UK NEQAS and BSHI guideline: Laboratory testing and clinical interpretation of HLA genotyping results supporting the diagnosis of coeliac disease

IF 2.3 4区 医学 Q3 GENETICS & HEREDITY
Deborah Pritchard, Arthi Anand, Amy De'Ath, Helena Lee, Margaret Tracey Rees
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引用次数: 0

Abstract

Coeliac disease is a common immune-mediated inflammatory disorder caused by dietary gluten in genetically susceptible individuals. While the diagnosis of coeliac disease is based on serological and histological criteria, HLA-DQ genotyping can be useful, especially in excluding the diagnosis in patients who do not carry the relevant DQ heterodimers: DQA1*05 DQB1*02, DQB1*03:02 or DQA1*02 DQB1*02 (commonly referred to as DQ2.5, DQ8 and DQ2.2, respectively). External quality assessment results for HLA genotyping in coeliac disease have revealed concerning errors in HLA genotyping, reporting and clinical interpretation. In response, these guidelines have been developed as an evidence-based approach to guide laboratories undertaking HLA genotyping for coeliac disease and provide recommendations for reports to standardise and improve the communication of results.

英国 NEQAS 和 BSHI 指南:实验室检测和 HLA 基因分型结果的临床解释,以支持乳糜泻的诊断。
乳糜泻是一种常见的免疫介导的炎症性疾病,由遗传易感人群饮食中的麸质引起。虽然乳糜泻的诊断基于血清学和组织学标准,但 HLA-DQ 基因分型也很有用,尤其是在排除不携带相关 DQ 异源二聚体的患者的诊断时:DQA1*05 DQB1*02、DQB1*03:02 或 DQA1*02 DQB1*02(通常分别称为 DQ2.5、DQ8 和 DQ2.2)。针对乳糜泻 HLA 基因分型的外部质量评估结果显示,在 HLA 基因分型、报告和临床解释方面存在一些令人担忧的错误。为此,我们制定了本指南,以循证方法指导实验室进行乳糜泻的 HLA 基因分型,并为报告提供建议,以规范和改进结果的交流。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.70
自引率
0.00%
发文量
48
审稿时长
6-12 weeks
期刊介绍: The International Journal of Immunogenetics (formerly European Journal of Immunogenetics) publishes original contributions on the genetic control of components of the immune system and their interactions in both humans and experimental animals. The term ''genetic'' is taken in its broadest sense to include studies at the evolutionary, molecular, chromosomal functional and population levels in both health and disease. Examples are: -studies of blood groups and other surface antigens- cell interactions and immune response- receptors, antibodies, complement components and cytokines- polymorphism- evolution of the organisation, control and function of immune system components- anthropology and disease associations- the genetics of immune-related disease: allergy, autoimmunity, immunodeficiency and other immune pathologies- All papers are seen by at least two independent referees and only papers of the highest quality are accepted.
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