Gaurav Prakash M.D. Profile picture
May 4, 2023 7 tweets 4 min read Read on X
How to read an HLA report?
A thread 🧵✍️on understating HLA typing for BMT

Key slides from my talk at #ISBMT Annual Meeting
(1/7) @IsbmtU @ASTCT @ASTCT_Journal @ISMPOofficial @ishbtHematology Image
➡️Usually, a high resolution HLA typing is done for finding a donor for BMT.
➡️It employs Next generation sequencing.
As a result the report comes in form of a combination of many letters and numbers.
This slides explains 4 major fields of HLA report
(2/7) Image
The last two suffixes in HLA nomenclature, in this case 02: 14, are not used for HLA matching in routine clinical practice.

Their interpretation is as follows.
(3/7) Image
What do we understand by "low resolution typing"?
(4/7) Image
and what is a high resolution typing?
(5/7) Image
The last point is a bit complex:- it is direction of HLA mismatch.
➡️A mismatch in graft vs host direction increases risk of GVHD
➡️A mismatch in host vs graft direction increases risk of graft loss.
(6/7) Image
Ending this thread🧵 with tributes to these 3 eminent scientists who discovered HLA and revolutionized the field of immunology and BMT.
They were awarded Nobel prize for medicine in 1980.
(7/7) 🙏 Image

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More from @DrGPrakash

Feb 5, 2021
A chemo-port is always an intriguing device for people not trained in the field of Oncology.
It is simple implantable device which is used to deliver IV therapies of various kinds with ease and safety to a patient
It looks just like a mini stethoscope :) 🩺 (1/n)
A chemo-port has 3 parts
1- A well/chamber ( an area where a special Huber needle is inserted and drug is delivered)
2- A diaphragm ( usually self sealing thick silicon membrane)
3- A sialistic tubing which is inserted in a large cervico-thoracic vein (2/n)
It is inserted after a minor surgical procedure and the chamber is fixed to the underlying tissue with non absorbable sutures. The whole device remains under the skin and nothing remains visible.
The following image shows the position of a port and a needle in use (3/n)
Read 8 tweets
Feb 28, 2020
1- TP53 a mediator of stress response and guards the genome from stress related changes of various kind
2- TP 53 mutation status in various tumors. The mutated allele frequencies are higher than we expect them to be
3-Apart from FISH and sequencing, microarray can also detect TP 53 mutation
Read 7 tweets

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