PMID- 31741009 OWN - NLM STAT- MEDLINE DCOM- 20200217 LR - 20200217 IS - 1432-1211 (Electronic) IS - 0093-7711 (Print) IS - 0093-7711 (Linking) VI - 72 IP - 1-2 DP - 2020 Feb TI - PIRCHE-II: an algorithm to predict indirectly recognizable HLA epitopes in solid organ transplantation. PG - 119-129 LID - 10.1007/s00251-019-01140-x [doi] AB - Human leukocyte antigen (HLA) mismatches between donors and recipients may lead to alloreactivity after solid organ transplantation. Over the last few decades, our knowledge of the complexity of the HLA system has dramatically increased, as numerous new HLA alleles have been identified. As a result, the likelihood of alloreactive responses towards HLA mismatches after solid organ transplantation cannot easily be assessed. Algorithms are promising solutions to estimate the risk for alloreactivity after solid organ transplantation. In this review, we show that the recently developed PIRCHE-II (Predicted Indirectly ReCognizable HLA Epitopes) algorithm can be used to minimize alloreactivity towards HLA mismatches. Together with the use of other algorithms and simulation approaches, the PIRCHE-II algorithm aims for a better estimated alloreactive risk for individual patients and eventually an improved graft survival after solid organ transplantation. FAU - Geneugelijk, Kirsten AU - Geneugelijk K AD - Laboratory of Translational Immunology, University Medical Center Utrecht, Heidelberglaan 100, 3584, CX, Utrecht, The Netherlands. c.c.a.geneugelijk-2@umcutrecht.nl. FAU - Spierings, Eric AU - Spierings E AUID- ORCID: 0000-0001-9441-1019 AD - Laboratory of Translational Immunology, University Medical Center Utrecht, Heidelberglaan 100, 3584, CX, Utrecht, The Netherlands. LA - eng PT - Journal Article PT - Review DEP - 20191118 PL - United States TA - Immunogenetics JT - Immunogenetics JID - 0420404 RN - 0 (Epitopes) RN - 0 (HLA Antigens) SB - IM MH - Algorithms MH - Computational Biology/methods MH - Epitopes/*immunology MH - Graft Rejection/immunology MH - Graft Survival/immunology MH - HLA Antigens/genetics/*immunology MH - Histocompatibility/*immunology MH - Histocompatibility Testing/methods MH - Humans MH - Organ Transplantation/methods MH - Risk Factors MH - Tissue Donors MH - Tissue and Organ Procurement PMC - PMC6971131 OTO - NOTNLM OT - Epitopes OT - HLA OT - Histocompatibility OT - Matching OT - PIRCHE-II OT - Solid organ transplantation OT - Transplantation COIS- The UMCU has filed a patent application on the prediction of an alloimmune response against mismatched HLA. E.S. is listed as inventor on this patent. K.G. has no conflicts of interest to disclose. A 3-month free trial of the PIRCHE algorithm is available via: https://www.pirche.com. EDAT- 2019/11/20 06:00 MHDA- 2020/02/18 06:00 PMCR- 2019/11/18 CRDT- 2019/11/20 06:00 PHST- 2019/09/06 00:00 [received] PHST- 2019/10/16 00:00 [accepted] PHST- 2019/11/20 06:00 [pubmed] PHST- 2020/02/18 06:00 [medline] PHST- 2019/11/20 06:00 [entrez] PHST- 2019/11/18 00:00 [pmc-release] AID - 10.1007/s00251-019-01140-x [pii] AID - 1140 [pii] AID - 10.1007/s00251-019-01140-x [doi] PST - ppublish SO - Immunogenetics. 2020 Feb;72(1-2):119-129. doi: 10.1007/s00251-019-01140-x. Epub 2019 Nov 18.