Analysis of a high-throughput HLA antibody screening assay for use with platelet donors

Emmanuel Fadeyi, Sharon Adams, Brett Peterson, Julia Hackett, Phyllis Byrne, Harvey G. Klein, Francesco M. Marincola, Susan F. Leitman, David F. Stroncek

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Passive infusion of HLA antibodies has been implicated in transfusion reactions. A rapid, inexpensive method of screening blood donors for HLA antibodies might reduce the incidence of reactions. A high-throughput microbead-flow analyzer HLA antibody detection technique was compared with an enzyme-linked immunosorbent assay (ELISA) method. STUDY DESIGN AND METHODS: Ninety-six apheresis platelet (PLT) donors were tested for antibodies to Class I and II HLA antigens with mixed-antigen microbead-flow analyzer and ELISAs. For both assays, samples reactive in the mixed-antigen assay were tested with a panel-reactive antibody (PRA) assay. Samples reactive in both the mixed-antigen and the PRA assays were considered positive. RESULTS: In the mixed-antigen microbead assay, 46 (48%) samples were reactive to Class I antigens and 20 (21%) to Class II. Further testing in the microbead PRA assay revealed that 34 (35%) had antibodies to Class I antigens, 18 (19%) to Class II, and 42 (44%) to either Class I or Class II. Class I antibodies were present in 56 percent of females and 36 percent of males. In the mixed-antigen ELISA, 4 samples were reactive with Class I antigens, 4 with Class II antigens, and 5 with Class I or Class II. All 5 reactive samples were also reactive in the ELISA PRA assay and were from females. CONCLUSION: The microbead assay was more sensitive than the ELISA and detected antibodies in a large proportion of donors. Samples reactive in the mixed-antigen microbead assay should be confirmed by a second assay before concluding that antibodies are present.

Original languageEnglish (US)
Pages (from-to)1174-1179
Number of pages6
JournalTransfusion
Volume48
Issue number6
DOIs
StatePublished - Jun 2008
Externally publishedYes

ASJC Scopus subject areas

  • Hematology
  • Immunology

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    Fadeyi, E., Adams, S., Peterson, B., Hackett, J., Byrne, P., Klein, H. G., Marincola, F. M., Leitman, S. F., & Stroncek, D. F. (2008). Analysis of a high-throughput HLA antibody screening assay for use with platelet donors. Transfusion, 48(6), 1174-1179. https://doi.org/10.1111/j.1537-2995.2008.01684.x