Next-generation sequencing and clinical histocompatibility testing

Hum Immunol. 2021 Nov;82(11):829-837. doi: 10.1016/j.humimm.2021.08.009. Epub 2021 Sep 11.

Abstract

Histocompatibility testing is essential for donor identification and risk assessment in solid organ and hematopoietic stem cell transplant. Additionally, it is useful for identifying donor specific alleles for monitoring donor specific antibodies in post-transplant patients. Next-generation sequence (NGS) based human leukocyte antigen (HLA) typing has improved many aspects of histocompatibility testing in hematopoietic stem cell and solid organ transplant. HLA disease association testing and research has also benefited from the advent of NGS technologies. In this review we discuss the current impact and future applications of NGS typing on clinical histocompatibility testing for transplant and non-transplant purposes.

Keywords: HLA; Histocompatibility; NGS; Next-generation sequencing; Transplant.

Publication types

  • Review

MeSH terms

  • Alleles
  • Donor Selection / methods*
  • Graft Rejection / immunology
  • Graft Rejection / prevention & control
  • Graft vs Host Disease / immunology
  • Graft vs Host Disease / prevention & control
  • HLA Antigens / genetics*
  • HLA Antigens / immunology
  • Hematopoietic Stem Cell Transplantation / adverse effects
  • High-Throughput Nucleotide Sequencing*
  • Histocompatibility Testing / methods*
  • Humans
  • Laboratories, Clinical
  • Organ Transplantation / adverse effects
  • Sequence Analysis, DNA

Substances

  • HLA Antigens