PMID- 26880737 OWN - NLM STAT- MEDLINE DCOM- 20161213 LR - 20211203 IS - 2059-2310 (Electronic) IS - 2059-2302 (Linking) VI - 87 IP - 3 DP - 2016 Mar TI - Determining performance characteristics of an NGS-based HLA typing method for clinical applications. PG - 141-52 LID - 10.1111/tan.12736 [doi] AB - This study presents performance specifications of an in-house developed human leukocyte antigen (HLA) typing assay using next-generation sequencing (NGS) on the Illumina MiSeq platform. A total of 253 samples, previously characterized for HLA-A, -B, -C, -DRB1 and -DQB1 were included in this study, which were typed at high-resolution using a combination of Sanger sequencing, sequence-specific primer (SSP) and sequence-specific oligonucleotide probe (SSOP) technologies and recorded at the two-field level. Samples were selected with alleles that cover a high percentage of HLA specificities in each of five different race/ethnic groups: European, African-American, Asian Pacific Islander, Hispanic and Native American. Sequencing data were analyzed by two software programs, Omixon's target and GenDx's NGSengine. A number of metrics including allele balance, sensitivity, specificity, precision, accuracy and remaining ambiguity were assessed. Data analyzed by the two software systems are shown independently. The majority of alleles were identical in the exonic sequences (third field) with both programs for HLA-A, -B, -C and -DQB1 in 97.7% of allele determinations. Among the remaining discrepant genotype calls at least one of the analysis programs agreed with the reference typing. Upon additional manual analysis 100% of the 2530 alleles were concordant with the reference HLA genotypes; the remaining ambiguities did not exceed 0.8%. The results demonstrate the feasibility and significant benefit of HLA typing by NGS as this technology is highly accurate, eliminates virtually all ambiguities, provides complete sequencing information for the length of the HLA gene and forms the basis for utilizing a single methodology for HLA typing in the immunogenetics labs. CI - (c) 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. FAU - Duke, J L AU - Duke JL AD - Immunogenetics Laboratory, Department of Pathology and Laboratory Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA, USA. FAU - Lind, C AU - Lind C AD - Immunogenetics Laboratory, Department of Pathology and Laboratory Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA, USA. FAU - Mackiewicz, K AU - Mackiewicz K AD - Immunogenetics Laboratory, Department of Pathology and Laboratory Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA, USA. FAU - Ferriola, D AU - Ferriola D AD - Immunogenetics Laboratory, Department of Pathology and Laboratory Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA, USA. FAU - Papazoglou, A AU - Papazoglou A AD - Immunogenetics Laboratory, Department of Pathology and Laboratory Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA, USA. FAU - Gasiewski, A AU - Gasiewski A AD - Immunogenetics Laboratory, Department of Pathology and Laboratory Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA, USA. FAU - Heron, S AU - Heron S AD - Immunogenetics Laboratory, Department of Pathology and Laboratory Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA, USA. FAU - Huynh, A AU - Huynh A AD - Immunogenetics Laboratory, Department of Pathology and Laboratory Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA, USA. FAU - McLaughlin, L AU - McLaughlin L AD - Immunogenetics Laboratory, Department of Pathology and Laboratory Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA, USA. FAU - Rogers, M AU - Rogers M AD - Immunogenetics Laboratory, Department of Pathology and Laboratory Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA, USA. FAU - Slavich, L AU - Slavich L AD - Immunogenetics Laboratory, Department of Pathology and Laboratory Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA, USA. FAU - Walker, R AU - Walker R AD - Immunogenetics Laboratory, Department of Pathology and Laboratory Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA, USA. FAU - Monos, D S AU - Monos DS AD - Immunogenetics Laboratory, Department of Pathology and Laboratory Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA, USA. AD - Department of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20160216 PL - England TA - HLA JT - HLA JID - 101675570 RN - 0 (DNA Primers) RN - 0 (DNA Probes) RN - 0 (HLA Antigens) SB - IM MH - *Alleles MH - DNA Primers/chemical synthesis MH - DNA Probes/chemical synthesis MH - *Genotype MH - HLA Antigens/*classification/*genetics/immunology MH - High-Throughput Nucleotide Sequencing MH - Histocompatibility Testing/instrumentation/*methods/standards MH - Humans MH - Polymerase Chain Reaction MH - Racial Groups MH - Sensitivity and Specificity MH - Sequence Analysis, DNA MH - Software OTO - NOTNLM OT - MiSeq OT - human leukocyte antigen genotyping OT - next-generation sequencing EDAT- 2016/02/18 06:00 MHDA- 2016/12/15 06:00 CRDT- 2016/02/17 06:00 PHST- 2015/07/27 00:00 [received] PHST- 2015/12/03 00:00 [revised] PHST- 2016/01/04 00:00 [accepted] PHST- 2016/02/17 06:00 [entrez] PHST- 2016/02/18 06:00 [pubmed] PHST- 2016/12/15 06:00 [medline] AID - 10.1111/tan.12736 [doi] PST - ppublish SO - HLA. 2016 Mar;87(3):141-52. doi: 10.1111/tan.12736. Epub 2016 Feb 16.