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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 PLoS+One
2016 ; 11
(10
): e0165810
Nephropedia Template TP
gab.com Text
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English Wikipedia
Application of High-Throughput Next-Generation Sequencing for HLA Typing on
Buccal Extracted DNA: Results from over 10,000 Donor Recruitment Samples
#MMPMID27798706
Yin Y
; Lan JH
; Nguyen D
; Valenzuela N
; Takemura P
; Bolon YT
; Springer B
; Saito K
; Zheng Y
; Hague T
; Pasztor A
; Horvath G
; Rigo K
; Reed EF
; Zhang Q
PLoS One
2016[]; 11
(10
): e0165810
PMID27798706
show ga
BACKGROUND: Unambiguous HLA typing is important in hematopoietic stem cell
transplantation (HSCT), HLA disease association studies, and solid organ
transplantation. However, current molecular typing methods only interrogate the
antigen recognition site (ARS) of HLA genes, resulting in many cis-trans
ambiguities that require additional typing methods to resolve. Here we report
high-resolution HLA typing of 10,063 National Marrow Donor Program (NMDP)
registry donors using long-range PCR by next generation sequencing (NGS) approach
on buccal swab DNA. METHODS: Multiplex long-range PCR primers amplified the
full-length of HLA class I genes (A, B, C) from promotor to 3' UTR. Class II
genes (DRB1, DQB1) were amplified from exon 2 through part of exon 4. PCR
amplicons were pooled and sheared using Covaris fragmentation. Library
preparation was performed using the Illumina TruSeq Nano kit on the Beckman FX
automated platform. Each sample was tagged with a unique barcode, followed by
2×250 bp paired-end sequencing on the Illumina MiSeq. HLA typing was assigned
using Omixon Twin software that combines two independent computational algorithms
to ensure high confidence in allele calling. Consensus sequence and typing
results were reported in Histoimmunogenetics Markup Language (HML) format. All
homozygous alleles were confirmed by Luminex SSO typing and exon novelties were
confirmed by Sanger sequencing. RESULTS: Using this automated workflow, over
10,063 NMDP registry donors were successfully typed under high-resolution by NGS.
Despite known challenges of nucleic acid degradation and low DNA concentration
commonly associated with buccal-based specimens, 97.8% of samples were
successfully amplified using long-range PCR. Among these, 98.2% were successfully
reported by NGS, with an accuracy rate of 99.84% in an independent blind Quality
Control audit performed by the NDMP. In this study, NGS-HLA typing identified 23
null alleles (0.023%), 92 rare alleles (0.091%) and 42 exon novelties (0.042%).
CONCLUSION: Long-range, unambiguous HLA genotyping is achievable on clinical
buccal swab-extracted DNA. Importantly, full-length gene sequencing and the
ability to curate full sequence data will permit future interrogation of the
impact of introns, expanded exons, and other gene regulatory sequences on
clinical outcomes in transplantation.