PMID- 29907807 OWN - NLM STAT- MEDLINE DCOM- 20200224 LR - 20200224 IS - 1476-5365 (Electronic) IS - 0268-3369 (Linking) VI - 54 IP - 2 DP - 2019 Feb TI - Availability of HLA-allele-matched unrelated donors: estimation from haplotype frequency in the Japanese population. PG - 300-303 LID - 10.1038/s41409-018-0263-9 [doi] AB - A human leukocyte antigen (HLA)-matched unrelated donor is the primary alternative donor for allogeneic hematopoietic cell transplantation in Japan. In considering an optimal donor registry size, the availability of HLA-matched donors is important. In this study, the probability of finding an HLA-A, -B, -C, and -DRB1 allele-matched donor was estimated using two different methods based on the haplotype frequencies in the Japanese population: an actual measurement method (AMM) and a formula method (FM). According to AMM, the probabilities of finding an HLA-matched donor were 40.5% in 100,000 donors, 54.4% in 300,000, 60.0% in 500,000, and 63.4% in 700,000. On the other hand, according to FM, the probabilities were 47.8% in 100,000 donors, 59.9% in 300,000, 65.3% in 500,000, and 68.8% in 700,000. The probabilities increased by 8.6 or 7.7%, 3.2 or 3.1%, 2.1 or 1.9%, and 1.6 or 1.3% in AMM or FM, respectively, as the registry size increased by 100,000. The rate of increase in the probability of finding an HLA-matched donor will become smaller as the registry size increases due to the diversity of haplotypes. Therefore, it is important to set a target donor registry size for efficient donor recruitment by considering the haplotype frequencies in the population. FAU - Nishiwaki, Satoshi AU - Nishiwaki S AUID- ORCID: 0000-0002-6430-8958 AD - Center for Advanced Medicine and Clinical Research, Nagoya University Hospital, Nagoya, Japan. n-3104@tf7.so-net.ne.jp. FAU - Tanaka, Hidenori AU - Tanaka H AD - HLA Foundation Laboratory, Kyoto, Japan. FAU - Kojima, Hiroto AU - Kojima H AD - HLA Foundation Laboratory, Kyoto, Japan. FAU - Okamoto, Shinichiro AU - Okamoto S AD - Division of Hematology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan. LA - eng GR - JP17K16186/Japan Society for the Promotion of Science (JSPS)/International GR - 18ek0510014h0003/Japan Agency for Medical Research and Development (AMED)/International GR - 18ek0510014h0003/Japan Agency for Medical Research and Development (AMED)/International PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180615 PL - England TA - Bone Marrow Transplant JT - Bone marrow transplantation JID - 8702459 RN - 0 (HLA Antigens) SB - IM MH - Alleles MH - Genotype MH - HLA Antigens/*immunology MH - Haplotypes/genetics/immunology MH - Histocompatibility/*immunology MH - Humans MH - Japan/epidemiology MH - Models, Genetic MH - Probability MH - Registries MH - Sample Size MH - Unrelated Donors/*supply & distribution EDAT- 2018/06/17 06:00 MHDA- 2020/02/25 06:00 CRDT- 2018/06/17 06:00 PHST- 2018/02/15 00:00 [received] PHST- 2018/06/04 00:00 [accepted] PHST- 2018/05/30 00:00 [revised] PHST- 2018/06/17 06:00 [pubmed] PHST- 2020/02/25 06:00 [medline] PHST- 2018/06/17 06:00 [entrez] AID - 10.1038/s41409-018-0263-9 [pii] AID - 10.1038/s41409-018-0263-9 [doi] PST - ppublish SO - Bone Marrow Transplant. 2019 Feb;54(2):300-303. doi: 10.1038/s41409-018-0263-9. Epub 2018 Jun 15.