PMID- 20403141 OWN - NLM STAT- MEDLINE DCOM- 20101206 LR - 20100728 IS - 1399-0039 (Electronic) IS - 0001-2815 (Linking) VI - 76 IP - 2 DP - 2010 Aug TI - Solid phase HLA antibody detection technology--challenges in interpretation. PG - 87-95 LID - 10.1111/j.1399-0039.2010.01486.x [doi] AB - The introduction into routine diagnostic laboratories of solid phase assays for human leukocyte antigen (HLA) antibody detection has resulted in the application of new laboratory matching algorithms in clinical organ transplantation which have improved pre-transplant detection of immunization, in turn resulting in avoidance of rejection in many cases which until their introduction would not have been possible using the historical complement dependent serological techniques. There have been two generations of solid phase assays introduced into routine practice, namely, the enzyme-linked immunosorbent assay (ELISA) technique and the use of fluorescent beads with HLA molecules bound to their surface which can either be used in conventional flow cytometry or in conjunction with Luminex instrumentation, the latter having become the most popular approach. The use of the fluorescent bead techniques has raised interesting questions both with respect to technical performance and the interpretation of the results obtained. The advantages of bead technology for HLA antibody determination and the technical issues requiring resolution are the subject of this review. FAU - Tait, B D AU - Tait BD AD - National Transplant Services, Australian Red Cross Blood Service, Melbourne, Australia. bdtait@arcbs.redcross.org.au FAU - Hudson, F AU - Hudson F FAU - Brewin, G AU - Brewin G FAU - Cantwell, L AU - Cantwell L FAU - Holdsworth, R AU - Holdsworth R LA - eng PT - Journal Article PT - Review DEP - 20100408 PL - England TA - Tissue Antigens JT - Tissue antigens JID - 0331072 RN - 0 (HLA Antigens) RN - 0 (Histocompatibility Antigens Class I) RN - 0 (Immunoglobulin M) RN - 0 (Isoantibodies) RN - 0 (MHC class I-related chain A) RN - 0 (beta 2-Microglobulin) RN - 9007-36-7 (Complement System Proteins) SB - IM MH - Complement System Proteins/metabolism MH - Enzyme-Linked Immunosorbent Assay/methods MH - Fluorescent Antibody Technique/methods MH - HLA Antigens/*immunology MH - Histocompatibility Antigens Class I/immunology MH - Histocompatibility Testing MH - Humans MH - Immunity, Innate MH - Immunoassay/*methods MH - Immunoglobulin M/analysis/blood MH - Isoantibodies/*analysis/blood MH - Transplantation Immunology MH - beta 2-Microglobulin/blood/immunology EDAT- 2010/04/21 06:00 MHDA- 2010/12/14 06:00 CRDT- 2010/04/21 06:00 PHST- 2010/04/21 06:00 [entrez] PHST- 2010/04/21 06:00 [pubmed] PHST- 2010/12/14 06:00 [medline] AID - TAN1486 [pii] AID - 10.1111/j.1399-0039.2010.01486.x [doi] PST - ppublish SO - Tissue Antigens. 2010 Aug;76(2):87-95. doi: 10.1111/j.1399-0039.2010.01486.x. Epub 2010 Apr 8.