PMID- 24851935 OWN - NLM STAT- MEDLINE DCOM- 20150515 LR - 20221207 IS - 1399-0039 (Electronic) IS - 0001-2815 (Linking) VI - 84 IP - 3 DP - 2014 Sep TI - Estimation of the 6-digit level allele and haplotype frequencies of HLA-A, -B, and -C in Koreans using ambiguity-solving DNA typing. PG - 277-84 LID - 10.1111/tan.12368 [doi] AB - Because Korean society is fast becoming multi-ethnic, the determination of ambiguous human leukocyte antigen (HLA) types using HLA allele frequencies is becoming less applicable. In this study, we focused on the development of new technical methods to directly resolve the ambiguities arising from HLA genotyping. One hundred and fifty unrelated healthy Korean adults were included in this study. All alleles from each HLA locus were first divided into 2-4 groups, with each group amplified in a single PCR tube (multi-group-specific amplification, MGSA). To resolve phase ambiguities, some allele groups were also amplified separately in small group-specific amplification (SGSA) tubes. In order to then resolve incomplete sequence ambiguities, primers for MGSA and SGSA were initially designed to cover additional exons. If needed, a heterozygous ambiguity resolving primer (HARP) or sequence specific primer (SSP) was also used. When MGSA and SGSA methods were applied, the rate of phase ambiguity was greatly reduced to an average of 6% (1.3% in HLA-A, 15.7% in -B, and 2.0% in -C). Additional HARP and SSP methods could resolve all the phase ambiguities. Using our proposed method, we also detected three alleles that have not been previously reported in Korea, C*04:82, C*07:18, and C*08:22, and report 6-digit level HLA allele and haplotype frequencies among Koreans. In conclusion, the use of MGSA/SGSA for the initial amplification step is a cost-effective method facilitating timely and accurate reporting, given the continuing increase in the ethnic diversity of the Korean population. The MGSA described here can be applicable to various populations and thus could be shared by the majority of HLA typing laboratories. However, efforts to solve HLA ambiguity should continue, because SGSA, HARPs and SSPs would be specific to a particular population. CI - (c) 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. FAU - Jun, J-H AU - Jun JH AD - Life Science Institute of Biowithus, Seoul, South Korea. FAU - Hwang, K AU - Hwang K FAU - Kim, S-K AU - Kim SK FAU - Oh, H-B AU - Oh HB FAU - Cho, M-C AU - Cho MC FAU - Lee, K-J AU - Lee KJ LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140522 PL - England TA - Tissue Antigens JT - Tissue antigens JID - 0331072 RN - 0 (DNA Primers) RN - 0 (HLA Antigens) SB - IM MH - Adult MH - Asian People/*genetics MH - Cohort Studies MH - DNA Fingerprinting/*methods MH - DNA Primers/genetics MH - Gene Frequency MH - Genotype MH - HLA Antigens/*genetics MH - Haplotypes MH - Histocompatibility Testing/*methods MH - Humans MH - Polymerase Chain Reaction MH - Polymorphism, Genetic MH - Republic of Korea OTO - NOTNLM OT - Korean OT - allele OT - ambiguity OT - haplotype OT - human leukocyte antigen OT - six-digit EDAT- 2014/05/24 06:00 MHDA- 2015/05/16 06:00 CRDT- 2014/05/24 06:00 PHST- 2013/11/12 00:00 [received] PHST- 2014/03/31 00:00 [revised] PHST- 2014/04/15 00:00 [accepted] PHST- 2014/05/24 06:00 [entrez] PHST- 2014/05/24 06:00 [pubmed] PHST- 2015/05/16 06:00 [medline] AID - 10.1111/tan.12368 [doi] PST - ppublish SO - Tissue Antigens. 2014 Sep;84(3):277-84. doi: 10.1111/tan.12368. Epub 2014 May 22.