PMID- 18980615 OWN - NLM STAT- MEDLINE DCOM- 20090529 LR - 20220321 IS - 1537-2995 (Electronic) IS - 0041-1132 (Print) IS - 0041-1132 (Linking) VI - 49 IP - 2 DP - 2009 Feb TI - Long-term in vitro reactivity for human leukocyte antigen antibodies and comparison of detection using serum versus plasma. PG - 243-51 LID - 10.1111/j.1537-2995.2008.01955.x [doi] AB - BACKGROUND: Human leukocyte antigen (HLA) antibodies are a possible cause of transfusion-related acute lung injury (TRALI), and fluorescent bead assays are often used for antibody detection. Serum is the manufacturer's recommended sample, but plasma may be easier to obtain for studies of HLA antibody prevalence and TRALI case investigations. STUDY DESIGN AND METHODS: Specimens were obtained from 44 multiparous females positive for the presence of HLA antibodies by lymphocytotoxicity testing at least 13 years prior and from 1000 contemporary blood donors. Screening tests were performed using a multiplex bead-based assay. In addition to comparing results obtained with paired plasma and serum samples, the effects of storage at 4 degrees C for 1 week and of multiple freeze-thaw cycles were evaluated. RESULTS: Of 42 evaluable subjects with HLA antibodies documented more than 13 years earlier, only 1 showed loss of detectable antibodies, with 39 (93%) positive in the screening assay for HLA Class I and 24 (57%) positive in the screening assay for HLA Class II antibodies. In 968 evaluable contemporary donors, 291 screened positive for the presence of HLA Class I and 206 for HLA Class II antibodies using a low assay cutoff. Screening test concordance using paired plasma and serum samples was high, particularly for subjects with higher-level antibodies. Refrigeration of samples for 1 week did not significantly affect assay results, while repeated freeze-thaw cycles caused a decrement in signal level. CONCLUSION: Serum and plasma samples gave concordant results in the majority of cases, particularly for specimens with higher-level antibodies. High-level HLA antibodies were present in most individuals for more than 13 years. FAU - Norris, Philip J AU - Norris PJ AD - Blood Systems Research Institute, University of California, San Francisco, USA. pnorris@bloodsystems.org FAU - Lee, Jar-How AU - Lee JH FAU - Carrick, Danielle M AU - Carrick DM FAU - Gottschall, Jerome L AU - Gottschall JL FAU - Lebedeva, Mila AU - Lebedeva M FAU - de Castro, B R AU - de Castro BR FAU - Kleinman, Steven H AU - Kleinman SH FAU - Busch, Michael P AU - Busch MP LA - eng GR - N01-HB-47172/HB/NHLBI NIH HHS/United States GR - N01-HB-47171/HB/NHLBI NIH HHS/United States GR - HHSN268200517181C/PHS HHS/United States GR - N01-HB-47170/HB/NHLBI NIH HHS/United States GR - N01-HB-47175/HB/NHLBI NIH HHS/United States GR - N01HB57181/HL/NHLBI NIH HHS/United States GR - N01-HB-47174/HB/NHLBI NIH HHS/United States GR - N01-HB-47168/HB/NHLBI NIH HHS/United States GR - N01-HB-57181/HB/NHLBI NIH HHS/United States GR - N01-HB-47169/HB/NHLBI NIH HHS/United States GR - N01HB47168/HL/NHLBI NIH HHS/United States GR - N01-HB-47173/HB/NHLBI NIH HHS/United States GR - HHSN268200517181C/HL/NHLBI NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20081029 PL - United States TA - Transfusion JT - Transfusion JID - 0417360 RN - 0 (Antibodies) RN - 0 (Histocompatibility Antigens Class I) RN - 0 (Histocompatibility Antigens Class II) SB - IM MH - Acute Lung Injury/etiology MH - Antibodies/*immunology MH - Blood Donors MH - Cohort Studies MH - Cytotoxicity Tests, Immunologic MH - Female MH - Histocompatibility Antigens Class I/*immunology MH - Histocompatibility Antigens Class II/*immunology MH - Humans MH - Parity MH - Plasma/*immunology MH - Pregnancy MH - Prevalence MH - Reproducibility of Results MH - Serum/*immunology MH - Time Factors MH - United States/epidemiology PMC - PMC3058293 MID - NIHMS88843 EDAT- 2008/11/05 09:00 MHDA- 2009/05/30 09:00 PMCR- 2011/03/16 CRDT- 2008/11/05 09:00 PHST- 2008/11/05 09:00 [pubmed] PHST- 2009/05/30 09:00 [medline] PHST- 2008/11/05 09:00 [entrez] PHST- 2011/03/16 00:00 [pmc-release] AID - TRF01955 [pii] AID - 10.1111/j.1537-2995.2008.01955.x [doi] PST - ppublish SO - Transfusion. 2009 Feb;49(2):243-51. doi: 10.1111/j.1537-2995.2008.01955.x. Epub 2008 Oct 29.