *Databases, Genetic/trends MH - Female MH - HLA-A Antigens/*genetics MH - HLA-B Antigens/*genetics MH - HLA-C Antigens/*genetics MH - Heterozygote MH - *Histocompatibility Testing/trends MH - Humans MH - Male MH - Retrospective Studies MH - Sequence Analysis, DNA/trends EDAT- 2007/09/18 09:00 MHDA- 2007/12/07 09:00 CRDT- 2007/09/18 09:00 PHST- 2007/09/18 09:00 [pubmed] PHST- 2007/12/07 09:00 [medline] PHST- 2007/09/18 09:00 [entrez] AID - TAN921 [pii] AID - 10.1111/j.1399-0039.2007.00921.x [doi] PST - ppublish SO - Tissue Antigens. 2007 Nov;70(5):383-9. doi: 10.1111/j.1399-0039.2007.00921.x. Epub 2007 Sep 16.