Histocompatibility Matching for Bone Marrow Transplantation: Donor/Recipient Pairs in the 4AOHW Cell Panel

FT Christiansen, G Tay, LK Smith, CS Witt, EW Petersdorf, B Bradley, RL Dawkins

Research output: Contribution to journalArticlepeer-review

16 Citations (Web of Science)

Abstract

While the results of unrelated bone marrow transplantation are continually improving, a number of important issues remain: what are the histocompatibility requirements, what genes are involved, what mismatches are acceptable, and what are the best methods for determining donor-recipient match? In this study of material provided through the 4AOHW and the US NMDP, the match between 53 donor-recipient pairs was determined using several different markers within the MHC. The data showed that many apparently well-matched pairs have many mismatches, including mismatches for non-HLA genes (i.e., non-class-I or non-class-II) within the MHC. New methods matching for blocks of DNA around HLA-B and around HLA-DR/DQ are available that are sensitive and identify additional mismatches that are not apparent using conventional typing methods. The 4AOHW cells provide a valuable resource for the comparison and assessment of new matching techniques.
Original languageEnglish
Pages (from-to)42-51
JournalHuman Immunology
Volume38
DOIs
Publication statusPublished - 1993

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