DNA HLA-DR typing results of 4000 kidney transplants

Transplantation. 1993 Apr;55(4):778-81. doi: 10.1097/00007890-199304000-00018.

Abstract

Recipients (4076) and donors (3325) of kidney transplants performed at 110 transplant centers were typed for HLA-DRB by the DNA RFLP method. The discrepancy rate of replicate samples distributed among 8 participating laboratories was a low 2.6%. The discrepancy rate between RFLP-DRB and serological HLA-DR typings was 25.0% for organ donors and 27.6% for kidney recipients. Discrepancy rates at the different transplant centers ranged from 9.7% to 86.7%. The discrepancies consisted of antigens being incorrectly interpreted by serology (16.8%), and of serological "blanks" turning out to be definable alleles by the DNA method (10.8%). The alleles that were mainly affected by discrepancies were DR1, DR8, DR10, DR12, DR13, DR14, DR16, DR17.2, and DR18.

Publication types

  • Comparative Study
  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Alleles
  • DNA / analysis
  • HLA-DR Antigens / analysis*
  • HLA-DR Antigens / genetics
  • Histocompatibility Testing
  • Homozygote
  • Humans
  • Kidney Transplantation / immunology*
  • Polymorphism, Restriction Fragment Length
  • Quality Control

Substances

  • HLA-DR Antigens
  • DNA