PMID- 19845894 OWN - NLM STAT- MEDLINE DCOM- 20100201 LR - 20211020 IS - 1399-0039 (Electronic) IS - 0001-2815 (Print) IS - 0001-2815 (Linking) VI - 74 IP - 5 DP - 2009 Nov TI - High-resolution, high-throughput HLA genotyping by next-generation sequencing. PG - 393-403 LID - 10.1111/j.1399-0039.2009.01345.x [doi] AB - The human leukocyte antigen (HLA) class I and class II loci are the most polymorphic genes in the human genome. Hematopoietic stem cell transplantation requires allele-level HLA typing at multiple loci to select the best matched unrelated donors for recipient patients. In current methods for HLA typing, both alleles of a heterozygote are amplified and typed or sequenced simultaneously, often making it difficult to unambiguously determine the sequence of the two alleles. Next-generation sequencing methods clonally propagate in parallel millions of single DNA molecules, which are then also sequenced in parallel. Recently, the read lengths obtainable by one such next-generation sequencing method (454 Life Sciences, Inc.) have increased to >250 nucleotides. These clonal read lengths make possible setting the phase of the linked polymorphisms within an exon and thus the unambiguous determination of the sequence of each HLA allele. Here we demonstrate this capacity as well as show that the throughput of the system is sufficiently high to enable a complete, 7-locus HLA class I and II typing for 24 or 48 individual DNAs in a single GS FLX sequencing run. Highly multiplexed amplicon sequencing is facilitated by the use of sample-specific internal sequence tags (multiplex identification tags or MIDs) in the primers that allow pooling of samples yet maintain the ability to assign sequences to specific individuals. We have incorporated an HLA typing software application developed by Conexio Genomics (Freemantle, Australia) that assigns HLA genotypes for these 7 loci (HLA-A, -B, -C, DRB1, DQA1, DQB1, DPB1), as well as for DRB3, DRB4, and DRB5 from 454 sequence data. The potential of this HLA sequencing system to analyze chimeric mixtures is demonstrated here by the detection of a rare HLA-B allele in a mixture of two homozygous cell lines (1/100), as well as by the detection of the rare nontransmitted maternal allele present in the blood of a severe combined immunodeficiency disease syndrome (SCIDS) patient. FAU - Bentley, G AU - Bentley G AD - Department of Human Genetics, Roche Molecular Systems Inc, Pleasanton, CA 94588, USA. FAU - Higuchi, R AU - Higuchi R FAU - Hoglund, B AU - Hoglund B FAU - Goodridge, D AU - Goodridge D FAU - Sayer, D AU - Sayer D FAU - Trachtenberg, E A AU - Trachtenberg EA FAU - Erlich, H A AU - Erlich HA LA - eng GR - U01 AI067068/AI/NIAID NIH HHS/United States PT - Evaluation Study PT - Journal Article PL - England TA - Tissue Antigens JT - Tissue antigens JID - 0331072 RN - 0 (HLA Antigens) SB - IM MH - Alleles MH - Base Sequence MH - *Family Characteristics MH - Female MH - Gene Frequency MH - Genotype MH - HLA Antigens/analysis/*genetics MH - High-Throughput Screening Assays/*methods MH - Histocompatibility Testing/methods MH - Humans MH - Male MH - Parents MH - Polymorphism, Genetic MH - Sequence Analysis, DNA/*methods MH - Severe Combined Immunodeficiency/genetics/immunology PMC - PMC4205125 MID - NIHMS635466 EDAT- 2009/10/23 06:00 MHDA- 2010/02/02 06:00 PMCR- 2014/10/21 CRDT- 2009/10/23 06:00 PHST- 2009/10/23 06:00 [entrez] PHST- 2009/10/23 06:00 [pubmed] PHST- 2010/02/02 06:00 [medline] PHST- 2014/10/21 00:00 [pmc-release] AID - TAN1345 [pii] AID - 10.1111/j.1399-0039.2009.01345.x [doi] PST - ppublish SO - Tissue Antigens. 2009 Nov;74(5):393-403. doi: 10.1111/j.1399-0039.2009.01345.x.