PMID- 30515565 OWN - NLM STAT- MEDLINE DCOM- 20190219 LR - 20200225 IS - 1432-2307 (Electronic) IS - 0945-6317 (Linking) VI - 474 IP - 2 DP - 2019 Feb TI - HLA testing in the molecular diagnostic laboratory. PG - 139-147 LID - 10.1007/s00428-018-2501-3 [doi] AB - The human leukocyte antigen (HLA) system is a highly polymorphic family of genes involved in immunity and responsible for identifying self versus non-self. HLA typing is essential for solid organ and bone marrow transplantation as well as in non-transplant settings such as disease association and pharmacogenomics. Typing of HLA genes differs from most molecular testing as, rather than evaluating differences from an accepted "wild-type" gene, it must distinguish between thousands of similar, but distinct alleles. This article will describe the HLA system and nomenclature. We will then discuss clinical uses of HLA typing including solid organ transplantation, hematopoietic stem cell transplantation, evaluation of platelet refractory patients, disease association, and pharmacogenetics. Finally, we describe common molecular methods of HLA typing. FAU - Madden, Kathleen AU - Madden K AD - Department of Pathology, University of New Mexico, MSC08 4640, Reginald Heber Fitz Hall, Room 335, 1 University of New Mexico, 87131, Albuquerque, NM, Mexico. FAU - Chabot-Richards, Devon AU - Chabot-Richards D AUID- ORCID: 0000-0002-6437-8438 AD - Department of Pathology, University of New Mexico, MSC08 4640, Reginald Heber Fitz Hall, Room 335, 1 University of New Mexico, 87131, Albuquerque, NM, Mexico. Dchabot-richards@salud.unm.edu. LA - eng PT - Journal Article PT - Review DEP - 20181204 PL - Germany TA - Virchows Arch JT - Virchows Archiv : an international journal of pathology JID - 9423843 RN - 0 (HLA Antigens) RN - 0 (Histocompatibility Antigens Class II) SB - IM MH - Alleles MH - Genotype MH - HLA Antigens/*classification/*genetics MH - Histocompatibility Antigens Class II/genetics MH - Histocompatibility Testing/*methods MH - Humans MH - Laboratories MH - Pathology, Molecular/methods MH - Sequence Analysis, DNA/methods OTO - NOTNLM OT - HLA OT - Immunogenetics OT - Molecular OT - SSO OT - SSP OT - Transplantation EDAT- 2018/12/06 06:00 MHDA- 2019/03/21 06:00 CRDT- 2018/12/06 06:00 PHST- 2018/07/20 00:00 [received] PHST- 2018/11/27 00:00 [accepted] PHST- 2018/12/06 06:00 [pubmed] PHST- 2019/03/21 06:00 [medline] PHST- 2018/12/06 06:00 [entrez] AID - 10.1007/s00428-018-2501-3 [pii] AID - 10.1007/s00428-018-2501-3 [doi] PST - ppublish SO - Virchows Arch. 2019 Feb;474(2):139-147. doi: 10.1007/s00428-018-2501-3. Epub 2018 Dec 4.