PMID- 30248919 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240512 IS - 2306-5354 (Print) IS - 2306-5354 (Electronic) IS - 2306-5354 (Linking) VI - 5 IP - 4 DP - 2018 Sep 21 TI - Non-Inherited Maternal Antigens Identify Acceptable HLA Mismatches: A New Policy for the Hellenic Cord Blood Bank. LID - 10.3390/bioengineering5040077 [doi] LID - 77 AB - BACKGROUND: During pregnancy, the maternal-fetal contact may lead to the development of tolerance against the maternal human leukocyte antigen (HLA) that is not inherited by the fetus. These non-inherited maternal antigens (NIMAs) define acceptable HLA mismatches; therefore, the number of HLA phenotypes that are suitable matches for patients who need a hematopoietic stem cell transplant could be increased. Cord blood unit (CBU) transplantations to patients mismatched for a HLA loci, but similar to the NuIotaMuAs of the CBU, have a prognosis similar to 6/6-matched ones. METHODS: The Hellenic Cord Blood Bank (HCBB) identified the maternal HLA of 380 cord blood donors, specifying the NIMA haplotypes of the related cryostored CBUs. RESULTS: The HCBB extended the pool of HLA phenotypes through the generation of unique virtual phenotypes (VPs). A "VP database" was set up, using Microsoft Office-Access, in order to provide NIMA-matched CBUs for potential recipients. The effectiveness of VPs' matching was tested in 80 Greek patients. CONCLUSION: This methodology may contribute to the increase of the number of available CBUs for patients, in the case where there is no available CBU, or in case an additional one is needed. Through this method, the CBUs could be used faster and more effectively, rather than being cryostored for long periods of time. FAU - Panagouli, Effrosyni AU - Panagouli E AD - Hellenic Cord Blood Bank, Biomedical Research Foundation Academy of Athens, 4 Soranou Ephessiou Street, 11527 Athens, Greece. epanagouli@bioacademy.gr. FAU - Dinou, Amalia AU - Dinou A AD - Hellenic Cord Blood Bank, Biomedical Research Foundation Academy of Athens, 4 Soranou Ephessiou Street, 11527 Athens, Greece. adinou@bioacademy.gr. FAU - Mallis, Panagiotis AU - Mallis P AUID- ORCID: 0000-0001-9429-190X AD - Hellenic Cord Blood Bank, Biomedical Research Foundation Academy of Athens, 4 Soranou Ephessiou Street, 11527 Athens, Greece. pmallis@bioacademy.gr. FAU - Michalopoulos, Efstathios AU - Michalopoulos E AUID- ORCID: 0000-0002-1901-6294 AD - Hellenic Cord Blood Bank, Biomedical Research Foundation Academy of Athens, 4 Soranou Ephessiou Street, 11527 Athens, Greece. smichal@bioacademy.gr. FAU - Papassavas, Andreas AU - Papassavas A AD - Hellenic Cord Blood Bank, Biomedical Research Foundation Academy of Athens, 4 Soranou Ephessiou Street, 11527 Athens, Greece. andreas.papasavvas@yahoo.com. FAU - Spyropoulou-Vlachou, Maria AU - Spyropoulou-Vlachou M AD - Immunology Division, General Hospital of Athens "Alexandra", Lourou Street, 11528 Athens, Greece. marilynspy@yahoo.gr. FAU - Meletis, John AU - Meletis J AD - Department of Hematology and Bone Marrow Transplantation, School of Medicine, National and Kapodistrian University of Athens, 17, Agiou Thoma Street, 11527 Athens, Greece. imeletis@med.uoa.gr. FAU - Angelopoulou, Maria AU - Angelopoulou M AD - Department of Hematology and Bone Marrow Transplantation, School of Medicine, National and Kapodistrian University of Athens, 17, Agiou Thoma Street, 11527 Athens, Greece. mkangelop@gmail.com. FAU - Konstantopoulos, Kostas AU - Konstantopoulos K AD - Department of Hematology and Bone Marrow Transplantation, School of Medicine, National and Kapodistrian University of Athens, 17, Agiou Thoma Street, 11527 Athens, Greece. kkonstan@med.uoa.gr. FAU - Vassilakopoulos, Theodoros AU - Vassilakopoulos T AD - Department of Hematology and Bone Marrow Transplantation, School of Medicine, National and Kapodistrian University of Athens, 17, Agiou Thoma Street, 11527 Athens, Greece. theopvass@hotmail.com. FAU - Stavropoulos-Giokas, Catherine AU - Stavropoulos-Giokas C AD - Hellenic Cord Blood Bank, Biomedical Research Foundation Academy of Athens, 4 Soranou Ephessiou Street, 11527 Athens, Greece. cstavrop@bioacademy.gr. LA - eng PT - Journal Article DEP - 20180921 PL - Switzerland TA - Bioengineering (Basel) JT - Bioengineering (Basel, Switzerland) JID - 101676056 PMC - PMC6316301 OTO - NOTNLM OT - CBU transplantation OT - Hellenic Cord Blood Bank OT - NIMA OT - cord blood COIS- The authors declare no conflict of interest. EDAT- 2018/09/27 06:00 MHDA- 2018/09/27 06:01 PMCR- 2018/09/21 CRDT- 2018/09/26 06:00 PHST- 2018/08/10 00:00 [received] PHST- 2018/09/13 00:00 [revised] PHST- 2018/09/19 00:00 [accepted] PHST- 2018/09/26 06:00 [entrez] PHST- 2018/09/27 06:00 [pubmed] PHST- 2018/09/27 06:01 [medline] PHST- 2018/09/21 00:00 [pmc-release] AID - bioengineering5040077 [pii] AID - bioengineering-05-00077 [pii] AID - 10.3390/bioengineering5040077 [doi] PST - epublish SO - Bioengineering (Basel). 2018 Sep 21;5(4):77. doi: 10.3390/bioengineering5040077.