Clarification of HLA-B serologically ambiguous types by automated DNA sequencing

Tissue Antigens. 1998 May;51(5):536-40. doi: 10.1111/j.1399-0039.1998.tb02988.x.

Abstract

Assignment of HLA-B types can be hampered by ambiguous reactivity of the typing sera resulting in inaccurate HLA-B assignments. In this study, 19 Korean samples exhibiting ambiguous serologic reactivities were characterized by DNA sequencing. Alleles identified from 7 samples were previously undetected in this population (B*1517, B*4101, B*4701, B*5001, and B*5106) and from 9 samples were common alleles in this population (B*4002, B*4003, B*4006, B*1501, B*1401, B*67012, and B*5401). Three samples were putative HLA-B homozygotes. Three major factors causing serologic ambiguity were identified: weak or false negative reactivity of typing sera (52.4%); cross or false positive reactivity of the sera (38.1%); and absence of information on the reaction patterns due to the lack of appropriate sera in the typing kit (e.g. B*4101 encoded molecule) or to the presence of recently characterized molecules (e.g. B*5106 encoded molecule) (9.5%). Overall, sequencing was helpful in clarifying ambiguous serologic reaction patterns improving the HLA typing for the Korean population.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Alleles
  • Automation
  • Cross Reactions
  • False Negative Reactions
  • False Positive Reactions
  • HLA-B Antigens / classification
  • HLA-B Antigens / genetics*
  • HLA-B Antigens / immunology
  • Histocompatibility Testing
  • Sequence Analysis, DNA

Substances

  • HLA-B Antigens