PMID- 33283328 OWN - NLM STAT- MEDLINE DCOM- 20211029 LR - 20211029 IS - 1098-2825 (Electronic) IS - 0887-8013 (Print) IS - 0887-8013 (Linking) VI - 35 IP - 2 DP - 2021 Feb TI - Interpretation of the HLA epitopes-Continuous dilution method for detection of high-titer IgG HLA antibody. PG - e23632 LID - 10.1002/jcla.23632 [doi] LID - e23632 AB - BACKGROUND: The presence or absence of human leukocyte antigen (HLA) antibodies, especially the strength of donor-specific HLA antibodies (DSAs), has important roles in clinical evaluation and diagnostic decision-making for solid-organ transplantation. Dilution patterns help to give a new sight of HLA epitopes. "Epitope matching" is likely to lower the risk of developing DSA and increase the likelihood of matching a compatible donor. METHODS: We collected data evaluating HLA antibodies with a titration study using mean fluorescence intensity. RESULTS: Diluting the serum of recipients can reduce potential inhibitory effects, accurately evaluate the intensity of donor-specific HLA antibodies, and guide surgeons to take or not take intervention measures. Dilution patterns also help to give a new sight of HLA epitopes. CONCLUSION: We believe that from the viewpoint of HLA antibodies, the dilution model can provide new tools and insights for the study of HLA epitopes. CI - (c) 2020 The Authors. Journal of Clinical Laboratory Analysis published by Wiley Periodicals LLC. FAU - Xiao, Yanli AU - Xiao Y AUID- ORCID: 0000-0002-9193-8541 AD - Department of Blood Transfusion, Tianjin First Central Hospital, Tianjin, China. FAU - Liu, Wei AU - Liu W AD - Department of Blood Transfusion, Tianjin First Central Hospital, Tianjin, China. FAU - Kang, Zhongyu AU - Kang Z AUID- ORCID: 0000-0002-6855-8153 AD - Department of Blood Transfusion, Tianjin First Central Hospital, Tianjin, China. FAU - Li, Daihong AU - Li D AD - Department of Blood Transfusion, Tianjin First Central Hospital, Tianjin, China. LA - eng PT - Case Reports DEP - 20201201 PL - United States TA - J Clin Lab Anal JT - Journal of clinical laboratory analysis JID - 8801384 RN - 0 (Epitopes) RN - 0 (HLA Antigens) RN - 0 (HLA-DQ Antigens) RN - 0 (Immunoglobulin G) SB - IM MH - Allografts MH - Epitopes/*immunology MH - HLA Antigens/*blood/immunology MH - HLA-DQ Antigens/blood/immunology MH - Histocompatibility Testing/*methods MH - Humans MH - Immunoglobulin G/*blood MH - Kidney Transplantation MH - Male MH - Middle Aged MH - Tissue Donors PMC - PMC7891501 OTO - NOTNLM OT - donor-specific HLA antibodies OT - epitope OT - titration study EDAT- 2020/12/08 06:00 MHDA- 2021/10/30 06:00 PMCR- 2020/12/01 CRDT- 2020/12/07 05:40 PHST- 2020/06/02 00:00 [received] PHST- 2020/09/23 00:00 [revised] PHST- 2020/10/03 00:00 [accepted] PHST- 2020/12/08 06:00 [pubmed] PHST- 2021/10/30 06:00 [medline] PHST- 2020/12/07 05:40 [entrez] PHST- 2020/12/01 00:00 [pmc-release] AID - JCLA23632 [pii] AID - 10.1002/jcla.23632 [doi] PST - ppublish SO - J Clin Lab Anal. 2021 Feb;35(2):e23632. doi: 10.1002/jcla.23632. Epub 2020 Dec 1.