PMID- 19683023 OWN - NLM STAT- MEDLINE DCOM- 20091130 LR - 20111117 IS - 1879-1166 (Electronic) IS - 0198-8859 (Linking) VI - 70 IP - 11 DP - 2009 Nov TI - Estimation of high-resolution HLA-A, -B, -C, -DRB1 allele and haplotype frequencies based on 8862 German stem cell donors and implications for strategic donor registry planning. PG - 895-902 LID - 10.1016/j.humimm.2009.08.006 [doi] AB - Human leukocyte antigen (HLA) haplotype frequency distributions in specific populations can be applied to optimize both individual stem cell donor searches and donor registry planning. We present allele and haplotype frequencies derived from a data set of 8862 German stem cell donors who were typed at high resolution for the HLA-A, HLA-B, HLA-C, and HLA-DRB1 genes upon registration. Calculated haplotype frequencies were used to estimate the probability p to find matching donors subject to donor registry size n. The impact of various matching standards on p(n) was analyzed. When high-resolution matching for HLA-A, HLA-B, HLA-C, and HLA-DRB1 is required, p(1,000,000) is 0.678. The corresponding value for n = 7,000,000 is 0.859. In a scenario with low-resolution matching and no consideration of HLA-C, p(1,000,000) is 0.863 and thus larger than p(7,000,000) in the scenario with stricter matching requirements. As recent findings support the importance of high-resolution matching of HLA-A, HLA-B, HLA-C, and HLA-DRB1 for outcomes of hematopoietic stem cell transplantation, our results are highly relevant for strategic planning and resource allocation of donor centers and registries. FAU - Schmidt, Alexander H AU - Schmidt AH AD - DKMS German Bone Marrow Donor Center, Tubingen, Germany. schmidt@dkms.de FAU - Baier, Daniel AU - Baier D FAU - Solloch, Ute V AU - Solloch UV FAU - Stahr, Andrea AU - Stahr A FAU - Cereb, Nezih AU - Cereb N FAU - Wassmuth, Ralf AU - Wassmuth R FAU - Ehninger, Gerhard AU - Ehninger G FAU - Rutt, Claudia AU - Rutt C LA - eng PT - Journal Article DEP - 20090813 PL - United States TA - Hum Immunol JT - Human immunology JID - 8010936 RN - 0 (HLA Antigens) RN - 0 (HLA-A Antigens) RN - 0 (HLA-B Antigens) RN - 0 (HLA-C Antigens) RN - 0 (HLA-DR Antigens) RN - 0 (HLA-DRB1 Chains) SB - IM MH - *Alleles MH - *Donor Selection MH - Genetics, Population MH - Germany MH - HLA Antigens/*genetics/immunology MH - HLA-A Antigens/genetics/immunology MH - HLA-B Antigens/genetics/immunology MH - HLA-C Antigens/genetics/immunology MH - HLA-DR Antigens/genetics/immunology MH - HLA-DRB1 Chains MH - *Haplotypes MH - Humans MH - *Registries MH - Stem Cells/*immunology MH - Tissue Donors EDAT- 2009/08/18 09:00 MHDA- 2009/12/16 06:00 CRDT- 2009/08/18 09:00 PHST- 2009/05/20 00:00 [received] PHST- 2009/07/31 00:00 [revised] PHST- 2009/08/10 00:00 [accepted] PHST- 2009/08/18 09:00 [entrez] PHST- 2009/08/18 09:00 [pubmed] PHST- 2009/12/16 06:00 [medline] AID - S0198-8859(09)00220-1 [pii] AID - 10.1016/j.humimm.2009.08.006 [doi] PST - ppublish SO - Hum Immunol. 2009 Nov;70(11):895-902. doi: 10.1016/j.humimm.2009.08.006. Epub 2009 Aug 13.