Evidence map›Paper›PMID 33068062›Full record

ArticleHLA2021

Development of an immunogenicity score for HLA-DQ eplets: A conceptual study.

Lara Schawalder, Gideon Hönger, Marc Kleiser, Michelle R van Heck, Loes A L van de Pasch, Sanne Vendelbosch, Erik H Rozemuller, Stefan Schaub

Abstract read
In one paragraph

Article in HLA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Article
  5. A Short History of B-Cell HLA Epitopes.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2024
    Review
  6. Belatacept with time-limited tacrolimus coimmunosuppression modifies the 3-year risk of eplet mismatch in kidney transplantation.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2024
    Article
  7. Article
  8. Article
  9. High-Risk HLA-DQ Mismatches Are Associated With Adverse Outcomes After Lung Transplantation.Transplant international : official journal of the European Society for Organ Transplantation · 2024
    Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Lara SchawalderClinic for Transplantation Immunology and Nephrology, University Hospital Basel, Basel, Switzerland.
Gideon HöngerClinic for Transplantation Immunology and Nephrology, University Hospital Basel, Basel, Switzerland.ORCID 0000-0003-1661-2661
Marc KleiserHLA-Diagnostics and Immungenetics, Department of Laboratory Medicine, University Hospital Basel, Basel, Switzerland.
Michelle R van HeckGenDX, Utrecht, The Netherlands.
Loes A L van de PaschGenDX, Utrecht, The Netherlands.
Sanne VendelboschGenDX, Utrecht, The Netherlands.
Erik H RozemullerGenDX, Utrecht, The Netherlands.
Stefan SchaubClinic for Transplantation Immunology and Nephrology, University Hospital Basel, Basel, Switzerland.ORCID 0000-0002-9170-1341

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Eplets are defined as distinct amino acid configurations on the surface of HLA molecules. The aim of this study was to estimate the immunogenicity of HLA-DQ eplets in a cohort of 221 pregnancies with HLA-DQ mismatches. We defined the immunogenicity of an eplet by the frequency of antibody responses against it. Around 90% of all listed DQB1 or DQA1 eplets were at least five times mismatched and thus included for the calculation of their immunogenicity. The DQB1 eplets with the five highest immunogenicity scores were 55PP, 52PR, 52PQ, 85VG and 45EV; 25% of all DQB1 eplets were not reacting. The DQA1 eplets with the five highest immunogenicity scores were 25YS, 47QL, 55RR, 187T and 18S; 17% of all DQA1 eplets were not reacting. The immunogenicity score had a slightly higher area under the curve to predict development of child-specific antibodies than various molecular mismatch scores (eg, eplet mismatch load, amino acid mismatch load). Overlapping eplets were identified as a barrier to unambiguously assign the immunogenicity score based on HLA antibody reaction patterns. In this conceptual study, we explored the immunogenicity of HLA-DQ eplets and created a map of potentially immunogenic regions on HLA-DQ molecules, which requires validation in clinical transplant cohorts.

Indexed as

AntibodiesHLA-DQ AntigensAllelesFemaleHLA-DQ alpha-ChainsHLA-DQ beta-ChainsHumansPregnancyAntibodiesHLA-DQ alpha-ChainsHLA-DQ AntigensHLA-DQ beta-ChainsepletsHLA-DQimmunogenicity

Identifiers

PMID33068062
PMCPMC7756751

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.