PMID- 32595056 OWN - NLM STAT- MEDLINE DCOM- 20210609 LR - 20211109 IS - 1879-1166 (Electronic) IS - 0198-8859 (Print) IS - 0198-8859 (Linking) VI - 81 IP - 8 DP - 2020 Aug TI - Utilizing nanopore sequencing technology for the rapid and comprehensive characterization of eleven HLA loci; addressing the need for deceased donor expedited HLA typing. PG - 413-422 LID - S0198-8859(20)30339-6 [pii] LID - 10.1016/j.humimm.2020.06.004 [doi] AB - The comprehensive characterization of human leukocyte antigen (HLA) genomic sequences remains a challenging problem. Despite the significant advantages of next-generation sequencing (NGS) in the field of Immunogenetics, there has yet to be a single solution for unambiguous, accurate, simple, cost-effective, and timely genotyping necessary for all clinical applications. This report demonstrates the benefits of nanopore sequencing introduced by Oxford Nanopore Technologies (ONT) for HLA genotyping. Samples (n = 120) previously characterized at high-resolution three-field (HR-3F) for 11 loci were assessed using ONT sequencing paired to a single-plex PCR protocol (Holotype) and to two multiplex protocols OmniType (Omixon) and NGSgo(R)-MX6-1 (GenDx). The results demonstrate the potential of nanopore sequencing for delivering accurate HR-3F typing with a simple, rapid, and cost-effective protocol. The protocol is applicable to time-sensitive applications, such as deceased donor typings, enabling better assessments of compatibility and epitope analysis. The technology also allows significantly shorter turnaround time for multiple samples at a lower cost. Overall, the nanopore technology appears to offer a significant advancement over current next-generation sequencing platforms as a single solution for all HLA genotyping needs. CI - Copyright (c) 2020 The Authors. Published by Elsevier Inc. All rights reserved. FAU - Mosbruger, Timothy L AU - Mosbruger TL AD - Department of Pathology and Laboratory Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA. FAU - Dinou, Amalia AU - Dinou A AD - Department of Pathology and Laboratory Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA. FAU - Duke, Jamie L AU - Duke JL AD - Department of Pathology and Laboratory Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA. FAU - Ferriola, Deborah AU - Ferriola D AD - Department of Pathology and Laboratory Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA. FAU - Mehler, Hilary AU - Mehler H AD - Department of Pathology and Laboratory Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA. FAU - Pagkrati, Ioanna AU - Pagkrati I AD - Department of Pathology and Laboratory Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA. FAU - Damianos, Georgios AU - Damianos G AD - Department of Pathology and Laboratory Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA. FAU - Mbunwe, Eric AU - Mbunwe E AD - Department of Genetics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. FAU - Sarmady, Mahdi AU - Sarmady M AD - Department of Pathology and Laboratory Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA; Department of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. FAU - Lyratzakis, Ioannis AU - Lyratzakis I AD - Department of Pathology and Laboratory Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA. FAU - Tishkoff, Sarah A AU - Tishkoff SA AD - Department of Genetics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. FAU - Dinh, Anh AU - Dinh A AD - Department of Pathology and Laboratory Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA; Department of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. FAU - Monos, Dimitri S AU - Monos DS AD - Department of Pathology and Laboratory Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA; Department of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. Electronic address: monosd@email.chop.edu. LA - eng GR - R01 DK104339/DK/NIDDK NIH HHS/United States GR - R35 GM134957/GM/NIGMS NIH HHS/United States PT - Journal Article DEP - 20200625 PL - United States TA - Hum Immunol JT - Human immunology JID - 8010936 RN - 0 (HLA Antigens) SB - IM MH - Alleles MH - Genomics/methods MH - Genotyping Techniques/*methods MH - HLA Antigens/*genetics MH - High-Throughput Nucleotide Sequencing/methods MH - Histocompatibility Testing/methods MH - Humans MH - Nanopore Sequencing/*methods MH - Sequence Analysis, DNA/methods MH - Tissue Donors PMC - PMC7870017 MID - NIHMS1608877 OTO - NOTNLM OT - HLA genotyping OT - Human Leukocyte Antigens OT - NGS OT - Oxford Nanopore sequencing OT - Transplantation COIS- Disclosures D.S. Monos is a consultant to, and owns options in Omixon. D.S. Monos, D. Ferriola and J.L. Duke receive royalties from Omixon. The other authors of this manuscript have no conflicts of interest to disclose. EDAT- 2020/07/01 06:00 MHDA- 2021/06/10 06:00 PMCR- 2021/02/08 CRDT- 2020/06/30 06:00 PHST- 2020/04/29 00:00 [received] PHST- 2020/06/03 00:00 [revised] PHST- 2020/06/03 00:00 [accepted] PHST- 2020/07/01 06:00 [pubmed] PHST- 2021/06/10 06:00 [medline] PHST- 2020/06/30 06:00 [entrez] PHST- 2021/02/08 00:00 [pmc-release] AID - S0198-8859(20)30339-6 [pii] AID - 10.1016/j.humimm.2020.06.004 [doi] PST - ppublish SO - Hum Immunol. 2020 Aug;81(8):413-422. doi: 10.1016/j.humimm.2020.06.004. Epub 2020 Jun 25.