Detection of HLA-specific IGG antibodies using single recombinant HLA alleles: the MonoLISA assay.

BACKGROUND: Because of the presence of confounding antigens, the assignment of HLA antibody specificity is difficult in highly sensitized patients, and the definition of an acceptable HLA mismatch requires a significant workload per patient. We describe a new ELISA method, monoLISA, for detection of...

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मुख्य लेखकों: Barnardo, M, Harmer, A, Shaw, O, Ogg, G, Bunce, M, Vaughan, R, Morris, P, Welsh, K
स्वरूप: Journal article
भाषा:English
प्रकाशित: 2000
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author Barnardo, M
Harmer, A
Shaw, O
Ogg, G
Bunce, M
Vaughan, R
Morris, P
Welsh, K
author_facet Barnardo, M
Harmer, A
Shaw, O
Ogg, G
Bunce, M
Vaughan, R
Morris, P
Welsh, K
author_sort Barnardo, M
collection OXFORD
description BACKGROUND: Because of the presence of confounding antigens, the assignment of HLA antibody specificity is difficult in highly sensitized patients, and the definition of an acceptable HLA mismatch requires a significant workload per patient. We describe a new ELISA method, monoLISA, for detection of immunoglobulin (Ig)G HLA antibody using single recombinant HLA class I monomers bound to microtiter plates. METHODS: HLA-A2 and -B8 monomers were synthesized and used as screening targets for 85 sera from renal patients. The sera contained various IgG and IgM HLA-specific antibodies, including anti-A2 and anti-B8,defined in a conventional complement-dependent cytotoxicity test (CDC). Investigations were performed to determine possible effects on antibody binding of differential monomer peptide presentation as well as lack of glycosylation. RESULTS: A good correlation was found between CDC-defined specificities and the reactivity observed with HLA monomers. MonoLISA attained means of 100% sensitivity and 92.5% specificity compared with CDC. Neither the presence of different peptides, nor the absence of glycosylation of the monomer affected the ability of monoLISA to detect antibody. CONCLUSION: This study demonstrates that the mono-LISA method for HLA antibody detection is valid. Because this has the potential to reduce the work involved in screening sensitized patients awaiting transplantation for HLA antibodies, resources aimed at increasing the number of constructed monomers would be well targeted.
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spelling oxford-uuid:7208d571-baf3-4117-92bc-4e8c434ac6f02022-03-26T19:47:39ZDetection of HLA-specific IGG antibodies using single recombinant HLA alleles: the MonoLISA assay.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:7208d571-baf3-4117-92bc-4e8c434ac6f0EnglishSymplectic Elements at Oxford2000Barnardo, MHarmer, AShaw, OOgg, GBunce, MVaughan, RMorris, PWelsh, KBACKGROUND: Because of the presence of confounding antigens, the assignment of HLA antibody specificity is difficult in highly sensitized patients, and the definition of an acceptable HLA mismatch requires a significant workload per patient. We describe a new ELISA method, monoLISA, for detection of immunoglobulin (Ig)G HLA antibody using single recombinant HLA class I monomers bound to microtiter plates. METHODS: HLA-A2 and -B8 monomers were synthesized and used as screening targets for 85 sera from renal patients. The sera contained various IgG and IgM HLA-specific antibodies, including anti-A2 and anti-B8,defined in a conventional complement-dependent cytotoxicity test (CDC). Investigations were performed to determine possible effects on antibody binding of differential monomer peptide presentation as well as lack of glycosylation. RESULTS: A good correlation was found between CDC-defined specificities and the reactivity observed with HLA monomers. MonoLISA attained means of 100% sensitivity and 92.5% specificity compared with CDC. Neither the presence of different peptides, nor the absence of glycosylation of the monomer affected the ability of monoLISA to detect antibody. CONCLUSION: This study demonstrates that the mono-LISA method for HLA antibody detection is valid. Because this has the potential to reduce the work involved in screening sensitized patients awaiting transplantation for HLA antibodies, resources aimed at increasing the number of constructed monomers would be well targeted.
spellingShingle Barnardo, M
Harmer, A
Shaw, O
Ogg, G
Bunce, M
Vaughan, R
Morris, P
Welsh, K
Detection of HLA-specific IGG antibodies using single recombinant HLA alleles: the MonoLISA assay.
title Detection of HLA-specific IGG antibodies using single recombinant HLA alleles: the MonoLISA assay.
title_full Detection of HLA-specific IGG antibodies using single recombinant HLA alleles: the MonoLISA assay.
title_fullStr Detection of HLA-specific IGG antibodies using single recombinant HLA alleles: the MonoLISA assay.
title_full_unstemmed Detection of HLA-specific IGG antibodies using single recombinant HLA alleles: the MonoLISA assay.
title_short Detection of HLA-specific IGG antibodies using single recombinant HLA alleles: the MonoLISA assay.
title_sort detection of hla specific igg antibodies using single recombinant hla alleles the monolisa assay
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