PMID- 24758284 OWN - NLM STAT- MEDLINE DCOM- 20150105 LR - 20140515 IS - 1399-0039 (Electronic) IS - 0001-2815 (Linking) VI - 83 IP - 6 DP - 2014 Jun TI - Somatic mutation in acute myelogenous leukemia cells imitate novel germline HLA-A allele: a case report. PG - 414-7 LID - 10.1111/tan.12362 [doi] AB - A somatic mutation of the human leukocyte antigen (HLA)-A gene revealed in tumour cells of acute myelogenous leukemia (AML) is described. A patient with AML and her siblings were routinely typed for HLA in order to find a suitable donor for haematopoietic stem cell transplantation. Sequencing-based typing of the initial patient's sample characterized by high proportion of blasts revealed unknown G/A exchange at position 781 of the HLA-A gene (exon 4) associated with HLA-A*02:01 allele. Importantly, this G781A variant was completely absent in the patient's remission sample obtained after the clearance of blasts. Our results are a reminder that HLA mutations in tumour cells may interfere with routine HLA typing and should always be considered, namely, in patients with haematological malignancies. CI - (c) 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. FAU - Mrazek, F AU - Mrazek F AD - HLA laboratory, Department of Immunology, University Hospital and Faculty of Medicine and Dentistry, Palacky University, Olomouc, Czech Republic; Institute of Molecular and Translational Medicine, University Hospital and Faculty of Medicine and Dentistry, Palacky University, Olomouc, Czech Republic. FAU - Onderkova, J AU - Onderkova J FAU - Szotkowski, T AU - Szotkowski T FAU - Konigova, N AU - Konigova N FAU - Ambruzova, Z AU - Ambruzova Z FAU - Raida, L AU - Raida L LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140423 PL - England TA - Tissue Antigens JT - Tissue antigens JID - 0331072 RN - 0 (HLA-A*02:01 antigen) RN - 0 (HLA-A2 Antigen) SB - IM MH - Adult MH - Alleles MH - Amino Acid Substitution MH - Base Sequence MH - Exons/genetics MH - Female MH - Germ-Line Mutation MH - HLA-A2 Antigen/*genetics MH - Hematopoietic Stem Cell Transplantation MH - Histocompatibility Testing MH - Humans MH - Leukemia, Myeloid, Acute/*genetics/pathology/therapy MH - Molecular Sequence Data MH - *Mutation, Missense MH - Neoplastic Stem Cells/*chemistry MH - *Point Mutation MH - Remission Induction MH - Siblings OTO - NOTNLM OT - human leukocyte antigen typing OT - major histocompatibility complex OT - new HLA allele OT - polymorphism OT - somatic mutation EDAT- 2014/04/25 06:00 MHDA- 2015/01/06 06:00 CRDT- 2014/04/25 06:00 PHST- 2013/12/06 00:00 [received] PHST- 2014/03/07 00:00 [revised] PHST- 2014/03/25 00:00 [accepted] PHST- 2014/04/25 06:00 [entrez] PHST- 2014/04/25 06:00 [pubmed] PHST- 2015/01/06 06:00 [medline] AID - 10.1111/tan.12362 [doi] PST - ppublish SO - Tissue Antigens. 2014 Jun;83(6):414-7. doi: 10.1111/tan.12362. Epub 2014 Apr 23.