PMID- 21397543 OWN - NLM STAT- MEDLINE DCOM- 20110830 LR - 20171116 IS - 1953-8022 (Electronic) IS - 1246-7820 (Linking) VI - 18 IP - 2 DP - 2011 Apr TI - [HLA and transfusion: new approaches with Luminex technology]. PG - 218-23 LID - 10.1016/j.tracli.2011.01.004 [doi] AB - The major histocompatibility complex is a multigenic system highly polymorphic coding for human leukocyte antigen (HLA) molecules, which are the strongest antigens for immune response and play a major role in allograft rejection. Class I antigens are expressed on almost all nucleated cells and platelets, whereas HLA class II antigens are mostly on antigen presenting cells. During transfusion, anti-HLA antibodies can induce transfusion incidents like fever, transfusion-related acute lung injury TRALI and refractoriness to the platelets transfusion. Identification of HLA class I antibodies is very important to find HLA compatible platelets concentrates. Since the end of 1960s, the complement-dependent microlymphocytotoxicity assay has been the standard internationally recognized method for cross matching and screening of HLA antibodies. It became necessary to improve the test sensitivity because some clinical relevant antibodies were not detected. Sensitive methods appeared in the 1990 s: flow cytometry, enzyme-linked immunosorbent assay and now Luminex. This latter is the most sensitive method with single HLA antigen panel assays to generate the most informative reactivity pattern of antibodies. The high sensitivity and specificity of the Luminex technology performed to screen HLA antibodies allows the best selection of platelets donors. When no compatible concentrates are available for highly immunized recipients, the cross-matching method could be used to select a platelet concentrate. CI - Copyright (c) 2011 Elsevier Masson SAS. All rights reserved. FAU - Giannoli, C AU - Giannoli C AD - Laboratoire d'histocompatibilite, site de Lyon, EFS Rhone-Alpes, 1-3, rue du Vercors, 69007 Lyon, France. catherine.giannoli@efs.sante.fr FAU - Nguyen, T-K-T AU - Nguyen TK FAU - Dubois, V AU - Dubois V LA - fre PT - Journal Article PT - Review TT - HLA et transfusion: nouvelles approches a l'ere du Luminex. DEP - 20110311 PL - France TA - Transfus Clin Biol JT - Transfusion clinique et biologique : journal de la Societe francaise de transfusion sanguine JID - 9423846 RN - 0 (Antibodies, Anti-Idiotypic) RN - 0 (Fluorescent Dyes) RN - 0 (HLA Antigens) RN - 0 (Immunoglobulin G) RN - 0 (Isoantibodies) RN - 11016-17-4 (Phycoerythrin) SB - IM MH - Acute Lung Injury/etiology/immunology/prevention & control MH - Antibodies, Anti-Idiotypic/immunology MH - Blood Platelets/*immunology MH - *Blood Transfusion MH - Cross Reactions MH - Donor Selection/*methods/standards MH - Flow Cytometry/*methods MH - Fluorescent Dyes MH - HLA Antigens/*analysis MH - Histocompatibility Testing/instrumentation/*methods/standards MH - Humans MH - Immunoglobulin G/immunology MH - Isoantibodies/*blood MH - Microspheres MH - Phycoerythrin MH - Platelet Transfusion/adverse effects MH - Sensitivity and Specificity MH - Transfusion Reaction EDAT- 2011/03/15 06:00 MHDA- 2011/08/31 06:00 CRDT- 2011/03/15 06:00 PHST- 2011/01/21 00:00 [received] PHST- 2011/01/27 00:00 [accepted] PHST- 2011/03/15 06:00 [entrez] PHST- 2011/03/15 06:00 [pubmed] PHST- 2011/08/31 06:00 [medline] AID - S1246-7820(11)00005-X [pii] AID - 10.1016/j.tracli.2011.01.004 [doi] PST - ppublish SO - Transfus Clin Biol. 2011 Apr;18(2):218-23. doi: 10.1016/j.tracli.2011.01.004. Epub 2011 Mar 11.