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Protocol - Human Leukocyte Antigen (HLA) Genotyping - Assay

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Protocol Name from Source:

The Expert Review Panel has not reviewed this measure yet.

Availability:

Publicly available

Description:

This protocol includes instructions for drawing, processing and storing blood according to the Type 1 Diabetes Genetics Consortium (T1DGC) Manual of Operations. Human Leukocyte Antigen is measured by using the linear array genotyping system method.

Protocol:

The protocol for blood collection and processing is found in the Type 1 Diabetes Genetics Consortium Blood Collection and Processing Manual of Operations ([alink[T1DGC-MOOP.pdf|T1DGC Manual of Operations]]). The protocol for the extraction of DNA from whole blood is found in Rosinger et al. 2010. The protocol for human leukocyte antigen genotyping is found in Mychaleckyj et al 2010. Please note that the immobilized linear arrays used to genotype the samples were provided by Roche Molecular Systems and are not commercially available.

The following is a summary version of the full Type 1 Diabetes Genetics Consortium protocols. It is not intended to replace the actual protocols listed above.

Venipuncture / Blood Collection Procedures

Editor's Note: Please review chapter VI of the Type 1 Diabetes Genetics Consortium Blood Collection and Processing Manual of Operations ([alink[Chapter6-Blood_Collection_and_Processing.pdf|T1DGC Manual of Operations - Chapter VI]]) for a full description of Phlebotomy procedures.

General steps:

  • Blood is collected from the best available vein.
  • Blood for DNA analysis should be collected in a 4.9-mL purple top tube (EDTA)
  • The tubes are handled in a way that prevents hemolysis
  • The tube contents are mixed by inverting eight times
  • Record date and time of blood collection
  • Record the reason why a blood sample was not collected.

Blood Processing

Editor's Note: Please review chapter VI of the Type 1 Diabetes Genetics Consortium Blood Collection and Processing Manual of Operations ([alink[Chapter6-Blood_Collection_and_Processing.pdf|T1DGC Manual of Operations - Chapter VI]]) for a full description of Blood Processing procedures.

  • The sample is placed in an ice and water bath. Incubate the sample between 30 and 60 minutes.
  • Do not let any of the samples stand in direct sunlight or at extreme temperatures.
  • The sample is centrifuged, to separate the plasma from the cells.
  • The plasma is pipetted away from the sample without disturbing the cell pack.
  • The cell pack is shipped at ambient temperature to the DNA repository for DNA extraction.

DNA Extraction from Whole Blood

Please review Rosinger et al., 2010 for the full description of the DNA extraction protocol.

  • DNA is isolated by a modified salting out procedure or by cholorform extraction
  • DNA concentration is determined by fluorescence using a double-stranded DNA quantification reagent.
  • DNA quality is confirmed by comparison to an appropriate standard (ladder) on an agarose gel.

Laboratory Assay for Human Leukocyte Antigen

Please review Mychaleckyj et al., 2010 for a full description of the HLA genotyping methods. Please note that the immobilized linear arrays used to genotype the samples were provided by Roche Molecular Systems and are not commercially available.

  • DNA (5 ug total: 250 ul at 20ng/uL) is shipped to the HLA genotyping laboratory in screw top tubes.
  • Each human leukocyte antigen region is amplified from 60 ng of genomic DNA by polymerase chain reaction (PCR) on a separate 96 well plate according to standardized protocol (see Mychaleckyj et al., 2010 for details of the polymerase chain reaction reaction)
  • Polymerase chain reaction products are hybridized to oligonucleotide probes attached to nylon-backed membranes. The probes correspond to specific human leukocyte antigen DNA sequences. (Please note that the immobilized linear arrays used to genotype the samples were provided by Roche Molecular Systems and are not commercially available.)
  • Hybridized probes are visualized and assigned a genotype by software.

Personnel and Training Required

Phlebotomist

Laboratory capable of performing linear array genotyping

Equipment Needs

Phlebotomy supplies

Requirements

Requirement CategoryRequired
Average time of greater than 15 minutes in an unaffected individualNo
Major equipmentYes
Specialized requirements for biospecimen collectionNo
Specialized trainingYes

Mode of Administration

Health Professional

Life Stage:

Toddler, Child, Adult

Specific Instructions:

The PhenX Infectious Diseases and Immunity Working Group would like to note that the science of HLA matching is rapidly advancing and evolving and multiple methods for HLA assays are available.

To aid in comparability, the Infectious Diseases and Immunity Working Group recommends that the investigator record the make and manufacturer of equipment used and the repeatability and coefficients of variation for the assay.

Please also note that the immobilized linear arrays used to genotype the samples were provided by Roche Molecular Systems and are not commercially available.

Research Domain Information

Release Date:

November 12, 2010

Definition

A bioassay to obtain the specific allelic genotypes of several of the human leukocyte antigens, whose genes reside on chromosome 6p within the Major Histocompatibility Region (MHC).

Purpose

The measure determines the alleles/single nucleotide polymorphisms that are present in the human leukocyte antigen regions of chromosome 6 to assess the major histocompatability system. The genetic variation within the human leukocyte antigen region determines the person's immune response and has been tied to specific autoimmune disorders such as Graves' disease and Hashimoto's thyroiditis, as well as other diseases such as multiple sclerosis, ankylosing spondylitis, and type 1 diabetes. This assay is similar to the genotyping performed in genome wide association studies but captures much more of the genetic variation within the human leukocyte antigen region than would be covered with "tag" single nucleotide polymorphisms.

Selection Rationale

The Type 1 Diabetes Genetic Consortium protocol was selected as the best standardized methodology for blood collection, processing and storage for the human leukocyte antigen genotyping assay. This protocol was used to genotype HLA-A, B, C, DRB1, DQ and DP loci in over 15,000 study participants between four different laboratory over five years.

Language

English

Standards

StandardNameIDSource
Common Data Elements (CDE)HLA-A Gene Genotyping Allele Count2693490CDE Browser
Common Data Elements (CDE)HLA-B Gene Genotyping Allele Count2693496CDE Browser
Common Data Elements (CDE)HLA-C Gene Genotyping Allele Count2693498CDE Browser
Common Data Elements (CDE)HLA-DPA1 Gene Genotyping Allele Count2704192CDE Browser
Common Data Elements (CDE)HLA-DPB1 Gene Genotyping Allele Count2693520CDE Browser
Common Data Elements (CDE)HLA-DQA1 Gene Genotyping Allele Count2704165CDE Browser
Common Data Elements (CDE)HLA-DQB1 Gene Genotyping Allele Count2693516CDE Browser
Common Data Elements (CDE)HLA-DRB1 Gene Genotyping Allele Count2693500CDE Browser
Common Data Elements (CDE)HLA-DRB3 Gene Genotyping Allele Count2705042CDE Browser
Common Data Elements (CDE)HLA-DRB4 Gene Genotyping Allele Count2704113CDE Browser
Common Data Elements (CDE)HLA-DRB5 Gene Genotyping Allele Count2704130CDE Browser
Logical Observation Identifiers Names and Codes (LOINC)Assay human leukocyte antg (HLA) proto62875-0LOINC

Process and Review

The Expert Review Panel has not reviewed this measure yet.

Source

NIH. NIDDK. Type 1 Diabetes Genetics Consortium Manual Of Operations. Blood Collection and Processing.

Silke Rosinger, Sarah Nutland, Eric Mickelson, Michael D Varney, Bernard O Boehm, Gary J Olsem, John A Hansen, Ian Nicholson, Joan E Hilner, Letitia H Perdue, June J Pierce, Beena Akolkar, Concepcion Nierras, Michael W Steffes and T1DGC. Collection and processing of whole blood for transformation of peripheral blood mononuclear cells and extraction of DNA: the Type 1 Diabetes Genetics Consortium. Clinical Trials. 2010; 7: S65-S74.

Josyf C Mychaleckyj, Janelle A Noble, Priscilla V Moonsamy, Joyce A Carlson, Michael D Varner, Jeff Post, Wolfgang Helmberg, June J Pierce, Persia Bonella, Anna Lisa Fear, Eva Lavant, Anthony Louey, Sean Boyle, Julie A Lane, Paul Sali, Samuel Kim, Rebecca Rappner, Dustin T Williams, Letitia H Perdue, David M Reboussin, Brian D Tait, Beena Akolkar, Joan E Hilner, Michael W Steffes, Henry A Erlich and T1DGC. HLA genotyping in the international Type 1 Diabetes Genetics Consortium. Clinical Trials. 2010; 7: S75-S87.

General References

None

Protocol ID:

160601

Variables:

Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX160601_Date_Of_Blood_Collection_MonthPX160601010100Date of blood Collection - month4N/A
PX160601_Date_Of_Blood_Collection_DayPX160601010200Date of blood Collection - day4N/A
PX160601_Date_Of_Blood_Collection_YearPX160601010300Date of blood Collection - year4N/A
PX160601_Time_Of_Blood_Collection_HourPX160601020100Time of blood collection - hour4N/A
PX160601_Time_Of_Blood_Collection_MinutesPX160601020200Time of blood collection - minutes4N/A
PX160601_Time_Of_Blood_Collection_AMPMPX160601020300Time of blood collection - am or pm4N/A
PX160601_Blood_Draw_DonePX160601030000Was blood drawn?4Variable Mapping
PX160601_Blood_Draw_SamplePX160601030100Was full amount obtained?4Variable Mapping
PX160601_Blood_Draw_CommentsPX160601030200Record any comments about the blood draw, including any reasons for the tube not being drawn according to the protocol.4Variable Mapping
PX160601_Sample_CommentsPX160601040000Record any comments about the sample during processing.4Variable Mapping
PX160601_DNA_ConcentrationPX160601050000DNA concentration4N/A
PX160601_DNA_QualityPX160601060000Enter comments to describe DNA quality4N/A
PX160601_HLA_Assay_TypePX160601070000Record the type of assay used for HLA testing.4N/A
PX160601_Equipment_MakePX160601080100Make of the equipment used to perform the HLA assay.4N/A
PX160601_Equipment_ManufacturerPX160601080200Manufacturer of the equipment used to perform the HLA assay.4N/A
PX160601_Assay_RepeatabilityPX160601090000Repeatability of the assay4N/A
PX160601_Coefficient_Of_VariationPX160601100000Coefficient of variation for the assay4N/A
PX160601_Genotyping_ResultsPX160601110000Results of the genotyping assay4N/A