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Blood, 15 March 2008, Vol. 111, No. 6, pp. 3286-3294.
Prepublished online as a Blood First Edition Paper on January 4, 2008; DOI 10.1182/blood-2007-10-118950.
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Submitted October 22, 2007
Accepted December 19, 2007
Identification of human minor histocompatibility antigens based on genetic association with highly parallel genotyping of pooled DNA
Takakazu Kawase, Yasuhito Nanya, Hiroki Torikai, Go Yamamoto, Makoto Onizuka, Satoko Morishima, Kunio Tsujimura, Koichi Miyamura, Yoshihisa Kodera, Yasuo Morishima, Toshitada Takahashi, Kiyotaka Kuzushima, Seishi Ogawa, and Yoshiki Akatsuka*
Division of Immunology, Aichi Cancer Center Research Institute, Nagoya, Japan
Departments of Hematology/Oncology, Graduate School of Medicine, University of Tokyo, Tokyo, Japan
The 21st century COE Program, Graduate School of Medicine, University of Tokyo, Tokyo, Japan
Department of Genetic Information, Division of Molecular Life Science, Tokai University School of Medicine, Isehara, Japan
Department of Microbiology and Immunology, Hamamatsu University School of Medicine, Hamamatsu, Japan
Core Research for Evolution Science and Technology, Japan Science and Technology Agency, Saitama, Japan
Division of Hematology, Japanese Red Cross Nagoya First Hospital, Nagoya, Japan
Department of Hematology and Cell Therapy, Aichi Cancer Center Hospital, Nagoya, Japan
Aichi Comprehensive Health Science Center, Aichi Health Promotion Foundation, Chita-gun, Japan
* Corresponding author; email: yakatsuk{at}aichi-cc.jp.
Minor histocompatibility (H) antigens are the molecular targets of allo-immunity responsible both for the development of anti-tumor effects and for graft-versus-host disease (GVHD) in allogeneic hematopoietic stem cell transplantation (allo-HSCT). However, despite their potential clinical use, our knowledge of human minor H antigens is largely limited by the lack of efficient methods of their characterization. Here we report a robust and efficient method of minor H gene discovery that combines whole genome association scans (WGAS) with cytotoxic T-lymphocyte (CTL) assays, in which the genetic loci of minor H genes recognized by the CTL clones are precisely identified using pooled-DNA analysis of immortalized lymphoblastoid cell lines with/without susceptibility to those CTLs. Using this method, we have successfully mapped two loci: one previously characterized (HMSD encoding ACC-6), and one novel. The novel minor H antigen encoded by the BCL2A1 was identified within a 26 kb linkage disequilibrium block on chromosome 15q25, which had been directly mapped by WGAS. The pool size required to identify these regions was no more than 100 individuals. Thus, once CTL clones are generated, this method should substantially facilitate discovery of minor H antigens applicable to targeted allo-immune therapies and also contribute to our understanding of human allo-immunity.

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