PMID- 37867095 OWN - NLM STAT- MEDLINE DCOM- 20231204 LR - 20240206 IS - 1879-1166 (Electronic) IS - 0198-8859 (Print) IS - 0198-8859 (Linking) VI - 84 IP - 12 DP - 2023 Dec TI - Combined imputation of HLA genotype and self-identified race leads to better donor-recipient matching. PG - 110721 LID - S0198-8859(23)00351-8 [pii] LID - 10.1016/j.humimm.2023.110721 [doi] AB - Allogeneic Hematopoietic Cell Transplantation (HCT) is a curative therapy for hematologic disorders and often requires human leukocyte antigen (HLA)-matched donors. Donor registries have recruited donors utilizing evolving technologies of HLA genotyping methods. This necessitates in-silico ambiguity resolution and statistical imputation based on haplotype frequencies estimated from donor data stratified by self-identified race and ethnicity (SIRE). However, SIRE has limited genetic validity and presents a challenge for individuals with unknown or mixed SIRE. We present MR-GRIMM "Multi-Race Graph IMputation and Matching" that simultaneously imputes the race/ethnic category and HLA genotype using a SIRE based prior. Additionally, we propose a novel method to impute HLA typing inconsistent with current haplotype frequencies. The performance of MR-GRIMM was validated using a dataset of 170,000 donor-recipient pairs. MR-GRIMM has an average 20 % lower matching error (1-AUC) than single-race imputation. The recall metric (sensitivity) of the race/ethnic category imputation from HLA was measured by comparing the imputed donor race with the donor-provided SIRE. Accuracies of 0.74 and 0.55 were obtained for the prediction of 5 broad and 21 detailed US population groups respectively. The operational implementation of this algorithm in a registry search could help improve match predictions and access to HLA-matched donors. CI - Copyright (c) 2023 The Author(s). Published by Elsevier Inc. All rights reserved. FAU - Israeli, Sapir AU - Israeli S AD - Department of Mathematics, Bar-Ilan University, Ramat Gan, Israel. FAU - Gragert, Loren AU - Gragert L AD - Department of Pathology and Laboratory Medicine, Tulane University School of Medicine, New Orleans, LA, United States. FAU - Madbouly, Abeer AU - Madbouly A AD - National Marrow Donor Program/Be The Match, Minneapolis, MN, United States; Center for International Blood and Marrow Transplant Research, Minneapolis, MN, United States. FAU - Bashyal, Pradeep AU - Bashyal P AD - National Marrow Donor Program/Be The Match, Minneapolis, MN, United States; Center for International Blood and Marrow Transplant Research, Minneapolis, MN, United States. FAU - Schneider, Joel AU - Schneider J AD - National Marrow Donor Program/Be The Match, Minneapolis, MN, United States. FAU - Maiers, Martin AU - Maiers M AD - National Marrow Donor Program/Be The Match, Minneapolis, MN, United States; Center for International Blood and Marrow Transplant Research, Minneapolis, MN, United States. FAU - Louzoun, Yoram AU - Louzoun Y AD - Department of Mathematics, Bar-Ilan University, Ramat Gan, Israel. Electronic address: louzouy@math.biu.ac.il. LA - eng GR - R01 AI128775/AI/NIAID NIH HHS/United States GR - R01 AI173095/AI/NIAID NIH HHS/United States GR - U01 AI152960/AI/NIAID NIH HHS/United States PT - Journal Article DEP - 20231021 PL - United States TA - Hum Immunol JT - Human immunology JID - 8010936 RN - 0 (HLA Antigens) RN - 0 (Histocompatibility Antigens Class II) SB - IM MH - Humans MH - Genotype MH - *HLA Antigens/genetics MH - Haplotypes MH - Tissue Donors MH - *Hematopoietic Stem Cell Transplantation/methods MH - Histocompatibility Antigens Class II/genetics MH - Histocompatibility Testing/methods MH - Registries PMC - PMC10842039 MID - NIHMS1941505 OTO - NOTNLM OT - EM OT - Ethnic groups OT - HLA OT - HSCT OT - Imputation COIS- Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2023/10/23 00:43 MHDA- 2023/12/04 12:43 PMCR- 2024/12/01 CRDT- 2023/10/22 22:04 PHST- 2023/03/17 00:00 [received] PHST- 2023/09/05 00:00 [revised] PHST- 2023/10/14 00:00 [accepted] PHST- 2024/12/01 00:00 [pmc-release] PHST- 2023/12/04 12:43 [medline] PHST- 2023/10/23 00:43 [pubmed] PHST- 2023/10/22 22:04 [entrez] AID - S0198-8859(23)00351-8 [pii] AID - 10.1016/j.humimm.2023.110721 [doi] PST - ppublish SO - Hum Immunol. 2023 Dec;84(12):110721. doi: 10.1016/j.humimm.2023.110721. Epub 2023 Oct 21.