Histocompatibility matching for bone marrow transplantation. Donor-recipient pairs in the 4AOHW cell panel

Hum Immunol. 1993 Sep;38(1):42-51. doi: 10.1016/0198-8859(93)90518-6.

Abstract

While the results of unrelated bone marrow transplantation are continually improving, a number of important issues remain: what are the histocompatibility requirements, what genes are involved, what mismatches are acceptable, and what are the best methods for determining donor-recipient match? In this study of material provided through the 4AOHW and the US NMDP, the match between 53 donor-recipient pairs was determined using several different markers within the MHC. The data showed that many apparently well-matched pairs have many mismatches, including mismatches for non-HLA genes (i.e., non-class-I or non-class-II) within the MHC. New methods matching for blocks of DNA around HLA-B and around HLA-DR/DQ are available that are sensitive and identify additional mismatches that are not apparent using conventional typing methods. The 4AOHW cells provide a valuable resource for the comparison and assessment of new matching techniques.

Publication types

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

MeSH terms

  • Australia
  • Bone Marrow Transplantation / immunology*
  • DNA Fingerprinting
  • Graft vs Host Disease / immunology
  • HLA Antigens / immunology*
  • HLA-A Antigens / immunology
  • HLA-B Antigens / immunology
  • HLA-DR Antigens / immunology
  • Histocompatibility Testing / methods*
  • Humans
  • Nucleic Acid Hybridization
  • Tissue Donors

Substances

  • HLA Antigens
  • HLA-A Antigens
  • HLA-B Antigens
  • HLA-DR Antigens