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Title

Pretransplant HLA mistyping in diagnostic samples of acute myeloid leukemia patients due to acquired uniparental disomy

Authors
Dubois, V
Sloan-Béna, F
Cesbron, A
Hepkema, B G
Gagne, K
Gimelli, S
Heim, D
Tichelli, A
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Published in Leukemia. 2012, vol. 26, no. 9, p. 2079-85
Abstract Although acquired uniparental disomy (aUPD) has been reported in relapse acute myeloid leukemia (AML), pretransplant aUPD involving chromosome 6 is poorly documented. Such events could be of interest because loss of heterozygosity (LOH) resulting from aUPD in leukemic cells may lead to erroneous results if HLA typing for hematopoietic stem cell donor searches is performed on blood samples drawn during blastic crisis. We report here six AML patients whose HLA typing was performed on DNA extracted from peripheral blood obtained at diagnosis. We observed LOH involving the entire HLA region (three patients), HLA-A, B, C (two patients) and HLA-A only (one patient). An array-comparative genomic hybridization showed that copy number was neutral for all loci, thus revealing partial aUPD of chromosome 6p21. When HLA typing was performed on remission blood samples both haplotypes were detected. A 3-4% LOH incidence was estimated in AML patients with high blast counts. Based on DNA mixing experiments, we determined by PCR sequence-specific oligonucleotide hybridization on microbeads arrays a detection threshold for HLA-A, B, DRB1 heterozygosity in blood samples with <80% blasts. Because aUPD may be partial, any homozygous HLA result should be confirmed by a second typing performed on buccal swabs or on blood samples from the patient in remission.
Keywords AdultComparative Genomic HybridizationDiagnosis, DifferentialFemaleHLA Antigens/immunologyHistocompatibility TestingHumansLeukemia, Myeloid, Acute/diagnosis/genetics/immunologyMaleMiddle AgedUniparental Disomy/genetics
Identifiers
PMID: 22488219
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Article (Published version) (498 Kb) - public document Free access
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Research groups Transplantation Immunologie et Osteoimmunologie (561)
Compatibilité tissulaire et transplantation clinique (562)
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DUBOIS, V et al. Pretransplant HLA mistyping in diagnostic samples of acute myeloid leukemia patients due to acquired uniparental disomy. In: Leukemia, 2012, vol. 26, n° 9, p. 2079-85. https://archive-ouverte.unige.ch/unige:29052

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Deposited on : 2013-08-06

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