PMID- 26834123 OWN - NLM STAT- MEDLINE DCOM- 20170405 LR - 20181113 IS - 1943-7722 (Electronic) IS - 0002-9173 (Print) IS - 0002-9173 (Linking) VI - 145 IP - 2 DP - 2016 Feb TI - Maternal T-Cell Engraftment Interferes With Human Leukocyte Antigen Typing in Severe Combined Immunodeficiency. PG - 251-7 LID - 10.1093/ajcp/aqv079 [doi] AB - OBJECTIVES: To report the laboratory investigation of a case of severe combined immunodeficiency (SCID) with maternal T-cell engraftment, focusing on the interference of human leukocyte antigen (HLA) typing by blood chimerism. METHODS: HLA typing was performed with three different methods, including sequence-specific primer (SSP), sequence-specific oligonucleotide, and Sanger sequencing on peripheral blood leukocytes and buccal cells, from a 3-month-old boy and peripheral blood leukocytes from his parents. Short tandem repeat (STR) testing was performed in parallel. RESULTS: HLA typing of the patient's peripheral blood leukocytes using the SSP method demonstrated three different alleles for each of the HLA-B and HLA-C loci, with both maternal alleles present at each locus. Typing results from the patient's buccal cells showed a normal pattern of inheritance for paternal and maternal haplotypes. STR enrichment testing of the patient's CD3+ T lymphocytes and CD15+ myeloid cells confirmed maternal T-cell engraftment, while the myeloid cell profile matched the patient's buccal cells. CONCLUSIONS: Maternal T-cell engraftment may interfere with HLA typing in patients with SCID. Selection of the appropriate typing methods and specimens is critical for accurate HLA typing and immunologic assessment before allogeneic hematopoietic stem cell transplantation. CI - (c) American Society for Clinical Pathology, 2016. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. FAU - Liu, Chang AU - Liu C AD - From the Division of Laboratory and Genomic Medicine, Department of Pathology and Immunology HLA Laboratory. FAU - Duffy, Brian AU - Duffy B AD - HLA Laboratory. FAU - Bednarski, Jeffrey J AU - Bednarski JJ AD - Department of Pediatrics, and. FAU - Calhoun, Cecelia AU - Calhoun C AD - Department of Pediatrics, and. FAU - Lay, Lindsay AU - Lay L AD - Molecular Diagnostic Laboratory, Barnes-Jewish Hospital, St Louis, MO. FAU - Rundblad, Barrett AU - Rundblad B AD - Molecular Diagnostic Laboratory, Barnes-Jewish Hospital, St Louis, MO. FAU - Payton, Jacqueline E AU - Payton JE AD - From the Division of Laboratory and Genomic Medicine, Department of Pathology and Immunology Molecular Diagnostic Laboratory, Barnes-Jewish Hospital, St Louis, MO. FAU - Mohanakumar, Thalachallour AU - Mohanakumar T AD - From the Division of Laboratory and Genomic Medicine, Department of Pathology and Immunology HLA Laboratory Department of Surgery, Washington University School of Medicine, St Louis, MO; and\ LA - eng GR - K08 AI102946/AI/NIAID NIH HHS/United States GR - T32 HD007499/HD/NICHD NIH HHS/United States PT - Case Reports PT - Journal Article DEP - 20160201 PL - England TA - Am J Clin Pathol JT - American journal of clinical pathology JID - 0370470 RN - 0 (HLA Antigens) RN - 0 (HLA-B Antigens) RN - 0 (HLA-C Antigens) SB - IM MH - Alleles MH - Chimerism MH - HLA Antigens/immunology MH - HLA-B Antigens/*genetics/immunology MH - HLA-C Antigens/*genetics/immunology MH - Haplotypes MH - Hematopoietic Stem Cell Transplantation MH - Histocompatibility Testing MH - Humans MH - Immunophenotyping MH - Infant MH - Leukocytes/immunology MH - Male MH - Microsatellite Repeats/genetics MH - Mouth Mucosa/pathology MH - Sequence Analysis, DNA MH - Severe Combined Immunodeficiency/*diagnosis/immunology/therapy MH - T-Lymphocytes/immunology/pathology PMC - PMC4901308 MID - NIHMS790930 OTO - NOTNLM OT - HLA typing OT - Maternal T-cell engraftment OT - Sanger sequencing OT - Sequence-specific oligonucleotide OT - Sequence-specific primer OT - Severe combined immunodeficiency OT - Short tandem repeat EDAT- 2016/02/03 06:00 MHDA- 2017/04/06 06:00 PMCR- 2017/02/01 CRDT- 2016/02/03 06:00 PHST- 2016/02/03 06:00 [entrez] PHST- 2016/02/03 06:00 [pubmed] PHST- 2017/04/06 06:00 [medline] PHST- 2017/02/01 00:00 [pmc-release] AID - aqv079 [pii] AID - 10.1093/ajcp/aqv079 [doi] PST - ppublish SO - Am J Clin Pathol. 2016 Feb;145(2):251-7. doi: 10.1093/ajcp/aqv079. Epub 2016 Feb 1.