PMID- 21299527 OWN - NLM STAT- MEDLINE DCOM- 20110610 LR - 20191210 IS - 1399-0039 (Electronic) IS - 0001-2815 (Linking) VI - 77 IP - 3 DP - 2011 Mar TI - Challenging the golden standard in defining donor-specific antibodies: does the solid phase assay meet the expectations? PG - 225-8 LID - 10.1111/j.1399-0039.2010.01608.x [doi] AB - The purpose of the study was to compare three different methods defining donor-specific antibodies (DSA): complement-dependent cytotoxicity (CDC), the flow cytometry method (FCM), and a special for that purpose commercially available Luminex-based solid phase assay (SPA). A panel of human monoclonal antibodies (HuMabs) with well-defined human leukocyte antigen (HLA) specificities was used as antibody source and single HLA antigen expressing cell lines (SAL) were used as targets. Two methods yielded identical results (CDC and FCM). However, the SPA, the method by which solubilized HLA molecules from the SAL are captured by microspheres, showed two additional reactions which could not be explained, neither by the epitope recognized by the HuMab nor by the widely accepted sensitivity of the SPA methodology. These unexplained results suggest that by capturing solubilized HLA molecules on microspheres, conformational changes might occur. Positive results obtained by similar Luminex-based microsphere methods should be therefore taken with caution and the 'recognized' HLA antigens should not automatically be considered as unacceptable for transplantation. CI - (c) 2011 John Wiley & Sons A/S. FAU - Zoet, Y M AU - Zoet YM AD - Department of Immunohaematology and Blood Transfusion, Leiden University Medical Center, Leiden, The Netherlands. FAU - Brand-Schaaf, S H AU - Brand-Schaaf SH FAU - Roelen, D L AU - Roelen DL FAU - Mulder, A AU - Mulder A FAU - Claas, F H J AU - Claas FH FAU - Doxiadis, I I N AU - Doxiadis II LA - eng PT - Comparative Study PT - Evaluation Study PT - Journal Article PL - England TA - Tissue Antigens JT - Tissue antigens JID - 0331072 RN - 0 (Antibodies) RN - 0 (Antibodies, Monoclonal) SB - IM MH - Antibodies/*blood/chemistry/*isolation & purification MH - Antibodies, Monoclonal/immunology MH - Antibody Specificity MH - *Blood Donors MH - Cell Line MH - Cytotoxicity Tests, Immunologic/methods/standards MH - Flow Cytometry/methods MH - Histocompatibility Testing/methods/standards MH - Humans MH - K562 Cells MH - Reference Standards MH - Retrospective Studies MH - Sensitivity and Specificity MH - Solid Phase Extraction/*standards/*statistics & numerical data EDAT- 2011/02/09 06:00 MHDA- 2011/06/11 06:00 CRDT- 2011/02/09 06:00 PHST- 2011/02/09 06:00 [entrez] PHST- 2011/02/09 06:00 [pubmed] PHST- 2011/06/11 06:00 [medline] AID - 10.1111/j.1399-0039.2010.01608.x [doi] PST - ppublish SO - Tissue Antigens. 2011 Mar;77(3):225-8. doi: 10.1111/j.1399-0039.2010.01608.x.