PMID- 28731588 OWN - NLM STAT- MEDLINE DCOM- 20180515 LR - 20221207 IS - 2059-2310 (Electronic) IS - 2059-2302 (Linking) VI - 90 IP - 4 DP - 2017 Oct TI - Human leukocyte antigen distribution and genomic ancestry in Brazilian patients with sickle cell disease. PG - 211-218 LID - 10.1111/tan.13102 [doi] AB - Hematopoietic stem-cell transplantation (HSCT) is currently the only established curative treatment for sickle cell disease (SCD), but is limited by donor availability. Ethnicity is thought to have an impact on the complications experienced by patients that undergo HSCT and on the likelihood of identifying an human leukocyte antigen (HLA) matched donor. In the present study, we investigated the genomic ancestry and the distribution of HLA allele groups in Brazilian patients with SCD, compared these HLA profiles to worldwide populations and evaluate the availability of HLA-matched donors. A broad intercontinental admixture of patients with SCD was observed, with African ancestry ranging from 6.7% to 93.4%. In a dendrogram based on HLA frequencies, Brazilian patients with SCD were included in a branch containing only populations with a significant African component. Among the 126 patients evaluated, 10 (8%) found a HLA-matched unrelated donor in a database of 18 134 donors. Self-reported white, brown and black matched donors were identified, and no significant difference in the percentage of compatible donors was observed between these ethnic groups. Our results show that Brazilian patients with SCD are very admixed, indicating that this group is a promising target for admixture mapping of genes involved in complications after HSCT. Additional studies may help to clarify the impact of the genetic diversity and admixture of these patients on the donor availability. CI - (c) 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. FAU - da Silva-Malta, M C F AU - da Silva-Malta MCF AUID- ORCID: 0000-0002-5284-6425 AD - Fundacao Centro de Hematologia e Hemoterapia de Minas Gerais - Hemominas, Belo Horizonte, Brazil. FAU - Rodrigues, P S AU - Rodrigues PS AD - Fundacao Centro de Hematologia e Hemoterapia de Minas Gerais - Hemominas, Belo Horizonte, Brazil. FAU - Zuccherato, L W AU - Zuccherato LW AD - Departamento de Biologia Geral, Instituto de Ciencias Biologicas, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil. FAU - de Souza, F C B AU - de Souza FCB AD - Fundacao Centro de Hematologia e Hemoterapia de Minas Gerais - Hemominas, Belo Horizonte, Brazil. FAU - Domingues, E M F L AU - Domingues EMFL AD - Fundacao Centro de Hematologia e Hemoterapia de Minas Gerais - Hemominas, Belo Horizonte, Brazil. FAU - Souza, V R AU - Souza VR AD - Fundacao Centro de Hematologia e Hemoterapia de Minas Gerais - Hemominas, Belo Horizonte, Brazil. FAU - Tarazona-Santos, E AU - Tarazona-Santos E AD - Departamento de Biologia Geral, Instituto de Ciencias Biologicas, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil. FAU - Martins, M L AU - Martins ML AD - Fundacao Centro de Hematologia e Hemoterapia de Minas Gerais - Hemominas, Belo Horizonte, Brazil. LA - eng PT - Journal Article DEP - 20170811 PL - England TA - HLA JT - HLA JID - 101675570 RN - 0 (HLA Antigens) SB - IM MH - Adult MH - Alleles MH - Anemia, Sickle Cell/*ethnology/*genetics/immunology/therapy MH - Asian People/genetics MH - Black People/genetics MH - Brazil MH - Donor Selection MH - Female MH - Gene Expression MH - *Gene Frequency MH - Genetic Variation MH - HLA Antigens/classification/*genetics/immunology MH - *Hematopoietic Stem Cell Transplantation MH - Histocompatibility Testing MH - Humans MH - Male MH - Phylogeny MH - Phylogeography MH - Transplantation, Homologous MH - *Unrelated Donors MH - White People/genetics OTO - NOTNLM OT - HLA OT - ancestry OT - hematopoietic stem-cell transplantation OT - sickle cell disease EDAT- 2017/07/22 06:00 MHDA- 2018/05/16 06:00 CRDT- 2017/07/22 06:00 PHST- 2017/01/12 00:00 [received] PHST- 2017/06/13 00:00 [revised] PHST- 2017/07/18 00:00 [accepted] PHST- 2017/07/22 06:00 [pubmed] PHST- 2018/05/16 06:00 [medline] PHST- 2017/07/22 06:00 [entrez] AID - 10.1111/tan.13102 [doi] PST - ppublish SO - HLA. 2017 Oct;90(4):211-218. doi: 10.1111/tan.13102. Epub 2017 Aug 11.