PMID- 28813642 OWN - NLM STAT- MEDLINE DCOM- 20180612 LR - 20180612 IS - 1879-1166 (Electronic) IS - 0198-8859 (Linking) VI - 78 IP - 10 DP - 2017 Oct TI - Buccal swab genomic DNA fragmentation predicts likelihood of successful HLA genotyping by next-generation sequencing. PG - 634-641 LID - S0198-8859(17)30464-0 [pii] LID - 10.1016/j.humimm.2017.08.003 [doi] AB - Many clinical human leukocyte antigen (HLA) laboratories are adopting next-generation sequencing (NGS) technology for HLA genotyping. There have been several reports of the cost-benefit and reduction in turn-around-time provided by NGS. Ninety-six percent of buccal swabs and peripheral blood samples had reportable HLA genotyping by NGS. The HLA loci most likely to fail genotyping from buccal swabs were DQB1, DPB1, and DPA1. Successful buccal swab samples had significantly less genomic DNA fragmentation compared to buccal swab samples that were unsuccessful. Increasing sequencing depth of coverage for heavily fragmented samples rescued HLA genotyping. This information provides laboratories with a quality assurance parameter that reduces the amount of repeat NGS needed to achieve high-resolution HLA genotyping. This information should further reduce laboratory and patient costs for HLA genotyping. CI - Copyright (c) 2017 American Society for Histocompatibility and Immunogenetics. Published by Elsevier Inc. All rights reserved. FAU - Montgomery, Maureen C AU - Montgomery MC AD - UNC Hospitals, HLA Laboratory, Chapel Hill, NC 27514, United States. FAU - Petraroia, Rosanne AU - Petraroia R AD - UNC Hospitals, HLA Laboratory, Chapel Hill, NC 27514, United States. FAU - Weimer, Eric T AU - Weimer ET AD - UNC Hospitals, HLA Laboratory, Chapel Hill, NC 27514, United States; UNC-Chapel Hill School of Medicine, Department of Pathology & Laboratory Medicine, Chapel Hill, NC 27514, United States. Electronic address: eric_weimer@med.unc.edu. LA - eng PT - Journal Article DEP - 20170813 PL - United States TA - Hum Immunol JT - Human immunology JID - 8010936 RN - 0 (HLA Antigens) SB - IM MH - Cost-Benefit Analysis MH - Costs and Cost Analysis MH - *DNA Fragmentation MH - Diagnostic Errors MH - *Genotype MH - HLA Antigens/*genetics MH - High-Throughput Nucleotide Sequencing MH - Histocompatibility Testing/economics/*methods MH - Humans MH - Likelihood Functions MH - Mouth Mucosa/*physiology MH - Predictive Value of Tests MH - Prognosis MH - Quality Assurance, Health Care MH - Tissue Donors OTO - NOTNLM OT - Buccal swab OT - HLA OT - NGS OT - gDNA fragmentation EDAT- 2017/08/17 06:00 MHDA- 2018/06/13 06:00 CRDT- 2017/08/17 06:00 PHST- 2017/05/01 00:00 [received] PHST- 2017/08/07 00:00 [revised] PHST- 2017/08/08 00:00 [accepted] PHST- 2017/08/17 06:00 [pubmed] PHST- 2018/06/13 06:00 [medline] PHST- 2017/08/17 06:00 [entrez] AID - S0198-8859(17)30464-0 [pii] AID - 10.1016/j.humimm.2017.08.003 [doi] PST - ppublish SO - Hum Immunol. 2017 Oct;78(10):634-641. doi: 10.1016/j.humimm.2017.08.003. Epub 2017 Aug 13.