Journal List > J Korean Soc Transplant > v.29(2) > 1034478

Lee and Oh: Luminex-based Immunoassay for Organ Transplantation

Abstract

Development of luminex-based solid phase assays enables advanced measurement of HLA antibody with sensitivity, specificity, and increasing knowledge of unacceptable antigens. In this review, we described the principle of the luminex-based assay and its current applications for organ transplantation including C1q assay, calculated panel reactive antibody, and virtual cross-matching. We also discussed the technical aspects and limitations for clinical utilization. The variables related to measurement of HLA antibody specificities and their clinical relevance remain unclear, therefore the interpretation of results requires compre-hensive knowledge and clinical information in critical cases.

References

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Table 1.
Characteristics of three beads for luminex-based HLA antibody tests
  Pooled antigen bead Single patient phenotype (identification) bead Single antigen bead
Clinical utility Screening Identification of antigen specificity, % PRA Identification of allele specificity
Relative antigen density Low Intermediate High
Antigen composition per bead Class I or II phenotype of several individuals Class I or II phenotype of one individual Single allelic HLA antigen
Resolution + +++
Result Positive/negative Identification Identification
    % PRA Unacceptable antigen
      % cPRA/ C1q binding

Abbreviations: PRA, panel reactive antibody; cPRA, calculated panel reactive antibody; HLA, human leukocyte antigen.

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