PMID- 35933599 OWN - NLM STAT- MEDLINE DCOM- 20221214 LR - 20221226 IS - 1399-0012 (Electronic) IS - 0902-0063 (Linking) VI - 36 IP - 11 DP - 2022 Nov TI - Evaluation of the Iranian panel reactive antibody calculator and potential usefulness: A retrospective study. PG - e14789 LID - 10.1111/ctr.14789 [doi] AB - BACKGROUND AND OBJECTIVES: There are several cPRA websites based on large enough samples in Eurotransplant, the United Network for Organ Sharing (UNOS), and the Canadian Transplant Registry (CTR). On the other hand, those calculators can differ based on the ethnicity to which they are applied. We developed the Iranian PRA calculator and compared it with UNOS and CTR calculators. METHODS: The allele and haplotype frequencies of the Iranian donor pool were estimated using the HLA typing of 523 deceased Iranian kidney donors. The Organ Procurement and Transplantation Network formula was used to generate cPRA (cPRA frequency). We also used a computer script to compare the undesirable antigens of patients with the human leukocyte antigen (HLA) phenotype of donors (cPRA filtering). A total of 100 anti-HLA antibody profiles were determined in 100 sensitized individuals on the waiting list, and cPRA was estimated using various PRA calculators. RESULTS: Variable allelic frequencies were obtained from population heterogeneity in each calculator's donor panel. However, no significant changes in cPRA were identified between the Iranian calculator, UNOS, and the Canadian online calculators. Lin's concordance correlation coefficient of .98 showed that cPRA (freq) and cPRA (filter) values had almost perfect agreement. INTERPRETATION AND CONCLUSION: The cPRA values from the Iranian calculator are comparable to those from UNOS and CTR calculators. The donor filtering method was more useful because of factors like cost and flexibility. It also makes it easier to update cPRA on a regular basis. CI - (c) 2022 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. FAU - Mohammadzadeh, Sahand AU - Mohammadzadeh S AD - Shiraz Transplant Center, Abu-Ali Sina Hospital, Shiraz University of Medical Sciences, Shiraz, Iran. FAU - Jaladat, Abdul Reza AU - Jaladat AR AD - Shiraz Transplant Center, Abu-Ali Sina Hospital, Shiraz University of Medical Sciences, Shiraz, Iran. FAU - Mohammadi, Maryam AU - Mohammadi M AD - Faculty of Electrical and Computer Engineering, Shiraz University, Shiraz, Iran. FAU - Geramizadeh, Bita AU - Geramizadeh B AD - Shiraz Transplant Center, Abu-Ali Sina Hospital, Shiraz University of Medical Sciences, Shiraz, Iran. FAU - Anbardar, Mohammad Hossein AU - Anbardar MH AUID- ORCID: 0000-0002-2317-0737 AD - Shiraz Transplant Center, Abu-Ali Sina Hospital, Shiraz University of Medical Sciences, Shiraz, Iran. FAU - Soleimani, Neda AU - Soleimani N AD - Shiraz Transplant Center, Abu-Ali Sina Hospital, Shiraz University of Medical Sciences, Shiraz, Iran. FAU - Amirinezhad Fard, Elahe AU - Amirinezhad Fard E AD - Medical Biology Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran. FAU - Tehrani, Narges Jamshidian AU - Tehrani NJ AD - Shiraz Transplant Center, Abu-Ali Sina Hospital, Shiraz University of Medical Sciences, Shiraz, Iran. LA - eng PT - Journal Article DEP - 20220819 PL - Denmark TA - Clin Transplant JT - Clinical transplantation JID - 8710240 RN - 0 (Isoantibodies) RN - 0 (HLA Antigens) SB - IM MH - Humans MH - Isoantibodies MH - Retrospective Studies MH - Iran MH - *Kidney Transplantation/methods MH - Canada MH - Histocompatibility Testing/methods MH - HLA Antigens/genetics MH - Tissue Donors MH - *Tissue and Organ Procurement OTO - NOTNLM OT - calculated panel reactive antibody OT - organ allocation OT - renal transplantation OT - sensitization OT - unacceptable antigen OT - virtual crossmatch EDAT- 2022/08/08 06:00 MHDA- 2022/12/15 06:00 CRDT- 2022/08/07 04:12 PHST- 2022/06/08 00:00 [revised] PHST- 2021/11/22 00:00 [received] PHST- 2022/07/29 00:00 [accepted] PHST- 2022/08/08 06:00 [pubmed] PHST- 2022/12/15 06:00 [medline] PHST- 2022/08/07 04:12 [entrez] AID - 10.1111/ctr.14789 [doi] PST - ppublish SO - Clin Transplant. 2022 Nov;36(11):e14789. doi: 10.1111/ctr.14789. Epub 2022 Aug 19.