Table 1.

HLA typing techniques and resulting resolution

MethodologyApproachInterpretationResolutionApplicationResults
Serology Cellular assay based on complement fixation by HLA-specific antibodies Cell death—yes/no Low Family screening
Null allele confirmation 
A2, A24 
Sequence-specific primers (PCR-SSP) HLA sequence-specific PCR primers Amplification—yes/no Low to high, dependent on DNA sequence coverage Family screening
Verification typing 
Low—A*02:XX, A*24:XX or A*02AB, A*24:BC
High—A*0201g, A*24:02g 
Sequence-specific oligonucleotide probes (PCR-SSOP) HLA sequence-specific oligonucleotide probes that bind to polymorphic sequences of amplified DNA Probe binding—yes/no Low to high depending on DNA sequence coverage Family screening
Verification typing 
Low—A*02:XX, A*24:XX or A*02AB, A*24:BC
High—A*02:01G, A*24:02G 
Sanger sequence-based typing (SBT) HLA amplicon sequencing using base termination Base pair reads and consensus alignment High to allele level depending on coverage All High—A*02:01G, A*24:02G
Allele—A*02:01:01:03, A*24:02:01:01 
Next-generation sequencing (NGS) Multiple platforms, based on massive parallel sequencing reactions Base pair calling and consensus alignment High to allele-level depending on coverage All High—A*02:01G, A*24:02G
Allele—A*02:01:01:03, A*24:02:01:01 
MethodologyApproachInterpretationResolutionApplicationResults
Serology Cellular assay based on complement fixation by HLA-specific antibodies Cell death—yes/no Low Family screening
Null allele confirmation 
A2, A24 
Sequence-specific primers (PCR-SSP) HLA sequence-specific PCR primers Amplification—yes/no Low to high, dependent on DNA sequence coverage Family screening
Verification typing 
Low—A*02:XX, A*24:XX or A*02AB, A*24:BC
High—A*0201g, A*24:02g 
Sequence-specific oligonucleotide probes (PCR-SSOP) HLA sequence-specific oligonucleotide probes that bind to polymorphic sequences of amplified DNA Probe binding—yes/no Low to high depending on DNA sequence coverage Family screening
Verification typing 
Low—A*02:XX, A*24:XX or A*02AB, A*24:BC
High—A*02:01G, A*24:02G 
Sanger sequence-based typing (SBT) HLA amplicon sequencing using base termination Base pair reads and consensus alignment High to allele level depending on coverage All High—A*02:01G, A*24:02G
Allele—A*02:01:01:03, A*24:02:01:01 
Next-generation sequencing (NGS) Multiple platforms, based on massive parallel sequencing reactions Base pair calling and consensus alignment High to allele-level depending on coverage All High—A*02:01G, A*24:02G
Allele—A*02:01:01:03, A*24:02:01:01 

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