Tissue Typing for Transplantation Antigens

Tissue typing usually refers to methods for detecting human leucocyte antigens (HLAs), although it is applicable to other species. The major practical need for tissue typing is to facilitate the transplantation of organs.

Keywords: tissue typing; HLA; transplantation

Figure 1. Use of linkage in the analysis of human leucocyte antigen (HLA) polymorphism: an advantage of PCR-SSP over PCR-SSO. Polymerase chain reaction–sequence-specific priming (PCR-SSP) over PCR–sequence-specific oligonucleotide probe (PCR-SSOP).

(a) PCR-SSOP. In this example a gene to be analysed has two polymorphic sites separated by 100 nucleotides. Each polymorphic site has two variants, in this individual labelled A/C and B/D. Although DNA is double stranded, only one strand from each chromosome is represented for clarity. The first stage is a generic PCR priming reaction across the site shown. The product is then blotted on to a membrane; probes complementary to the polymorphic sites at A, B, C and D are used and all combine with the heterozygote DNA sample represented to produce four possible combinations (or alleles). It is not known whether A is linked to (on the same chromosome as) B or D, and similarly C may be linked to B or D. The alleles are defined only as AB and CD or AD and CB.

(b) PCR-SSP. PCR primers can be made to amplify exclusively the polymorphism at A (___A) and C (___C), with a reverse primer for B (B___ ) and D (D___ ). If PCR-SSP reactions are set up using all combinations of these primers, products will be seen only when the polymorphic sites are linked. Only reactions (1) and (4) will give a product, and the alleles are correctly identified as AB and CD. In this way a series of mutations can be placed on one chromosome. A limitation to this type of analysis is the range of nucleotides over which it is possible to obtain a PCR reaction. There are practical difficulties in amplifying more than about 1000 nucleotides.
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 References
    Arguello JR, Little AM, Bohan E et al. (1998) High resolution HLA class I typing by reference strand mediated conformation analysis (RSCA). Tissue Antigens 52(1): 57–66.
    proceedings Bignon JD, Fernandez-Vina MA, Cheneau ML et al. (1997) HLA DNA class II typing by PCR-SSOP: 12th International Histocompatibility Workshop experience. In: Charron D (ed.) Proceedings of the Twelfth International Histocompatibility Workshop and Conference, vol. 1, pp. 21–25. Sevres, France: EDK.
    Bunce M, O'Neill CM, Barnado MCNM et al. (1995) Phototyping: comprehensive DNA typing for HLA-A, B, C, DRB1, DRB3, DRB4, DRB5, and DQB1 by PCR with 144 primer mixes utilizing sequence-specific primers (PCR-SSP). Tissue Antigens 46: 355–367.
    Clay TM, Bidwell JL, Howard MR and Bradley BA (1991) PCR-finger printing for selection of HLA matched unrelated marrow donors. Lancet 337(8749): 1049–1052.
    Clay TM, Culpan D, Pursall MC, Bradley BA and Bidwell JL (1995) HLA-DQB1 and DQA1 matching by ambient temperature PCR-SSCP. European Journal of Immunogenetics 22: 467–478.
    book Darke C and Dyer P (1993) "Clinical HLA typing by cytotoxicity". In: Dyer P and Middleton D (eds) Histocompatibility Testing. A Practical Approach. Oxford: IRL Press at Oxford University Press.
    book Dupont B (ed.) (1987) "Immunobiology of HLA", vol. 1. Histocompatibility Testing. New York: Springer.
    Gilchrist FC, Bunce M, Lympany PA, Welsh KI and du Bois RM (1998) Comprehensive HLA-DP typing using polymerase chain reaction with sequence-specific primers and 95 sequence-specific primer mixes. Tissue Antigens 51: 51–61.
    book Inoko H and Ota M (1993) "PCR-RFLP". In: Hui KM and Bidwell JL (eds) Handbook of HLA Typing Techniques, pp. 9–70. Raton, FL: CRC Press.
    proceedings Kennedy LJ, Poulton KV, Thomson W et al. (1997) HLA class I DNA typing using sequence specific oligonucleotide probes (SSOP). In: Charron D (ed.) Proceedings of the Twelfth International Histocompatibility Workshop and Conference, vol. 1, pp. 216–225. Sevres, France: EDK.
    Miller SA, Dykes DD and Polesky HF (1988) A simple salting out procedure for extracting DNA from human nucleated cells. Nucleic Acids Research 16: 1215.
    Mitsunaga S, Tokunaga K, Kashiwase K et al. (1998) A nested PCR-RFLP method for high resolution typing of HLA-A alleles. European Journal of Immunogenetics 25: 15–27.
    Mizuki N, Ohno S, Sugimura K et al. (1992) PCR-RFLP is as sensitive and reliable as PCR-SSO in HLA class II genotyping. Tissue Antigens 40: 100–103.
    proceedings Opelz G and Wujciak T (1995) Cadaveric kidneys should be allocated according to HLA match. Transplantation Proceedings 27: 93–99.
    Petersdorf EW and Hansen JA (1995) A comprehensive approach for typing the alleles of the HLA-B locus by automated sequencing. Tissue Antigens 46: 73–85.
    Santamaria P, Boyce JM, Lindstrom AL et al. (1992) HLA class II ‘typing’: direct sequencing of DRB, DQB, and DQA genes. Human Immunology 33: 69–81.
    Tatari Z, Fortier C, Bobrynina V, Loiseau P and Charron D (1995) HLA-Cw allele analysis by PCR-restriction fragment length polymorphism: study of known and additional alleles. Proceedings of the National Academy of Sciences of the USA 92(19): 8803–8807.
 Further Reading
    book Bignon JD, Fernandez-Vina MA, Cheneau ML et al. (1997) "HLA DNA class II typing by PCR-SSOP: 12th International Histocompatibility Workshop experience". In: Charron D (ed.) Proceedings of the Twelfth International Histocompatibility Workshop and Conference, vol. 1, pp. 21–25. Sevres, France: EDK.
    Bunce M, Young NT and Welsh KI (1997) Molecular HLA typing – the Brave New World. Transplantation 64: 1505–1513.
    book Darke C and Dyer P (1993) "Clinical HLA typing by cytotoxicity". In: Dyer P and Middleton D (eds) Histocompatibility Testing. A Practical Approach. Oxford: IRL Press at Oxford University Press.
    book Dupont B (ed.) (1987) Immunobiology of HLA, vol. 1. "Histocompatibility Testing". New York: Springer.
    proceedings Kennedy LJ, Poulton, KV, Thomson W et al. (1997) HLA class I DNA typing using sequence specific oligonucleotide probes (SSOP). In: Charron D (ed.) Proceedings of the Twelfth International Histocompatibility Workshop and Conference, vol. 1, pp. 216–225. Sevres, France: EDK.
    Simpson E, Rooperian D and Goulmy E (1998) Much ado about minor histocompatibility antigens. Immunology Today 19(3): 108–112.
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Vaughan, Robert W(Apr 2001) Tissue Typing for Transplantation Antigens. In: eLS. John Wiley & Sons Ltd, Chichester. http://www.els.net [doi: 10.1038/npg.els.0001245]