PMID- 26373475 OWN - NLM STAT- MEDLINE DCOM- 20160801 LR - 20151015 IS - 1399-0039 (Electronic) IS - 0001-2815 (Linking) VI - 86 IP - 5 DP - 2015 Nov TI - Antibody-reactive class I epitopes defined by pairs of mismatched eplets and self-eplets. PG - 368-72 LID - 10.1111/tan.12652 [doi] AB - The identification of human leukocyte antigen (HLA) antibodies in the sera of candidates awaiting organ transplantation has evolved over time. This has been possible because of the introduction of more sensitive techniques and to the increasing focus on the structural aspects of the HLA epitopes. The use of the HLAMatchmaker algorithm in the analysis of positive sera and the verification of HLA ABC epitopes in the HLA Epitope Registry website provide new stimuli on the interpretation of antibody reactivity. The epitopes defined by eplet pairs often involve a nonself-eplet and a self-eplet (nonself-self paradigm), suggesting that the antibody response to an HLA mismatch must have an auto-reactive component. Here, we report an application of the nonself-self paradigm that provides a basis for better knowledge and interpretation of HLA-antibody reactivity in Luminex assays with single alleles. CI - (c) 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. FAU - Resse, M AU - Resse M AD - U.O.C. Immunohematology, Transfusion Medicine and Transplant Immunology (SIMT), Regional Reference Laboratory of Transplant Immunology (LIT), Azienda Ospedaliera Universitaria (AOU), Second University of Naples, Naples, Italy. FAU - Paolillo, R AU - Paolillo R AD - U.O.C. Immunohematology, Transfusion Medicine and Transplant Immunology (SIMT), Regional Reference Laboratory of Transplant Immunology (LIT), Azienda Ospedaliera Universitaria (AOU), Second University of Naples, Naples, Italy. FAU - Minucci, B P AU - Minucci BP AD - U.O.C. Immunohematology, Transfusion Medicine and Transplant Immunology (SIMT), Regional Reference Laboratory of Transplant Immunology (LIT), Azienda Ospedaliera Universitaria (AOU), Second University of Naples, Naples, Italy. FAU - Moccia, G AU - Moccia G AD - U.O.C. Immunohematology, Transfusion Medicine and Transplant Immunology (SIMT), Regional Reference Laboratory of Transplant Immunology (LIT), Azienda Ospedaliera Universitaria (AOU), Second University of Naples, Naples, Italy. FAU - Napoli, C AU - Napoli C AD - U.O.C. Immunohematology, Transfusion Medicine and Transplant Immunology (SIMT), Regional Reference Laboratory of Transplant Immunology (LIT), Azienda Ospedaliera Universitaria (AOU), Second University of Naples, Naples, Italy. AD - Department of Medical, Surgical, Neurological, Metabolic and Geriatric Sciences, Second University of Naples, Naples, Italy. LA - eng PT - Journal Article DEP - 20150916 PL - England TA - Tissue Antigens JT - Tissue antigens JID - 0331072 RN - 0 (Antibodies) RN - 0 (Epitopes) RN - 0 (HLA Antigens) SB - IM MH - *Algorithms MH - Antibodies/*chemistry/genetics MH - Epitopes/*chemistry/genetics MH - HLA Antigens/*chemistry/genetics MH - Humans OTO - NOTNLM OT - HLAMatchmaker OT - eplet pairs OT - human leukocyte antigen antibodies OT - nonself-self paradigm EDAT- 2015/09/17 06:00 MHDA- 2016/08/02 06:00 CRDT- 2015/09/17 06:00 PHST- 2015/01/16 00:00 [received] PHST- 2015/08/05 00:00 [revised] PHST- 2015/08/17 00:00 [accepted] PHST- 2015/09/17 06:00 [entrez] PHST- 2015/09/17 06:00 [pubmed] PHST- 2016/08/02 06:00 [medline] AID - 10.1111/tan.12652 [doi] PST - ppublish SO - Tissue Antigens. 2015 Nov;86(5):368-72. doi: 10.1111/tan.12652. Epub 2015 Sep 16.