PMID- 29568344 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20191120 IS - 1949-2553 (Electronic) IS - 1949-2553 (Linking) VI - 9 IP - 17 DP - 2018 Mar 2 TI - Correlation and agreement between eplet mismatches calculated using serological, low-intermediate and high resolution molecular human leukocyte antigen typing methods. PG - 13116-13124 LID - 10.18632/oncotarget.24349 [doi] AB - Structural human leukocyte antigen (HLA) matching at the eplet level can be identified by HLAMatchmaker, which requires the entry of four-digit alleles. The aim of this study was to evaluate the agreement between eplet mismatches calculated by serological and two-digit typing methods compared to high-resolution four-digit typing. In a cohort of 264 donor/recipient pairs, the evaluation of measurement error was assessed using intra-class correlation to confirm the absolute agreement between the number of eplet mismatches at class I (HLA-A, -B, C) and II loci (HLA-DQ and -DR) calculated using serological or two-digit molecular typing compared to four-digit molecular typing methods. The proportion of donor/recipient pairs with a difference of >5 eplet mismatches between the HLA typing methods was also determined. Intra-class correlation coefficients between serological and four-digit molecular typing methods were 0.969 (95% confidence intervals [95% CI] 0.960-0.975) and 0.926 (95% CI 0.899-0.944), respectively; and 0.995 (95% CI 0.994-0.996) and 0.993 (95% CI 0.991-0.995), respectively between two-digit and four-digit molecular typing methods. The proportion of donor/recipient pairs with a difference of >5 eplet mismatches at class I and II loci was 4% and 16% for serological versus four-digit molecular typing methods, and 0% and 2% for two-digit versus four-digit molecular typing methods, respectively. In this small predominantly Caucasian population, compared with serology, there is a high level of agreement in the number of eplet mismatches calculated using two-compared to four-digit molecular HLA-typing methods, suggesting that two-digit typing may be sufficient in determining eplet mismatch load in kidney transplantation. FAU - Fidler, Samantha AU - Fidler S AD - Department of Clinical Immunology, Fiona Stanley Hospital, Perth, Australia. AD - School of Pathology and Laboratory Medicine, University of Western Australia, Perth, Australia. FAU - D'Orsogna, Lloyd AU - D'Orsogna L AD - Department of Clinical Immunology, Fiona Stanley Hospital, Perth, Australia. AD - School of Pathology and Laboratory Medicine, University of Western Australia, Perth, Australia. FAU - Irish, Ashley B AU - Irish AB AD - Department of Nephrology and Transplantation, Fiona Stanley Hospital, Perth, Australia. AD - School of Medicine and Pharmacology, University of Western Australia, Perth, Australia. FAU - Lewis, Joshua R AU - Lewis JR AD - School of Medicine and Pharmacology, University of Western Australia, Perth, Australia. AD - Centre for Kidney Research, The Children's Hospital at Westmead, Sydney, Australia. AD - Sydney School of Public Health, University of Sydney, Sydney, Australia. FAU - Wong, Germaine AU - Wong G AD - Centre for Kidney Research, The Children's Hospital at Westmead, Sydney, Australia. AD - Sydney School of Public Health, University of Sydney, Sydney, Australia. AD - Centre for Transplant and Renal Research, Westmead Hospital, Sydney, Australia. FAU - Lim, Wai H AU - Lim WH AD - School of Medicine and Pharmacology, University of Western Australia, Perth, Australia. AD - Department of Renal Medicine, Sir Charles Gairdner Hospital, Perth, Australia. LA - eng PT - Journal Article DEP - 20180201 PL - United States TA - Oncotarget JT - Oncotarget JID - 101532965 PMC - PMC5862565 OTO - NOTNLM OT - HLA typing OT - Immunology section OT - agreement OT - molecular OT - serological COIS- CONFLICTS OF INTEREST The authors declare no conflicts of interest. EDAT- 2018/03/24 06:00 MHDA- 2018/03/24 06:01 PMCR- 2018/03/02 CRDT- 2018/03/24 06:00 PHST- 2017/10/16 00:00 [received] PHST- 2018/01/24 00:00 [accepted] PHST- 2018/03/24 06:00 [entrez] PHST- 2018/03/24 06:00 [pubmed] PHST- 2018/03/24 06:01 [medline] PHST- 2018/03/02 00:00 [pmc-release] AID - 24349 [pii] AID - 10.18632/oncotarget.24349 [doi] PST - epublish SO - Oncotarget. 2018 Feb 1;9(17):13116-13124. doi: 10.18632/oncotarget.24349. eCollection 2018 Mar 2.