Estimation of size of cord blood inventory based on high-resolution typing of HLAs

Bone Marrow Transplant. 2014 Jul;49(7):977-9. doi: 10.1038/bmt.2014.76. Epub 2014 Apr 28.

Abstract

Methods for estimating the cord blood (CB) inventory size required vary according to the ethnic diversity of the HLA, degree of HLA matching and HLA-typing resolution. We estimated the CB inventory size required using 7190 stored CB units (CBU) and 2450 patients who were awaiting or underwent allogeneic hematopoietic stem cell transplantation. With high-resolution typing of HLA-A, B and DRB1, 94.6% of Korean patients could find CBUs in 100 000 CBUs with a 5/6 match, and 95.7% could find CBUs in 5000 CBUs with a 4/6 match. With low-resolution typing of HLA-A and B and high-resolution typing of leukocyte antigen-DRB1, 95% of patients could find CBUs in 50 000 CBUs with a 5/6 match, and 96.7% could find CBUs in 3000 CBUs with a 4/6 match. With additional high-resolution typing for HLA-A and B, which could improve transplantation outcome, the size of the CB inventory would need to increase twofold for Koreans.

MeSH terms

  • Blood Banking / methods*
  • Cord Blood Stem Cell Transplantation / methods*
  • Female
  • Fetal Blood / immunology*
  • HLA Antigens / immunology*
  • Histocompatibility Testing / methods*
  • Humans
  • Male

Substances

  • HLA Antigens