PMID- 31669229 OWN - NLM STAT- MEDLINE DCOM- 20210510 LR - 20221207 IS - 1943-7811 (Electronic) IS - 1525-1578 (Linking) VI - 22 IP - 1 DP - 2020 Jan TI - Using Nanopore Whole-Transcriptome Sequencing for Human Leukocyte Antigen Genotyping and Correlating Donor Human Leukocyte Antigen Expression with Flow Cytometric Crossmatch Results. PG - 101-110 LID - S1525-1578(19)30404-0 [pii] LID - 10.1016/j.jmoldx.2019.09.005 [doi] AB - Transplant centers are increasingly using virtual crossmatching to evaluate recipient and donor compatibility. However, the current state of virtual crossmatching fails to incorporate donor human leukocyte antigen (HLA) expression in the assessment, despite numerous studies that have demonstrated the impact of donor HLA expression on physical crossmatch outcomes. Whole-transcriptome sequencing (RNA-Seq) for HLA enables simultaneous determination of HLA genotyping and relative HLA expression. Ultimately the RNA-Seq needs to be faster to be incorporated into the virtual crossmatching process. However, to demonstrate feasibility, the utility of the MinION sequencer (Oxford Nanopore Technologies, Oxford, UK) was evaluated in combination with RNA-Seq to generate HLA genotypes and to determine HLA class I expression. Although HLA class I expression varied among individuals, the pattern of HLA expression remained relatively consistent (HLA-B > HLA-A = HLA-C). HLA-A and -C had similar expression profiles. The impact of donor HLA expression was evaluated using serum samples containing a single donor-specific antibody (DSA). By making DSA consistent, donor HLA expression variability could be assessed. With consistent DSA mean fluorescence intensity, there was a direct relationship between the donor HLA expression to which the DSA is against and flow cytometric crossmatch median channel shifts. CI - Copyright (c) 2020 American Society for Investigative Pathology and the Association for Molecular Pathology. Published by Elsevier Inc. All rights reserved. FAU - Montgomery, Maureen C AU - Montgomery MC AD - Molecular Immunology Laboratory, McLendon Clinical Laboratories, University of North Carolina Hospitals, Chapel Hill, North Carolina. FAU - Liu, Chang AU - Liu C AD - Department of Pathology and Immunology, Washington University School of Medicine, St. Louis, Missouri. FAU - Petraroia, Rosanne AU - Petraroia R AD - HLA Laboratory, McLendon Clinical Laboratories, University of North Carolina Hospitals, Chapel Hill, North Carolina. FAU - Weimer, Eric T AU - Weimer ET AD - Molecular Immunology Laboratory, McLendon Clinical Laboratories, University of North Carolina Hospitals, Chapel Hill, North Carolina; HLA Laboratory, McLendon Clinical Laboratories, University of North Carolina Hospitals, Chapel Hill, North Carolina; Department of Pathology & Laboratory Medicine, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina. Electronic address: eric_weimer@med.unc.edu. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20191024 PL - United States TA - J Mol Diagn JT - The Journal of molecular diagnostics : JMD JID - 100893612 RN - 0 (Antibodies) RN - 0 (HLA Antigens) RN - 0 (Histocompatibility Antigens Class I) RN - 0 (RNA, Messenger) SB - IM MH - Antibodies/immunology MH - Blood Donors MH - Cells, Cultured MH - Flow Cytometry/*methods MH - *Genotype MH - Genotyping Techniques MH - HLA Antigens/*genetics/immunology MH - Histocompatibility Antigens Class I/*genetics/immunology MH - Histocompatibility Testing/*methods MH - Humans MH - Lymphocytes/metabolism MH - *Nanopores MH - Organ Transplantation MH - RNA, Messenger/genetics/isolation & purification MH - RNA-Seq MH - *Tissue Donors MH - Transplant Recipients MH - Exome Sequencing/*methods EDAT- 2019/11/02 06:00 MHDA- 2021/05/11 06:00 CRDT- 2019/11/01 06:00 PHST- 2019/07/26 00:00 [received] PHST- 2019/08/27 00:00 [revised] PHST- 2019/09/11 00:00 [accepted] PHST- 2019/11/02 06:00 [pubmed] PHST- 2021/05/11 06:00 [medline] PHST- 2019/11/01 06:00 [entrez] AID - S1525-1578(19)30404-0 [pii] AID - 10.1016/j.jmoldx.2019.09.005 [doi] PST - ppublish SO - J Mol Diagn. 2020 Jan;22(1):101-110. doi: 10.1016/j.jmoldx.2019.09.005. Epub 2019 Oct 24.