PMID- 32783273 OWN - NLM STAT- MEDLINE DCOM- 20210525 LR - 20240216 IS - 1098-2272 (Electronic) IS - 0741-0395 (Print) IS - 0741-0395 (Linking) VI - 44 IP - 8 DP - 2020 Nov TI - Joint testing of donor and recipient genetic matching scores and recipient genotype has robust power for finding genes associated with transplant outcomes. PG - 893-907 LID - 10.1002/gepi.22349 [doi] AB - Genetic matching between transplant donor and recipient pairs has traditionally focused on the human leukocyte antigen (HLA) regions of the genome, but recent studies suggest that matching for non-HLA regions may be important as well. We assess four genetic matching scores for use in association analyses of transplant outcomes. These scores describe genetic ancestry distance using identity-by-state, or genetic incompatibility or mismatch of the two genomes and therefore may reflect different underlying biological mechanisms for donor and recipient genes to influence transplant outcomes. Our simulation studies show that jointly testing these scores with the recipient genotype is a powerful method for preliminary screening and discovery of transplant outcome related single nucleotide polymorphisms (SNPs) and gene regions. Following these joint tests with marginal testing of the recipient genotype and matching score separately can lead to further understanding of the biological mechanisms behind transplant outcomes. In addition, we present results of a liver transplant data analysis that shows joint testing can detect SNPs significantly associated with acute rejection in liver transplant. CI - (c) 2020 Wiley Periodicals LLC. FAU - Arthur, Victoria L AU - Arthur VL AUID- ORCID: 0000-0003-2760-5053 AD - Department of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania. FAU - Guan, Weihua AU - Guan W AD - Division of Biostatistics, School of Public Health, University of Minnesota, Minneapolis, Minnesota. FAU - Loza, Bao-Li AU - Loza BL AD - Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania. FAU - Keating, Brendan AU - Keating B AD - Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania. FAU - Chen, Jinbo AU - Chen J AD - Department of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania. LA - eng GR - R01 ES016626/ES/NIEHS NIH HHS/United States GR - R01 HL138306/HL/NHLBI NIH HHS/United States GR - R21 ES020811/ES/NIEHS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20200811 PL - United States TA - Genet Epidemiol JT - Genetic epidemiology JID - 8411723 RN - 0 (HLA Antigens) SB - IM MH - Computer Simulation MH - Confidence Intervals MH - Data Analysis MH - Female MH - Gene Frequency/genetics MH - Genotype MH - HLA Antigens/genetics MH - *Histocompatibility Testing MH - Humans MH - Male MH - Middle Aged MH - Models, Genetic MH - Odds Ratio MH - Polymorphism, Single Nucleotide/genetics MH - Probability MH - *Tissue Donors MH - *Transplantation PMC - PMC7658035 MID - NIHMS1640671 OTO - NOTNLM OT - genetic matching scores OT - joint testing OT - transplant genetics COIS- Conflict of Interests The authors declare that there are no conflicts of interest. EDAT- 2020/08/13 06:00 MHDA- 2021/05/26 06:00 PMCR- 2021/11/01 CRDT- 2020/08/13 06:00 PHST- 2020/03/27 00:00 [received] PHST- 2020/07/09 00:00 [revised] PHST- 2020/07/31 00:00 [accepted] PHST- 2020/08/13 06:00 [pubmed] PHST- 2021/05/26 06:00 [medline] PHST- 2020/08/13 06:00 [entrez] PHST- 2021/11/01 00:00 [pmc-release] AID - 10.1002/gepi.22349 [doi] PST - ppublish SO - Genet Epidemiol. 2020 Nov;44(8):893-907. doi: 10.1002/gepi.22349. Epub 2020 Aug 11.