PMID- 35083784 OWN - NLM STAT- MEDLINE DCOM- 20220407 LR - 20220407 IS - 1098-2825 (Electronic) IS - 0887-8013 (Print) IS - 0887-8013 (Linking) VI - 36 IP - 3 DP - 2022 Mar TI - Association of end-stage renal disease with HLA phenotypes and panel reactive antibodies in patients awaiting renal transplantation in Hunan Province. PG - e24251 LID - 10.1002/jcla.24251 [doi] LID - e24251 AB - OBJECTIVES: To explore the immune-related genetic susceptibility of human leukocyte antigen (HLA) alleles and their correlation with panel reactive antibody (PRA) generation during end-stage renal disease (ESRD) progression. MATERIALS AND METHODS: Data of the expression patterns of HLA-A, -B, and -DR alleles and PRAs of 347 ESRD patients awaiting renal transplantation in Hunan Province from 2015 to 2019 were retrospectively studied. The polymerase chain reaction with sequence-specific primers was used for HLA genotyping and the enzyme-linked immunosorbent assay for PRA detection. SPSS 21.0 software was used for all allele frequency and statistical analyses. RESULTS: Thirteen HLA-A, 25 HLA-B, and 13 HLA-DR alleles were expressed. The allele frequencies of HLA-A2, -B48, -B52, and -B55 were significantly higher in the case group than in the control group (p < 0.05), whereas that of HLA-B60 was significantly higher in the control group (p < 0.05). The frequency of HLA alleles in the PRA-positive group was significantly higher in females than in males (p < 0.05). The allele frequencies of HLA-A2, -B38, and -B46 were significantly higher in the PRA-positive group than in the PRA-negative one (p < 0.05), whereas that of HLA-60 was significantly higher in the PRA-negative group (p < 0.05). CONCLUSION: HLA-A2, -B48, -B52, and -B55 may be the ESRD susceptibility alleles in Han Chinese patients in Hunan Province, whereas HLA-B60 may be the protective allele. Patients carrying HLA-A2, -B38, and -B46 are more likely to develop PRA positivity, whereas the opposite is true for those with HLA-B60. CI - (c) 2022 The Authors. Journal of Clinical Laboratory Analysis published by Wiley Periodicals LLC. FAU - Long, Lu AU - Long L AD - Department of Clinical Laboratory, Xiangya Hospital, Central South University, Changsha, China. FAU - Sun, Qian AU - Sun Q AUID- ORCID: 0000-0001-5839-6341 AD - Department of Clinical Laboratory, Xiangya Hospital, Central South University, Changsha, China. LA - eng PT - Journal Article DEP - 20220126 PL - United States TA - J Clin Lab Anal JT - Journal of clinical laboratory analysis JID - 8801384 RN - 0 (HLA Antigens) RN - 0 (HLA-A Antigens) SB - IM MH - Alleles MH - Female MH - HLA Antigens/genetics MH - HLA-A Antigens/genetics MH - Humans MH - *Kidney Failure, Chronic/genetics/surgery MH - *Kidney Transplantation MH - Male MH - Phenotype MH - Retrospective Studies PMC - PMC8906009 OTO - NOTNLM OT - HLA phenotypes OT - end-stage renal disease OT - panel reactive antibodies OT - polymorphism EDAT- 2022/01/28 06:00 MHDA- 2022/04/08 06:00 PMCR- 2022/01/26 CRDT- 2022/01/27 05:52 PHST- 2021/12/31 00:00 [revised] PHST- 2021/11/15 00:00 [received] PHST- 2022/01/11 00:00 [accepted] PHST- 2022/01/28 06:00 [pubmed] PHST- 2022/04/08 06:00 [medline] PHST- 2022/01/27 05:52 [entrez] PHST- 2022/01/26 00:00 [pmc-release] AID - JCLA24251 [pii] AID - 10.1002/jcla.24251 [doi] PST - ppublish SO - J Clin Lab Anal. 2022 Mar;36(3):e24251. doi: 10.1002/jcla.24251. Epub 2022 Jan 26.