3 01-05-2016 Class II IgG


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UK NEQAS for H&I - SCHEME 3 - HLA ANTIBODY SPECIFICITY ANALYSIS CLASS II HLA ANTIBODY SPECIFICITY ANALYSIS OF 3 01/2016 DESPATCHED ON 26TH JANUARY 2016 HLA specificity for assessment DR17 DR18 Consensus Absent Absent 1.3% 1.3% % reported Lab no. spec tech MFI spec tech MFI 9 11 12 14 15 19 20 23 24 25 26 28 34 35 38 39 41 42 45 48 51 54 58 62 100 101 112 114 116 117 119 120 133 136 139 142 143 145 147 149 157 159 160 162 163 164 165 169 181 185 186 190 193 194 195 197 204 206 209 218 227 232 DR17 L > 5000 DR18 L > 5000 235 238 245 262 267 268 273 277 284 292 293 294 297 303 309 311 315 323 Technique : C = CDC; E = ELISA; F = Flow cytometry; L = Luminex; O = Other No. Reporting Spec Total Participants

1 80

< 2000 0 2000-5000 0 > 5000 1

1 80

< 2000 0 2000-5000 0 > 5000 1

DR4 Present 91.3% spec DR4 L DR4 L DR4 L

tech

MFI < 2000 < 2000 2000-5000

DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4

L L L L L L L L L L L L L L L L L L L L L L L L L EL L L L L L L L L

< 2000 < 2000 < 2000 2000-5000 < 2000 < 2000 < 2000 < 2000 < 2000 2000-5000 2000-5000 2000-5000 2000-5000 < 2000 < 2000 2000-5000 < 2000 < 2000 < 2000 < 2000 < 2000 < 2000 < 2000 2000-5000 < 2000 2000-5000 2000-5000,> 5000 2000-5000 < 2000 < 2000 < 2000 < 2000 < 2000 < 2000,2000-5000

DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4

L L L L L L L FEL L L L L L L

< 2000 2000-5000 < 2000 < 2000 < 2000 < 2000 2000-5000 2000-5000 < 2000 < 2000 < 2000 < 2000 2000-5000 < 2000

DR4

L

2000-5000

DR4 DR4 DR4 DR4 DR4

L L L L L

< 2000 < 2000 < 2000 < 2000 < 2000

DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4

L L L L L L L L L L L L L L L

< 2000 2000-5000 < 2000 < 2000 < 2000 2000-5000 2000-5000 < 2000 2000-5000 < 2000 < 2000 < 2000 < 2000 < 2000 < 2000

DR4

L

< 2000

DR7 Absent 1.3% spec

DR7

tech

L

MFI

DR8 Absent 1.3% spec

< 2000

DR8

73 80

< 2000 52 2000-5000 19 > 5000 1

1 80

< 2000 1 2000-5000 0 > 5000 0

tech

1 80

L

< 2000 0 2000-5000 0 > 5000 1

DQ7 Present 100.0% MFI spec DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 > 5000 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7

80 80

tech L L L L L L CL L L L L L L L L L L L L L L L L L L L L L L EL L L L L L L L L L L L L L L L L FEL L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L

< 2000 0 2000-5000 0 > 5000 79

MFI > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000

DQ8 Present 98.8% spec DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8

L L L L L L L L L L L L L L L L L L L L L L L L L L L L L EL L L L L L L L L L L L L L L L L FEL L L L L L L L L L L L L L L L

DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8

L L L L L L L L L L L L L L L L L

79 80

tech

< 2000 0 2000-5000 0 > 5000 78

> 5000 > 5000 > 5000 > 5000 > 5000 > 5000

DQ9 Present 98.8% spec DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9

L L L L L L L L L L L L L L L L L L L L L L L L L L L L L EL L L L L L L L L L L L L L L L L FEL L L L L L L L L L L L L L L L

> 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000

DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9

L L L L L L L L L L L L L L L L L

MFI > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000

79 80

tech

MFI > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000

< 2000 0 2000-5000 0 > 5000 78

UK NEQAS for H&I is operated by Velindre NHS Trust, a UKAS proficiency testing provider No 8351. © Confidential report; no data may be published without permission from UK NEQAS for H+I

NEQ-120 Issue 1 P 1 of 13 Effective Date 16/03/16

UK NEQAS for H&I - SCHEME 3 - HLA ANTIBODY SPECIFICITY ANALYSIS CLASS II HLA ANTIBODY SPECIFICITY ANALYSIS OF 3 01/2016 DESPATCHED ON 26TH JANUARY 2016

Lab no. 9 11 12 14 15 19 20 23 24 25 26 28 34 35 38 39 41 42 45 48 51 54 58 62 100 101 112 114 116 117 119 120 133 136 139 142 143 145 147 149 157 159 160 162 163 164 165 169 181 185 186 190 193 194 195 197 204 206 209 218

Techniques used IgG

Sample Treatment IgG

High Background

L L L L L L C, L L L L L L L L L L L L L L L L L L L L L C, L C, L EL L L L

None

No No No No No No No No Yes

EDTA Heat Inactivation, EDTA EDTA EDTA wash buffer EDTA None EDTA, Adsorption beads EDTA EDTA None EDTA None EDTA EDTA wash buffer None EDTA EDTA, Adsorption beads Heat Inactivation Adsorption beads EDTA None None None None EDTA None None EDTA EDTA None

L L L L L L

None EDTA None None

L L L L L L F, E, L L L L L L L L L L L L C, L L

EDTA None Adsorption beads EDTA EDTA None Dilution Dilution None EDTA None EDTA None DTT None None EDTA EDTA EDTA Heat Inactivation

No No No No No No No No No Yes No No No No No No No No Yes No

Yes No No No No

No No No No No

Allele Specific Antibodies

Luminex kit (lot)

Cut-off value

IgG

IgG

IgG

LS2A01 LS2A01 LS2A01 LS2A01 LS2A01 LS2A01 LS2A01 LS2A01 LS2A01 LS2A01 LS2A01 LS2A01 LS2A01 LS2A01 LS2A01 LS2A01 LS2A01 LS2A01 LS2A01

500 500 500 1500 1000 1000 500 1000 1000 1000 1000 500 660 1000 1840 2000

LS2A01 LS2A01 LS2A01 LS2A01 LSAII LS2A01 LSAII LS2A01 LS2A01 LS2A01 LS2A01 LS2A01 LSAII

800 750 1000 1000 1072 1000

LS2A01 LS2A01 LS2A01 LS2A01 LS2A01 LS2A01

DPB1*14:01

DRB1*04:04

DQA1*03:01, 03:02, 05:03, 05:05, 06:01

DRB1*04:01, 04:02, 04:03, 04:05 DQB1*03:01, 03:02, 03:03 DQA1*03:01, 03:02, 05:03, 05:05, 06:01

MICA = positive

No

Control bead MFI Positive

Control bead MFI Negative

9000 76 12279 12892 12790.03 14931 10515 10819 12973 17457 10330 10836 12450 13524 11382 13913 12138 10160 13180

273 6261 329 139 15.23 115 117 63 50 955 132 180.87 90 242 116 69 91 62 132

11073 14177 12135 14839 15927 10615 20316 16204 8227 11726 7147 11251 16536

169 118 206 128 107 130 230 44 71 148 44 87 74

1000 1000 1000 1000 1000 1500

11485 11990 9329 12306 13273 9784

90 103 106 104 245 75

LS2A01 LS2A01 LS2A01 LS2A01 LS2A01 LS2A01 LS2A01

1000 1500 1000 1000 1500 1500 110

11400 9928 10700 13100 15037 17310 15049

61.5 182 72 75 234 144 136

LS2A01 LSAII LSM12 LS2A01 LS2A01 LS2A01 LS2A01

500 1000 1000 1000

12230 18820 13547 10500 10624

97 110 333 111 76

1400

15300

105

LS2A01 LS2A01 LS2A01 LSAII

1000 1000 500

12133 10925 3000 14937

93 80 500 95

9191 14540 19064 13571 17858 19725 16670 12016 8288 10006 13379 10429 16352 9795 8838 18000 12552 10475 13919

37 396

1000 1500

1000 1000 500 1000 500

Luminex kit (lot)

Cut-off value

IgG

IgG

Control bead MFI Positive

Control bead MFI Negative

LSM12 LSM12

2.5 3

176 17010

7546 587

LS2PRA

1000

14749.84

254.85

LS2PRA LSAII

1000 1500

17069 19247

2442 108

LSAII

1541

17274

108

LSM12 LSM12

350 3

12939 11820

120 158

LSM12

12356

306

LSM12

1.5

12737

62

LSM12

6

12203

180

LSM12 LSM12

1.5/1.2 5

7991 9326

49 29

LSM12

3

19600

468

LM2 LSA I&II

1000

22607 19256

38 95

LSM12

1000

8096

348

LMX LM2

1000

20574

78/99/123

LSM12 LSM12 LS2PRA

3 2.5 500

10258 12155 10429

87 78 18

Luminex kit (lot)

Cut-off value

Control bead MFI Negative

Cut-off value

IgG

Control bead MFI Positive

Luminex kit (lot)

IgG

IgG

IgG

LSAII

default

19623

107

LMX

LSAII

12999

113

LMX

Control bead MFI Positive

Control bead MFI Negative

18768

16683

DQA1*03:02, 05:03, 05:05, 06:01 No No No No

No No No No

DRB1*04:01, 04:02, 04:03, 04:05 DQB1*03:01, 03:02, 03:03 227 L Dilution, EDTA No 232 L None No DQA1*03:01, 03:02, 05:03, 05:05, 06:01 235 L DTT, Adsorption beads Yes 238 L None No 245 L EDTA No 262 L None No 267 L None No 268 C, L None No 273 L None No 277 L EDTA No 284 L EDTA No 292 L No DQA1*03:02, 05:03, 05:05, 06:01 293 L None 294 L None 297 L EDTA No 303 L EDTA No 309 L None No 311 L EDTA No 315 L EDTA No 323 L EDTA No Technique : C = CDC; E = ELISA; F = Flow cytometry; L = Luminex; O = Other

LS2A01 LS2PRA LSAII LS2A01 LSAII LSAII LSAII LS2A01 LS2A01 LS2A01 LS2A01 LS2A01 LSAII LS2A01 LS2A01 LSAII LS2A01 LS2A01 LS2A01

1000 500 1000/500 AD BCR >5 BCM >700 1500 1717 500 1000 500 500 1500 1000 900 1500 2000 1000

154 116 115 113 195 71 64 81 18

LMX

156 90 109 139 779 49

UK NEQAS for H&I is operated by Velindre NHS Trust, a UKAS proficiency testing provider No 8351. © Confidential report; no data may be published without permission from UK NEQAS for H+I

NEQ-120 Issue 1 P 2 of 13 Effective Date 16/03/16

UK NEQAS for H&I - SCHEME 3 - HLA ANTIBODY SPECIFICITY ANALYSIS CLASS II HLA ANTIBODY SPECIFICITY ANALYSIS OF 3 02/2016 DESPATCHED ON 26TH JANUARY 2016 HLA specificity for assessment DR1 DR103 Consensus Not Assessed Not Assessed 11.3% 18.8% % reported Lab no. spec tech MFI spec DR103 9 11 DR103 12 14 15 19 DR103 20 23 DR103 24 25 26 DR103 28 DR103 34 35 38 39 41 DR103 42 45 48 DR103 51 DR103 54 58 62 DR1 L < 2000 100 101 DR1 L < 2000 112 DR103 114 116 DR103 117 119 DR103 120 DR1 L < 2000 133 136 139 142 143 145 147 DR1 L < 2000 149 157 159 160 162 163 164 165 169 DR103 181 185 186 190 193 194 195 197 204 206 DR103 209 DR1 L < 2000 218 227 232 235 DR1 L < 2000 238 DR103 245 262 DR1 L < 2000 267 268 273 277 284 292 293 DR1 L < 2000 294 297 303 DR1 L 2000-5000 309 311 315 323 Technique : C = CDC; E = ELISA; F = Flow cytometry; L = Luminex; O = Other No. Reporting Spec Total Participants

9 80

< 2000 8 2000-5000 1 > 5000 0

15 80

L

tech

MFI < 2000

L

< 2000

L

< 2000

L

< 2000

L L

< 2000 < 2000

DR16 Not Assessed 13.8% spec

< 2000

L L

< 2000 < 2000

L

< 2000

L

< 2000

L

< 2000

MFI

DR17

L

L

< 2000

DR16

L

< 2000

L

L

L

L

L

< 2000

< 2000

F

DR18

F

< 2000

< 2000 DR16

< 2000 15 2000-5000 0 > 5000 0

L

DR18

DR17

L

< 2000 DR18

tech

L

< 2000

DR16

L

< 2000

DR16 DR16

L L

2000-5000 < 2000

< 2000

DR16

L

< 2000

DR16

L

2000-5000

11 80

< 2000 9 2000-5000 2 > 5000 0

MFI

< 2000

< 2000

< 2000

DR16

DR16

L

L

MFI

DR18

DR16

L

tech

DR18 Not Assessed 6.3% spec

DR18

DR16

L

tech

DR17 Absent 2.5% spec

2 80

< 2000 1 2000-5000 0 > 5000 0

5 80

< 2000 4 2000-5000 0 > 5000 0

< 2000

< 2000

DR4 Present 100.0% spec DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4 DR4

80 80

tech L L L L L L L L L L L L L L L L L L L L L L L L L L L L L EL L L L L L L L L L L L L L L L L FEL L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L

< 2000 1 2000-5000 16 > 5000 62

MFI > 5000 2000-5000 > 5000 > 5000 2000-5000 2000-5000 > 5000 > 5000 > 5000 > 5000 2000-5000 > 5000 2000-5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 2000-5000 2000-5000 2000-5000 > 5000 > 5000 > 5000 > 5000 > 5000 2000-5000 > 5000 > 5000 > 5000 > 5000 2000-5000,> 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 2000-5000 > 5000 > 5000 2000-5000 > 5000 > 5000 > 5000 > 5000 2000-5000 > 5000 > 5000 > 5000 2000-5000 > 5000 > 5000 2000-5000 2000-5000 > 5000 > 5000 > 5000 > 5000 2000-5000 < 2000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000

DR12 Not Assessed 6.3% spec

tech

MFI

DR7 Absent 5.0% spec

DR7

DR12

L

< 2000 DR7

DR7

DR12

L

< 2000

DR12

L

< 2000

DR12

L

< 2000

DR12

L

< 2000 DR7

5 80

< 2000 5 2000-5000 0 > 5000 0

4 80

tech

L

L

L

L

< 2000 3 2000-5000 1 > 5000 0

UK NEQAS for H&I is operated by Velindre NHS Trust, a UKAS proficiency testing provider No 8351. © Confidential report; no data may be published without permission from UK NEQAS for H+I

MFI

< 2000

DR8 Absent 1.3% spec

DR8

tech

L

MFI

DR9 Not Assessed 50.0% spec DR9 L

tech

MFI < 2000

< 2000 DR9

L

2000-5000

DR9

L

< 2000

DR9

L

< 2000

DR9

L

< 2000

DR9 DR9

L L

< 2000 < 2000

DR9 DR9

L L

2000-5000 < 2000

DR9 DR9

L L

< 2000 < 2000

DR9 DR9 DR9 DR9

L L L L

< 2000 < 2000 < 2000 2000-5000

DR9

L

< 2000

DR9 DR9 DR9 DR9 DR9

L L EL L L

2000-5000 < 2000 2000-5000 < 2000 < 2000

DR9

L

< 2000

DR9 DR9 DR9

L L FL

< 2000 < 2000 2000-5000

DR9

L

< 2000

DR9 DR9 DR9

L L L

< 2000 < 2000 < 2000

DR9

L

< 2000

DR9

L

< 2000

DR9

L

< 2000

DR9

L

< 2000

DR9 DR9 DR9 DR9

L L L L

< 2000 < 2000 < 2000 < 2000

DR9 DR9

L L

< 2000 < 2000

DR9

L

2000-5000

< 2000

2000-5000

< 2000

1 80

< 2000 1 2000-5000 0 > 5000 0

40 80

< 2000 33 2000-5000 7 > 5000 0

NEQ-120 Issue 1 P 3 of 13 Effective Date 16/03/16

UK NEQAS for H&I - SCHEME 3 - HLA ANTIBODY SPECIFICITY ANALYSIS CLASS II HLA ANTIBODY SPECIFICITY ANALYSIS OF 3 02/2016 DESPATCHED ON 26TH JANUARY 2016 HLA specificity for assessment DR51 DR53 Consensus Absent Absent 5.0% 3.8% % reported Lab no. spec tech MFI spec tech MFI 9 11 < 2000 DR53 L < 2000 12 DR51 L 14 15 19 < 2000 20 DR51 L 23 24 25 26 28 DR51 L 34 35 38 39 41 42 45 48 51 54 58 62 100 101 112 < 2000 DR53 L < 2000 114 DR51 L 116 117 119 120 133 136 139 142 143 145 147 149 157 159 160 162 163 164 165 169 181 185 186 190 193 194 195 197 204 206 209 218 227 232 235 238 245 262 267 268 273 277 284 DR53 L < 2000 292 293 294 297 303 309 311 315 323 Technique : C = CDC; E = ELISA; F = Flow cytometry; L = Luminex; O = Other 4 80

< 2000 3 2000-5000 0 > 5000 0

3 80

< 2000 3 2000-5000 0 > 5000 0

DQ5 Not Assessed 8.8% spec

tech

MFI

DQ6 Not Assessed 6.3% spec

tech

MFI

DQ2 Not Assessed 33.8% spec DQ2 L

tech

MFI < 2000

DQ5

L

< 2000 DQ6

L

< 2000 DQ2

L

2000-5000

DQ5

L

< 2000 DQ6

L

< 2000 DQ2 DQ2 DQ2

L L L

< 2000 < 2000 < 2000

DQ5

L

DQ2

L

DQ2

L

DQ5

L

< 2000

DQ5

L

< 2000 DQ6

L

DQ6

DQ5

L

DQ5

L

7 80

< 2000 6 2000-5000 0 > 5000 0

MFI > 5000

L L L L L L L L L L L L L L L

2000-5000 2000-5000 2000-5000 < 2000 2000-5000 < 2000 2000-5000 2000-5000 < 2000

tech

MFI > 5000 > 5000 > 5000 2000-5000 2000-5000 > 5000 2000-5000 > 5000 > 5000 2000-5000

MFI > 5000

L L L L L L L L L L L L L L L L

> 5000 > 5000 2000-5000 2000-5000 > 5000 > 5000 > 5000 > 5000 2000-5000

> 5000 > 5000

DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9 DQ9

< 2000

< 2000

< 2000 4 2000-5000 0 > 5000 0

tech

MFI < 2000

L

2000-5000

DQ7

L

2000-5000

DQ8

L

> 5000

DQ9

L

> 5000

DQ2 DQ2

L L

< 2000 < 2000

DQ7 DQ7 DQ7

L L L

2000-5000 2000-5000 > 5000

DQ8 DQ8 DQ8

L L L

> 5000 2000-5000 > 5000

DQ9 DQ9 DQ9

L L L

> 5000 2000-5000 > 5000

DQ4 DQ4 DQ4

L L L

> 5000 > 5000 > 5000

DQ7

L

2000-5000

DQ8

L

2000-5000

DQ9

L

2000-5000

DQ4

L

2000-5000

DQ8 DQ8 DQ8 DQ8 DQ8

L L EL L L

> 5000 > 5000 2000-5000 > 5000 > 5000

DQ9 DQ9 DQ9 DQ9

L L L L

> 5000 > 5000 > 5000 > 5000

DQ4 DQ4 DQ4 DQ4 DQ4

L L L L L

> 5000 > 5000 > 5000 2000-5000 > 5000

DQ8 DQ8 DQ8

L L L

> 5000 2000-5000 < 2000,2000-5000

DQ9 DQ9 DQ9

L L L

> 5000 2000-5000 < 2000,2000-5000

DQ4 DQ4 DQ4 DQ4 DQ4

L L L L L

2000-5000 > 5000 > 5000 > 5000 2000-5000

L L L L FL L

> 5000 2000-5000 > 5000 2000-5000 > 5000 2000-5000

2000-5000

L L L L L L L L L L L L L L L L

tech

DQ4 Not Assessed 70.0% spec DQ4 L

DQ2

2000-5000 < 2000 2000-5000

DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8

DQ9 Not Assessed 63.8% spec DQ9 L

DQ4 DQ4 DQ4 DQ4 DQ4 DQ4 DQ4 DQ4 DQ4 DQ4 DQ4 DQ4 DQ4 DQ4 DQ4 DQ4 DQ4 DQ4

< 2000

DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7 DQ7

DQ8 Not Assessed 68.8% spec DQ8 L

2000-5000 > 5000 > 5000

2000-5000 > 5000 > 5000 > 5000 > 5000

DQ2 DQ2 DQ2

L L L

< 2000 < 2000 2000-5000

DQ7 DQ7 DQ7

L L L

2000-5000 2000-5000 > 5000

DQ2

L

< 2000

DQ7

L

2000-5000

DQ7

L

< 2000,2000-5000

DQ7

L

< 2000

DQ7

L

< 2000

DQ8

L

2000-5000

DQ9

L

2000-5000

DQ7

L

> 5000

DQ8

L

> 5000

DQ9

L

> 5000

< 2000

F

5 80

tech

< 2000

L

DQ6

DQ7 Not Assessed 57.5% spec DQ7 L

L L L L L L L L L L L L L L L L L L

> 5000 > 5000 2000-5000 2000-5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 2000-5000 > 5000 > 5000 2000-5000 > 5000

DQ2 DQ2

FL L

2000-5000 < 2000

DQ7 DQ7

FL L

2000-5000 2000-5000

DQ8 DQ8

FL L

> 5000 > 5000

DQ9 DQ9

FL L

> 5000 > 5000

DQ4 DQ4 DQ4 DQ4 DQ4 DQ4

DQ2 DQ2 DQ2

L L L

2000-5000 < 2000 < 2000

DQ7 DQ7 DQ7 DQ7

L L L L

> 5000 2000-5000 < 2000 2000-5000

DQ9 DQ9 DQ9 DQ9

L L L L

> 5000 > 5000 2000-5000 > 5000

DQ4 DQ4 DQ4 DQ4

L L L L

> 5000 > 5000 2000-5000 > 5000

L L L

> 5000 < 2000 < 2000

DQ7 DQ7 DQ7

L L L

> 5000 < 2000 2000-5000

L L L L L L L L

> 5000 > 5000 2000-5000 > 5000

DQ2 DQ2 DQ2

DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8 DQ8

> 5000 2000-5000 > 5000

DQ9 DQ9 DQ9

L L L

> 5000 2000-5000 > 5000

DQ4 DQ4 DQ4

L L L

> 5000 2000-5000 > 5000

DQ2

L

2000-5000

DQ7

L

2000-5000

DQ8 DQ8 DQ8

L L L

> 5000 > 5000 > 5000

DQ9 DQ9

L L

> 5000 > 5000

DQ4 DQ4

L L

> 5000 2000-5000

DQ2

L

2000-5000

DQ7 DQ7

L L

2000-5000 2000-5000

DQ8 DQ8

L L

> 5000 2000-5000

DQ9

L

> 5000

DQ4

L

> 5000

DQ2

L

2000-5000

DQ7 DQ7

L L

2000-5000 2000-5000

DQ8 DQ8 DQ8

L L L

> 5000 > 5000 > 5000

DQ9 DQ9 DQ9

L L L

> 5000 > 5000 > 5000

DQ4 DQ4

L L

> 5000 > 5000

L L

2000-5000 2000-5000

DQ9 DQ9

L L

2000-5000 2000-5000

DQ4 DQ4

L L

> 5000 > 5000

DQ7

L

2000-5000

DQ8 DQ8

DQ2

L

< 2000

DQ7

L

2000-5000

DQ8

L

> 5000

DQ9

L

> 5000

DQ4 DQ4

L L

< 2000 2000-5000

DQ2

L

< 2000

DQ7

L

2000-5000

DQ8

L

> 5000

DQ9

L

> 5000

DQ4

L

> 5000

DQ8

L

2000-5000

DQ9

L

2000-5000

27 80

< 2000 17 2000-5000 8 > 5000 1

46 80

< 2000 8 2000-5000 29 > 5000 6

55 80

< 2000 0 2000-5000 16 > 5000 35

51 80

UK NEQAS for H&I is operated by Velindre NHS Trust, a UKAS proficiency testing provider No 8351. © Confidential report; no data may be published without permission from UK NEQAS for H+I

< 2000 0 2000-5000 13 > 5000 35

56 80

< 2000 2 2000-5000 15 > 5000 38

NEQ-120 Issue 1 P 4 of 13 Effective Date 16/03/16

UK NEQAS for H&I - SCHEME 3 - HLA ANTIBODY SPECIFICITY ANALYSIS CLASS II HLA ANTIBODY SPECIFICITY ANALYSIS OF 3 02/2016 DESPATCHED ON 26TH JANUARY 2016 Sample Treatment IgG

High Background

Lab no. 9 L 11 L

Techniques used IgG

Dilution

Yes No

12

L

EDTA

No

14 15

L L

Heat Inactivation, EDTA EDTA

No No

19 20

L C, L

EDTA wash buffer EDTA

No No

23

L

None

No

24

L

EDTA, Adsorption beads

Yes

25 26

L L

EDTA None

28

L

None

No

34 35 38

L L L

EDTA None EDTA

No

39

L

EDTA wash buffer

No

41

L

None

No

42

L

EDTA

45

L

EDTA, Adsorption beads

No

48

L

Heat Inactivation

No

51

L

54

L

Adsorption beads

Yes

58

L

EDTA

No

62

L

None

No

100

L

None

No

101

L

None

No

112

L

None

No

114

C, L

EDTA

No

116

C, L

Adsorption beads

Yes

117

EL

None

No

119

L

EDTA, Adsorption beads

Yes

120 133

L L

EDTA None

No

136

L

Yes

No

No

139

L

None

Yes

142 143 145 147 149 157

L L L L

EDTA None None None

No No No

L

EDTA

No

159

L

None

160 162

L L

Adsorption beads EDTA

No No

163

L

EDTA

No

164

L

None

165 169 181

F, E, L L L

Dilution

185

L

EDTA

No

186 190

L L

None EDTA

No No

193

L

No

None

None

No

194

L

DTT

195 197 204

L L L

Adsorption beads None EDTA

No

206 209 218 227

L C, L L L

EDTA EDTA Heat Inactivation Dilution, EDTA

No No No No

No

232

L

None

No

235 238 245 262 267 268 273

L L L L L C, L L

DTT, Adsorption beads None EDTA None Sera Clean None None

Yes No No No Yes No No

277

L

EDTA

No

Allele Specific Antibodies

Luminex kit (lot)

Cut-off value

IgG

IgG

IgG

Control bead MFI Positive

Control bead MFI Negative

DQA1*03:01, 03:02, 03:03 DQA1*03:01, 03:02, 03:03 DPB1*11:01, 13:01 DRB5*01:01 DQB1*05:02, 06:02 DQA1*03 has been interpreted as causing positivity seen against DQB1*02:01, 03:01, 03:02, 03:03, 04:01 DQA1*02:01 has been interpreted as causing positivity seen against DQB1*03:01, 03:03, 04:01, 04:02 DPB1*01:01, 03:01, 05:01, 06:01, 11:01, 13:01 DPB1*11, 13 DRB1*09:02 DQB1*04:01; DQA1*03:01, 03:02, 03:03 DPB1*11, 13 DQB1*04:01; DQA1*03:01, 03:02 DRB5*01:01 DQB1*04:01, 04:02, 05:02, 06:02; DQA1*01:01, 01:02, 02:01, 03:01, 03:02, 03:03, 04:01 DPB1*01:01, 11:01, 13:01; DPA1*02:01, 02:02 DQA1*03:01, 03:02, 03:03 DP11, 13 DRB1*09:02 DQB1*04:01; DQA1*03:01, 03:02, 03:03 DPB1*11, 13 DQA1*03:01, 03:02, 03:03 DQB1*04:01; DQA1*02:01, 03:01, 03:02 DPB1*11:01, 13:01 DRB5*01:01 DQB1*04:01, 05:02; DQA2, 3 DPB1, 5 DQB1*04:01; DQA1*03:01, 03:02, 03:03 DQA1*03:01, 03:02, 03:03 DQA1*03 DPB1*13:01 DQB1*04:01; DQA1*03:01, 03:02, 03:03 Possible abs detected against DPA/DPB heterodimers: DPA1*02:01, DPB1*13:01; DPA1*02:02, DPB1*11:01; DPA1*02:02, DPB1*13:01 DQA1*03 DPA1*02:01, DPB1*13:01; DPA1*02:02, DPB1*11:01; DPA1*02:02, DPB1*13:01 DQA1*03 DPB1*01:01, 13:01 DQB1*04:01; DQA1*03 DPB1*11, 13 DQB1*04:01 DQA1*03:01, 03:02, 03:03 DQA1*03:01, 03:02, 03:03 DPB1*11, 13 DQA*02, 03 DPB*01, 11, 13 DQA1*03 DPB11, 13 DQA1*03 DPB1*11, 13 Not listed corresponding DQB Abs (DQ4, DQ7, DQ8, DQ9) associated with DQA Abs as we can determine these DQ Abs as negative DQA1*03:01, 03:02 DRB1*09:02 DQB1*04:01; DQA1*03:01, 03:02, 03:03 DPB1*13 DRB1*16:02 DQA1*03:01 DQB1*05:02; DQA1*02:01, 03:01, 03:02, 03:03 DP1, 6, 11, 13 DQA03:01 DP11, 13 DQA1*03:01, 03:02, 03:03 DP11, 13; DPA1*02:02 DRB1*09:02 DQB1*04:01; DQA1*03:01, 03:02, 03:03 (we do not consider as positive the corresponding DQB1*03:01, 02:01, 03:02 and 03:03) DQB1*04:01; DQA1*03:01, 03:02, 03:03 DRB1*01:02, 16:02 DQA1*03:01 DQA1*03:01, 03:02, 03:03 DP11, 13 DQA1*03 DPB1*13 DP11, 13

LS2A01 LS2A01

500 500

7780 185

465 6168

LSM12

2.5

258

6812

LS2A01

500

13978

416

LSM12

3

14941

1151

LS2A01 LS2A01

1500 1000

13019 12052

83 79

LS2A01 LS2A01

1000 500

12359 13213

43 220

LS2A01

1000

11086

825

LS2A01

1000

12145

47

LS2PRA

1000

16512

1118

LS2A01 LS2A01

1000 1000

11216 9265

303 170

LSAII

1500

19876

178

LSAII

807

18438

174

DQB1*04:01; DQA1*03:03 Dqalpha 0301, 0302, 0303 DQA1*03:01 DQA1*03:01, 03:02, 03:03 DP11, 13 DQA1*03:01, 03:02, 03:03 DP11, 13 DQB1*04:01; DQA1*03:01, 03:02, 03:03 MICA = negative DRB1*09:02 DQA1*03 DP13 DQB1*04:01; DQA1*03 DPB1*11, 13 DP1, 11, 13 DQA1*03:01, 03:02, 03:03 DP11, 13 HLA typing of patient required to interpret HLA-DR1, 16, 12: these could be false positive results in the Immucor LSA test and LM2 Class II is not reactive for these antigens DQA1*03 DQA*03:02 DQA1*03 DPB1*11, 13 DQA1*03:01, 03:02, 03:03 DPB1*11:01, 13:01 DQA1*03:01, 03:02, 03:03 DPB1*11, 13 DQA1*03:01 DRB1*09:02 DQA1*03 DP13 DQA1*03:01, 03:02, 03:03 DQA1*03:01, 03:02, 03:03 DRB1*01:02, 04:01, 04:02, 04:03 ,04:05, 16:02 DQB1*04:01; DQA1*03:01, 03:02, 03:03 DPB1*11, 13 DQA1*02:01, 03:01, 03:02, 03:03 DP11, 13; DPA1*02:01, 02:02 DQA1*03 (without DQB) DQB1*05:02; DQA1*03:01, 03:02, 03:03 (in our protocol HLA-DQ2, DQ7, DQ8 and DQ9 wouldn't be assigned as present) DQA1*03 DQA1*03:01, 03:02

DRB1*09:02 DQA1*02:01, 03:01, 03:02, 03:03 DPB1*13:01/DPA1*02:01; DPB1*13:01, DPA1*02:02; DPB1*11:01/DPA1*02:02 DQA1*03:01, 03:02, 03:03 DPB1*13:01/DPA1*02:01; DPB1*13:01, DPA1*02:02; DPB1*11:01/DPA1*02:02 284 DQA1*03 DPB1*11:01, 13:01 292 L EDTA, Adsorption beads Yes DRB1*09:02 DQA1*03:01, 03:02, 03:03 293 L None DP11, 13 294 L None DQA*03 297 L EDTA No DQA1*03:01, 03:02, 03:03 DPB1*11:01, 13:01 303 L EDTA No DQB1*04:01; DQA1*03 DP11, 13 309 L None No DQA1*03:01, 03:02 (not listed DQB'S because they are negative) 311 L EDTA, Adsorption beads Yes DQB1*04:01; DQA1*03 DP11, 13 315 L EDTA No DQA*03:01, 03:02, 03:03 323 L EDTA No DP11, 13 Technique : C = CDC; E = ELISA; F = Flow cytometry; L = Luminex; O = Other

LS2A01

500

12371

652

LS2A01 LS2A01 LS2A01

1000 1000 1819

12626 13224 12323

66 107 543

LS2A01

1200

LS2A01

14024

32

10772

445

LS2A01

1000

10329

419

LS2A01

1500

12074

40

LS2A01

1100

13605

Luminex kit (lot)

Cut-off value

IgG

IgG

Control bead MFI Positive

Control bead MFI Negative

950

14052

35

LSM12

350

12181

405

LSM12

3

11266

451

LSAII

1000

13280

160

LS2A01

1000

14619

274

LSAII

470

14602

179

14310

544

LS2A01

1000

10667

41

LSAII

500

17793

240

LS2A01

1000

16563

359

LS2A01

1000

11752

32

LS2A01

500

11157

294

LS2A01

1000

LS2A01 LSAII

500

12258 15669

LS2A01

1000

12815

LSM12

LSM12

10475

376

LSM12

6

10369

59

10364 12721 13940 9208

403 338 453 65

LSM12 LSM12

1.5/1.2 5

7991 10593

49 92

LSM12

3

11824

428

1500

10794

323

LS2A01 LS2A01

1000 1000

11330 14591

47 293

LS2A01

1500

16350

338

LS2A01

1500

14537

55

LS2A01 LS2A01 LS2A01

16 1000 500

14665 14800 10557

317 259 257

LS2A01

1000 1000

Cut-off value

IgG

IgG

LSAII

default

20292

273

LMX

Control bead MFI Positive

Control bead MFI Negative

21826

LMX

20211

242

LS2A01

LSM12 LS2A01

Luminex kit (lot)

31

1000 1000 1000 1000 1500

LSAII

Control bead MFI Negative

386 181

LS2A01 LS2A01 LS2A01 LS2A01

12024

Control bead MFI Positive

1.5

LS2A01

1000

Cut-off value IgG

177

LS2A01

LS2A01

Luminex kit (lot) IgG

20138

172

LM2

21844

110

11649 19000

2318 575

LSA I&II

1000

19446

165

LSM12

1000

11154

306

LMX LM2

1000

20487

379/452/900

1000

12086

51

1400

12400

38

LMX

LS2A01 LS2A01 LS2A01

1000

12882

306

LS2A01 LS2A01 LSAII

1000 500

9198 3000 17174

161 500 427

LS2A01

10428

412

LS2PRA LSAII LS2A01 LSAII LSAII LSAII LS2A01

1000 500 1000/500 AD BCR >5 BCM >700 1500 1750

13445 15767 14657 18109 18849 16919 13207

348

LS2A01

500

10450

185

LS2A01

1000

11270

210 256 229 191 377

280

LSM12

3

10923

138

LS2A01

500

14166

98

LSM12

2.5

11660

595

LS2A01 LSAII LS2A01

500

10296 15630 9707

51

LS2PRA

500

10296

51

1500

453

LS2A01

1000

11636

57

LSAII LS2A01

660 1500

16900 14637

216 36

LS2A01 LS2A01

2000 1000

13725 11179

751 315

UK NEQAS for H&I is operated by Velindre NHS Trust, a UKAS proficiency testing provider No 8351. © Confidential report; no data may be published without permission from UK NEQAS for H+I

NEQ-120 Issue 1 P 5 of 13 Effective Date 16/03/16

UK NEQAS for H&I - SCHEME 3 - HLA ANTIBODY SPECIFICITY ANALYSIS CLASS II HLA ANTIBODY SPECIFICITY ANALYSIS OF 3 03/2016 DESPATCHED ON 26TH JANUARY 2016 HLA specificity for assessment DR17 DR18 Consensus Not Assessed Not Assessed 35.0% 8.8% % reported Lab no. spec tech MFI spec DR17 L < 2000 DR18 9 11 DR17 L < 2000 DR18 12 14 15 19 DR17 L < 2000 20 23 24 DR17 L < 2000 DR18 25 26 DR17 L < 2000 28 34 DR17 L < 2000 35 DR17 L < 2000 38 39 41 DR17 L < 2000 42 45 48 DR17 L < 2000 51 DR17 L < 2000 54 58 62 DR17 L < 2000 100 101 112 DR17 L < 2000 114 116 DR17 L < 2000 117 119 DR17 L < 2000 120 133 136 139 142 143 145 147 149 157 159 160 162 163 DR17 L 2000-5000 DR18 164 DR17 F 165 169 DR17 L < 2000 181 DR17 L < 2000 DR18 185 186 190 193 194 195 DR17 L DR18 197 DR17 L < 2000 204 206 DR17 L < 2000 209 218 227 232 DR17 L > 5000 DR18 235 238 245 DR17 L < 2000 262 267 268 273 DR17 L < 2000 277 284 DR17 L < 2000 292 293 DR17 L < 2000 294 297 DR17 L < 2000 303 DR17 L < 2000 309 311 315 323 Technique : C = CDC; E = ELISA; F = Flow cytometry; L = Luminex; O = Other No. Reporting Spec Total Participants

28 80

< 2000 24 2000-5000 1 > 5000 1

7 80

L

MFI < 2000

L

tech

< 2000

L

< 2000

L

< 2000

L

< 2000

L

L

< 2000 5 2000-5000 0 > 5000 1

DR12 Present 97.5% spec DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12

tech L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L FL L L L L L L L L L L L L

MFI 2000-5000 < 2000 2000-5000 < 2000 < 2000 < 2000 2000-5000 2000-5000 2000-5000 2000-5000 < 2000 2000-5000 < 2000 2000-5000 2000-5000 2000-5000 2000-5000 2000-5000 2000-5000 2000-5000 2000-5000 2000-5000 2000-5000 < 2000 < 2000 2000-5000 < 2000 2000-5000 2000-5000 2000-5000 < 2000,2000-5000 2000-5000 < 2000 2000-5000 2000-5000 2000-5000 2000-5000 < 2000,2000-5000 2000-5000 < 2000 2000-5000 2000-5000 < 2000 2000-5000 2000-5000 > 5000 < 2000 2000-5000 < 2000 < 2000 2000-5000 2000-5000 2000-5000 2000-5000 2000-5000 < 2000 < 2000

DR12 DR12 > 5000 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12 DR12

L L L L L L L L L L L L L L L L L L

2000-5000 2000-5000 2000-5000 < 2000 2000-5000 < 2000 < 2000 < 2000 2000-5000 2000-5000 2000-5000 2000-5000 2000-5000 < 2000 2000-5000 2000-5000 < 2000 2000-5000

DR12

L

2000-5000

78 80

< 2000 23 2000-5000 50 > 5000 1

DR7 Present 100.0% spec DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7 DR7

80 80

tech L L L L L L L L L L L L L L L L L L L L L L L L L L L L L EL L L L L L L L L L L L L L L L L FL L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L

< 2000 0 2000-5000 2 > 5000 77

MFI > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 2000-5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 2000-5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000

DR9 Present 100.0% spec DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9 DR9

80 80

tech L L L L L L L L L L L L L L L L L L L L L L L L L L L L L EL L L L L L L L L L L L L L L L L FL L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L

< 2000 1 2000-5000 27 > 5000 51

MFI > 5000 2000-5000 > 5000 2000-5000 2000-5000 > 5000 2000-5000 > 5000 > 5000 > 5000 2000-5000 > 5000 2000-5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 2000-5000 2000-5000 2000-5000 2000-5000 > 5000 > 5000 > 5000 > 5000 > 5000 2000-5000 > 5000 > 5000 > 5000 > 5000 2000-5000,> 5000 2000-5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 > 5000 2000-5000 2000-5000 > 5000 > 5000 > 5000 > 5000 > 5000 2000-5000 2000-5000 < 2000 > 5000 2000-5000 2000-5000 2000-5000 > 5000 2000-5000 2000-5000 2000-5000 > 5000 > 5000 > 5000 > 5000 2000-5000 2000-5000 > 5000 > 5000 2000-5000 > 5000 2000-5000 2000-5000

DR52 Present 88.8% spec DR52 DR52 DR52 DR52 DR52 DR52 DR52 DR52 DR52 DR52 DR52 DR52 DR52 DR52 DR52 DR52 DR52 DR52 DR52 DR52 DR52 DR52 DR52 DR52 DR52 DR52 DR52 DR52 DR52 DR52 DR52 DR52 DR52 DR52 DR52 DR52 DR52 DR52 DR52

L L L L L L L L L L L L L L L L L L L L L L L L L L L L L EL L L L L L L L L L

DR52

L

> 5000

DR52 DR52 DR52 DR52

L L L L

2000-5000 > 5000 2000-5000 > 5000

DR52 DR52 DR52 DR52 DR52 DR52 DR52 DR52

L L L L L L L L

2000-5000 2000-5000 2000-5000 < 2000 > 5000 2000-5000 2000-5000 2000-5000

DR52 DR52 DR52 DR52 DR52 DR52

L L L L L L

2000-5000 < 2000 2000-5000 < 2000 2000-5000 2000-5000

DR52

L

< 2000

DR52 DR52

L L

< 2000 < 2000

DR52 DR52

L L

2000-5000 > 5000

DR52 DR52 DR52 DR52 DR52 DR52 DR52

L L L L L L L

DR52

L

tech

MFI 2000-5000 2000-5000 > 5000 2000-5000 2000-5000 2000-5000 2000-5000 2000-5000 2000-5000 2000-5000 < 2000

DR53 Absent 1.3% spec

< 2000 11 2000-5000 47 > 5000 11

MFI

tech

DQ5

L

DQ5

L

2000-5000 2000-5000 2000-5000 2000-5000 2000-5000 2000-5000 > 5000 2000-5000 > 5000 > 5000 2000-5000 2000-5000 < 2000 2000-5000 < 2000 > 5000 2000-5000 2000-5000 2000-5000 2000-5000 < 2000 2000-5000 2000-5000 2000-5000 2000-5000 < 2000,2000-5000 2000-5000 DR53

71 80

tech

DQ5 Absent 3.8% spec

L

< 2000

DQ2 Present 96.3% MFI spec DQ2 DQ2 < 2000 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2

tech L L L L L L L L L L L L L L L L L L L L L L L L L L L L L EL L L L L L L L L L L L L L L L L FEL L L L L L L L L L L L L

MFI > 5000 2000-5000 > 5000 2000-5000 < 2000 < 2000 2000-5000 2000-5000 > 5000 2000-5000 2000-5000 < 2000 2000-5000 2000-5000, > 5000 2000-5000 2000-5000 2000-5000 2000-5000 2000-5000 2000-5000 > 5000 2000-5000 2000-5000 < 2000 < 2000 < 2000 < 2000 > 5000 2000-5000 2000-5000 < 2000,2000-5000 2000-5000 < 2000 2000-5000 2000-5000 2000-5000 2000-5000 < 2000,2000-5000 2000-5000 < 2000 2000-5000 2000-5000 < 2000 2000-5000 2000-5000 2000-5000 2000-5000 < 2000 2000-5000 < 2000 < 2000 2000-5000 2000-5000 2000-5000 2000-5000

L L L L L L

2000-5000 2000-5000 > 5000 < 2000 2000-5000 < 2000

2000-5000 2000-5000 < 2000 2000-5000 > 5000 2000-5000 2000-5000

DQ2 DQ2 < 2000 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2 DQ2

L L L L L L L L L L L

> 5000 > 5000 > 5000 2000-5000 2000-5000 2000-5000 < 2000 2000-5000 2000-5000 < 2000 2000-5000

2000-5000

DQ2

L

< 2000

1 80

< 2000 1 2000-5000 0 > 5000 0

3 80

L

< 2000 2 2000-5000 0 > 5000 0

UK NEQAS for H&I is operated by Velindre NHS Trust, a UKAS proficiency testing provider No 8351. © Confidential report; no data may be published without permission from UK NEQAS for H+I

77 80

< 2000 20 2000-5000 44 > 5000 10

tech

MFI

DQ9 Absent 2.5% spec

tech

DQ9

L

DQ9

L

MFI

2000-5000 < 2000 < 2000

DQ2 DQ2 DQ2 DQ2 DQ2 DQ2

DQ5

DQ7 Absent 1.3% spec

DQ7

1 80

L

< 2000 1 2000-5000 0 > 5000 0

2000-5000

< 2000

2 80

< 2000 0 2000-5000 1 > 5000 0

NEQ-120 Issue 1 P 6 of 13 Effective Date 16/03/16

UK NEQAS for H&I - SCHEME 3 - HLA ANTIBODY SPECIFICITY ANALYSIS CLASS II HLA ANTIBODY SPECIFICITY ANALYSIS OF 3 03/2016 DESPATCHED ON 26TH JANUARY 2016 Techniques used IgG Lab no. 9 L 11 L 12 L

Sample Treatment IgG

High Background

Dilution EDTA

No No No No No No No No No No

14 15 19 20 23 24 25 26 28

L L L C, L L L L L L

Heat Inactivation, EDTA EDTA EDTA wash buffer EDTA None EDTA EDTA None

No

34 35

L L

EDTA None

No

38 39 41 42 45 48 51

L L L L L L L

EDTA EDTA wash buffer None EDTA EDTA, Adsorption beads Heat Inactivation

No No

54 58 62 100 101 112 114

L L L L L L L

None EDTA None None

No No No No

None EDTA

No No

116 117 119 120 133

C, L EL L L L

None None EDTA EDTA None

No No No No

No No No

136

L

139 142 143 145 147 149 157 159 160 162

L L L L L

None EDTA None None None

No No No No

No

L L L L

EDTA None Adsorption beads EDTA

No No No No

163 164 165 169 181 185 186 190 193 194 195 197 204 206 209 218

L L F, E, L L L L L L L L L L L L C, L L

EDTA None Dilution

No

227 232 235 238 245 262 267 268 273

L L L L L L L C, L L

Dilution, EDTA None DTT None EDTA None None None None

No No No No No No No No

277

L

EDTA

No

284 292

L L

EDTA

No No

None EDTA None EDTA None DTT None None EDTA EDTA EDTA Heat Inactivation

Allele Specific Antibodies

Luminex kit (lot)

Cut-off value IgG

Control bead MFI Negative

Cut-off value

IgG

Control bead MFI Positive

Luminex kit (lot)

IgG

IgG

IgG

Control bead MFI Positive

Control bead MFI Negative

DP18, 28 DRB3*01:01, 03:01 DQB1*05:01 DPB1*18:01

LS2A01 LS2A01 LS2A01

400 500 500

10110 24 11384

52 5664 41

LSM12 LSM12

2.5 3

275 12279

2828 93

LS2A01 LS2A01 LS2A01 LS2A01 LS2A01 LS2A01 LS2A01 LS2A01 LS2A01

1500 1000 1000 500 1000 1000 1000 1000 500

13349 12731 13836 5419 9480 13391 18728 9165 10906

43 56 41 19 17 20 100 36 27

LS2PRA

1000

15995

110

LS2PRA LSAII

1000 1500

14496 19741

45 159

LS2A01 LS2A01

903 1000

12739 12502

84 46

LS2A01 LS2A01 LS2A01 LS2A01 LS2A01

1181 1700

10088 13140 9269 10037 12531

37 27 37 52 41

LSAII

476

18621

157

350 1000

10655 11683

17 23

DRB3*01:01, DRB3*01:01, DRB3*01:01, DRB3*01:01, DRB3*01:01,

03:01 03:01 03:01 03:01 03:01

DQA1*05:01 DRB3*01:01, 03:01 DQB1*05:01 DRB3*01:01, 03:01 DRB3*01:01, 03:01 DP18 DRB3*01, 03 DRB3*01:01, 03:01

DRB3*01:01, 03:01 DRB3*01:01, 03:01 DPB1*18:01 DRB3*01, 03 DRB3*01:01, 03:01

800

10929

52

LS2A01 LSM12 LS2A01 LSAII LS2A01 LSAII LS2A01

750 3 1000 393 1000 500 1000

9811 9709 11483 15355 8767 18617 13202

32 15 13.9 194 32 158 13

LSM12 LSAII

LS2A01 LS2A01 LS2A01 LS2A01 LSAII

1000 500 1000 500

9286 11225 7430 8943 13623

22 16 14 23 165

LSM12

03:01 03:01 03:01 09:01, 12:01

03:01

LS2A01

1000

11761

20

DRB3*01:01, 03:01 DRB3*01:01, 03:01

LS2A01 LS2A01 LS2A01 LS2A01 LS2A01

1000 1000 1000 1000 1500

9824 9036 11113 12991 10252

21 22 32 66 27

LS2A01 LS2A01 LS2A01 LS2A01

1000 1500 1000 1000

9511 9830 9660 11294

19 42 17 11

LS2A01 LS2A01 LS2A01 LS2A01 LS2A01 LSAII LSM12 LS2A01 LS2A01 LS2A01 LS2A01

1500 1500 231 1000 500 1000 1000 1000

14393 14210 9933 11400 9756 19661 11476 9900 9421

22 36 43 15 44 163 596 19 13

1400

12700

20

LS2A01 LS2A01 LS2A01 LSAII

1000 1000 500

10751 9593 3000 14903

10 21 500 134

DRB3*01:01, 03:01 DRB1*03:01 DQA1*05:01 DRB3*01:01, DRB3*01:01, DRB3*01:01, DRB1*07:01, DRB3*03:01 DQB1*02:01 DRB3*01:01, DQA1*05:01

DR3*01:01, 03:01 DR3*01:01, 03:01 DR3*01:01, 03:01 MICA = negative DR3*01:01, 03:01 DPB1*18

No

No No No No

DQA1*02

No No No No No

1000 1500

LS2A01

DRB3*01:01, 03:03 DRB3*01:01, DRB1*07:01, DRB3*01:01, DRB3*01:01, DQA1*05:01

03:03 09:01 03:01 03:01

DRB3*01:01, 03:01 DQA1*03:01, 04:01, 05:01 DQA1*01:01, 02:01 DPB1*18:01/DPA1*02:01 DPB1*18:01/DPA1*01:05 DPB1*18:01/DPA1*01:04 DPB11*28:01/DPA1*01:05 DPB1*28:01/DPA1*01:03 DPB1*05:01/DPA1*02:02 DPB1*04:01/DPA1*01:03 DRB3*01:01, 03:01 DRB3*01:01, 03:01 DQA1*05:01

293 L None 294 L None 297 L EDTA No DRB3*01:01, 03:01 303 L EDTA No DP18, 28 309 L None No 311 L EDTA No DRB3*01:01, 03:01 315 L EDTA No 323 L EDTA No Technique : C = CDC; E = ELISA; F = Flow cytometry; L = Luminex; O = Other

9347

85

LSM12

1.5

11800

61

LSM12

6

10369

29

LSM12 LSM12

1.5/1.2 5

7991 9366

49 29

LSM12

3

8400

29

LM2 LSA I&II

1000

20269 18217

27 132

LSM12

1000

9236

118

LMX LM2

1000

20924

85/110/195

LS2A01 LS2PRA LSAII LS2A01 LSAII LSAII LSAII LS2A01

1000 500 1000/500 AD BCR >5 BCM >700 1500 2037

8139 11123 15578 10634 17759 18464 16628 11373

11 26

LS2A01

500

9036

29

LS2A01 LS2A01

1000 500

8588 12494

14 28

LSM12 LSM12

3 2.5

8295 5407

19 41

LS2A01 LSAII LS2A01 LS2A01 LSAII LS2A01 LS2A01 LS2A01

500

9359 15660 4104 8976 16830 10284 11685 11056

5

LS2PRA

500

9359

5

1500 1000 550 1500 2000 1000

31 177 237 159 40

Luminex kit (lot)

Cut-off value

Control bead MFI Negative

Cut-off value

IgG

Control bead MFI Positive

Luminex kit (lot)

IgG

IgG

IgG

LSAII

default

19414

231

LMX

LMX

Control bead MFI Positive

Control bead MFI Negative

21323

17132

LMX

7 29 223 14 39 14

UK NEQAS for H&I is operated by Velindre NHS Trust, a UKAS proficiency testing provider No 8351. © Confidential report; no data may be published without permission from UK NEQAS for H+I

NEQ-120 Issue 1 P 7 of 13 Effective Date 16/03/16

UK NEQAS for H&I - SCHEME 3 - HLA ANTIBODY SPECIFICITY ANALYSIS CLASS II HLA ANTIBODY SPECIFICITY ANALYSIS OF 3 04/2016 DESPATCHED ON 26TH JANUARY 2016 HLA specificity for assessment DR16 DR17 Consensus Not Assessed Present 60.0% 80.0% % reported Lab no. spec tech MFI spec tech DR16 L 2000-5000 DR17 L 9 DR16 L < 2000 DR17 L 11 DR16 L 2000-5000 DR17 L 12 DR16 L < 2000 14 15 DR17 L 19 DR16 L < 2000 DR17 L 20 DR16 L < 2000 DR17 L 23 DR16 L < 2000 DR17 L 24 DR17 L 25 26 DR16 L < 2000 DR17 L 28 34 DR17 L 35 DR17 L 38 DR16 L 2000-5000 DR17 L 39 41 DR16 L < 2000 DR17 L 42 DR16 L < 2000 45 DR16 L 2000-5000 DR17 L 48 DR16 L < 2000 DR17 L 51 DR16 L < 2000 DR17 L 54 DR16 L < 2000 DR17 L 58 DR16 L < 2000 DR17 L 62 DR17 L 100 DR16 L < 2000 DR17 L 101 DR17 L 112 DR16 L 2000-5000 DR17 L 114 DR16 L < 2000 DR17 L 116 DR16 L < 2000 DR17 L 117 DR16 L < 2000 DR17 L 119 DR16 L < 2000 DR17 L 120 DR17 L 133 DR16 L < 2000 DR17 L 136 139 DR16 L < 2000 DR17 L 142 DR17 L 143 DR16 L < 2000 DR17 L 145 147 DR17 L 149 DR16 L < 2000 DR17 L 157 DR16 L < 2000 DR17 L 159 DR17 L 160 DR16 L < 2000 DR17 L 162 163 DR16 L 2000-5000 DR17 L 164 DR17 FEL 165 DR17 L 169 DR16 L < 2000 DR17 L 181 DR17 L 185 DR17 L 186 DR16 L 2000-5000 DR17 L 190 DR16 L < 2000 DR17 L 193 DR16 L < 2000 DR17 L 194 DR16 L < 2000 DR17 L 195 DR17 L 197 DR16 L < 2000 DR17 L 204 DR16 L < 2000 DR17 L 206 DR16 L < 2000 DR17 L 209 DR17 L 218 DR17 L 227 DR16 L < 2000 232 235 DR17 L 238 DR16 L < 2000 DR17 L 245 DR17 L 262 267 DR17 L 268 DR16 L < 2000 DR17 L 273 DR16 L < 2000 DR17 L 277 DR16 L < 2000 284 DR16 L < 2000 DR17 L 292 DR16 L < 2000 DR17 L 293 DR17 L 294 DR16 L < 2000 297 DR16 L < 2000 DR17 L 303 DR17 L 309 DR16 L 2000-5000 DR17 L 311 315 DR16 L < 2000 323 Technique : C = CDC; E = ELISA; F = Flow cytometry; L = Luminex; O = Other No. Reporting Spec Total Participants

48 80

< 2000 40 2000-5000 8 > 5000 0

64 80

< 2000 59 2000-5000 4 > 5000 0

MFI 2000-5000 < 2000 < 2000

DR18 Not Assessed 68.8% spec DR18 L DR18 L DR18 L

< 2000 < 2000 < 2000 < 2000 < 2000

DR18 DR18 DR18 DR18 DR18

L L L L L

< 2000 < 2000 < 2000 < 2000 < 2000

< 2000

DR18

L

< 2000

DR4 DR4 DR4 DR4 DR4 DR4

< 2000 < 2000 < 2000

DR18 DR18 DR18

L L L

< 2000 < 2000 < 2000

DR4 DR4 DR4

L L L

< 2000 < 2000 < 2000

DR11 DR11 DR11

L L L

2000-5000 < 2000 2000-5000

< 2000

DR18

L

< 2000

DR4

L

< 2000

DR18 DR18 DR18

L L L

< 2000 < 2000 < 2000

DR4 DR4 DR4 DR4

L L L L

< 2000 < 2000 < 2000 < 2000

DR18 DR18 DR18 DR18 DR18 DR18 DR18 DR18 DR18 DR18

L L L L L L L L L L

< 2000 < 2000 < 2000 < 2000 < 2000 < 2000 < 2000 < 2000 < 2000 < 2000

DR4 DR4 DR4 DR4 DR4

L L L L L

2000-5000 < 2000 < 2000 < 2000 < 2000

DR4

L

< 2000

DR18 DR18

L L

< 2000 < 2000

DR4 DR4 DR4

L L L

< 2000 < 2000 < 2000,2000-5000

DR11 DR11 DR11 DR11 DR11 DR11 DR11 DR11 DR11 DR11 DR11 DR11 DR11 DR11 DR11 DR11 DR11 DR11 DR11 DR11 DR11

L L L L L L L L L L L L L L L L L L L L L

< 2000 < 2000 < 2000 < 2000 < 2000

DR18 DR18

L L

< 2000 < 2000

DR4

L

< 2000

DR18 DR18

L L

< 2000 < 2000

DR4 DR4

L L

< 2000 < 2000< 2000

2000-5000 < 2000 < 2000 < 2000 < 2000 < 2000 < 2000 < 2000 < 2000 < 2000

DR18

L

< 2000

DR4 DR4

L FL

2000-5000 < 2000

DR11 DR11 DR11 DR11 DR11 DR11 DR11

2000-5000 < 2000 < 2000 < 2000 < 2000 < 2000 < 2000 < 2000 < 2000 < 2000 < 2000 < 2000 < 2000 < 2000 < 2000 < 2000 < 2000 < 2000

tech

MFI 2000-5000 < 2000 < 2000

DR18 DR18 DR18 DR18

L L L L

< 2000 < 2000 < 2000 < 2000

DR18 DR18

L L

< 2000

DR4 Not Assessed 56.3% spec DR4 DR4 DR4 DR4

DR11 Present 92.5% spec DR11 DR11 DR11 DR11

L L L L

< 2000 < 2000 < 2000 < 2000

L L L L

MFI 2000-5000 < 2000 2000-5000 < 2000

L L L L L L

< 2000 < 2000 2000-5000 < 2000 < 2000

DR11 DR11 DR11 DR11 DR11 DR11 DR11

L L L L L L L

2000-5000 2000-5000 2000-5000 2000-5000 < 2000 < 2000 < 2000

tech

MFI

DR4

L

< 2000

DR4

L

< 2000

DR4 DR4

L L

< 2000 < 2000

DR4

L

< 2000

DR4

L

< 2000

DR4

L

< 2000

DR4 DR4

L L

< 2000 < 2000

< 2000 < 2000 < 2000 < 2000 < 2000

DR18 DR18 DR18 DR18

L L L L

< 2000 < 2000 < 2000 < 2000

< 2000 < 2000 < 2000

DR18 DR18 DR18

L L L

< 2000 < 2000 < 2000

< 2000 < 2000 < 2000

DR18 DR18 DR18

L L L

< 2000 < 2000 < 2000

< 2000 < 2000 < 2000

DR18 DR18 DR18

L L L

< 2000 < 2000 < 2000

DR4 DR4

L L

< 2000 < 2000

< 2000 < 2000 2000-5000

DR18 DR18 DR18

L L L

< 2000 < 2000 < 2000

DR4

L

< 2000

DR4

L

2000-5000

55 80

< 2000 53 2000-5000 1 > 5000 0

45 80

< 2000 39 2000-5000 4 > 5000 0

tech

DR12 Not Assessed 60.0% spec DR12 L DR12 L DR12 L

tech

MFI 2000-5000 < 2000 < 2000

DR12 DR12 DR12 DR12

L L L L

< 2000 < 2000 < 2000 < 2000

DR12

L

< 2000

DR12 DR12

L L

< 2000 < 2000

< 2000 < 2000 2000-5000 2000-5000 < 2000 < 2000 < 2000 < 2000 < 2000 < 2000 2000-5000 2000-5000 < 2000 < 2000,2000-5000 2000-5000 < 2000 < 2000 < 2000 < 2000 2000-5000 2000-5000

DR12

L

< 2000

DR12 DR12 DR12 DR12 DR12 DR12

L L L L L L

< 2000 < 2000 < 2000 < 2000 < 2000 < 2000

DR12

L

< 2000

DR12

L

< 2000

DR12

L

< 2000

DR12

L

< 2000

DR12

L

< 2000

L L L L L L L

< 2000 2000-5000 < 2000 < 2000 2000-5000 < 2000 2000-5000

DR12 DR12

L L

< 2000 < 2000

DR12

L

< 2000

DR12 DR12

L FL

< 2000 < 2000

DR11 DR11 DR11 DR11 DR11 DR11 DR11 DR11 DR11 DR11 DR11 DR11 DR11 DR11 DR11 DR11 DR11 DR11 DR11 DR11 DR11 DR11 DR11 DR11 DR11 DR11 DR11 DR11 DR11 DR11 DR11

L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L

2000-5000 < 2000 < 2000 < 2000 2000-5000 < 2000 < 2000 2000-5000

DR12 DR12 DR12 DR12

L L L L

< 2000 < 2000 < 2000 < 2000

DR12

L

< 2000

DR12 DR12 DR12 DR12 DR12

L L L L L

< 2000 < 2000 < 2000 < 2000 < 2000

DR12 DR12

L L

< 2000 < 2000

DR12 DR12 DR12

L L L

< 2000 < 2000 2000-5000

DR12 DR12 DR12

L L L

< 2000 < 2000 < 2000

DR12 DR12 DR12

L L L

< 2000 < 2000 2000-5000

DR11

L

< 2000

74 80

< 2000 44 2000-5000 28 > 5000 0

2000-5000 < 2000 < 2000 < 2000 < 2000 < 2000 < 2000 < 2000 < 2000 < 2000 < 2000 < 2000 2000-5000 2000-5000 < 2000 2000-5000 < 2000 < 2000 2000-5000 2000-5000 < 2000 2000-5000

48 80

< 2000 45 2000-5000 3 > 5000 0

DR13 Present 95.0% spec DR13 DR13 DR13 DR13

L L L L

MFI 2000-5000 < 2000 2000-5000 < 2000

DR13 DR13 DR13 DR13 DR13 DR13 DR13

L L L L L L L

2000-5000 2000-5000 2000-5000 2000-5000 2000-5000 < 2000 < 2000

DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13 DR13

L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L FL L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L

2000-5000 2000-5000 2000-5000 2000-5000 < 2000 < 2000 2000-5000 2000-5000 < 2000 < 2000 < 2000 < 2000 < 2000 < 2000 2000-5000 2000-5000 < 2000 < 2000,2000-5000 2000-5000 < 2000 < 2000 < 2000 < 2000 2000-5000 < 2000,2000-5000 < 2000 < 2000 2000-5000 < 2000 < 2000 < 2000 2000-5000 2000-5000 < 2000 < 2000 < 2000 < 2000 < 2000 2000-5000 2000-5000 < 2000 2000-5000

76 80

tech

< 2000 < 2000 < 2000 < 2000 2000-5000 < 2000 < 2000 < 2000 2000-5000 < 2000 < 2000 < 2000 2000-5000 2000-5000 < 2000 2000-5000 < 2000 < 2000 2000-5000 2000-5000 < 2000 2000-5000

< 2000 42 2000-5000 31 > 5000 0

UK NEQAS for H&I is operated by Velindre NHS Trust, a UKAS proficiency testing provider No 8351. © Confidential report; no data may be published without permission from UK NEQAS for H+I

NEQ-120 Issue 1 P 8 of 13 Effective Date 16/03/16

UK NEQAS for H&I - SCHEME 3 - HLA ANTIBODY SPECIFICITY ANALYSIS CLASS II HLA ANTIBODY SPECIFICITY ANALYSIS OF 3 04/2016 DESPATCHED ON 26TH JANUARY 2016 HLA specificity for assessment DR14 DR1403 Consensus Present Absent 96.3% 2.5% % reported Lab no. spec tech MFI spec tech L 2000-5000 9 DR14 L < 2000 11 DR14 L 2000-5000 12 DR14 L < 2000 14 DR14 15 L 2000-5000 19 DR14 L 2000-5000 20 DR14 L 2000-5000 23 DR14 L 2000-5000 24 DR14 L 2000-5000 25 DR14 L < 2000 26 DR14 L < 2000 28 DR14 34 L 2000-5000 35 DR14 L 2000-5000 38 DR14 L 2000-5000 39 DR14 L 2000-5000 41 DR14 L < 2000 42 DR14 L 2000-5000 45 DR14 L 2000-5000 48 DR14 L 2000-5000 51 DR14 L 2000-5000 54 DR14 L < 2000 58 DR14 L 2000-5000 62 DR14 L < 2000 100 DR14 L < 2000 101 DR14 L < 2000 112 DR14 L 2000-5000 114 DR14 L < 2000 116 DR14 L < 2000 117 DR14 L < 2000,2000-5000 119 DR14 L 2000-5000 120 DR14 L < 2000 133 DR14 L 2000-5000 136 DR14 L < 2000 139 DR14 L 2000-5000 142 DR14 L 2000-5000 143 DR14 L < 2000,2000-5000 145 DR14 L < 2000 147 DR14 L < 2000 149 DR14 L 2000-5000 157 DR14 L < 2000 159 DR14 L < 2000 160 DR14 L 2000-5000 162 DR14 L 2000-5000 163 DR14 L 2000-5000 164 DR14 FL 2000-5000 165 DR14 L 2000-5000 169 DR14 L < 2000 181 DR14 L < 2000 185 DR14 L < 2000 186 DR14 L 2000-5000 190 DR14 L 2000-5000 193 DR14 L < 2000 194 DR14 L 2000-5000 195 DR14 L 197 DR14 L 2000-5000 204 DR14 L < 2000 206 DR14 L < 2000 209 DR14 L < 2000 218 DR14 L 2000-5000 227 DR14 L < 2000 232 DR14 L < 2000 235 DR14 L < 2000 238 DR14 L 2000-5000 DR1403 L 245 DR14 L < 2000 262 DR14 L < 2000 267 DR14 L < 2000 268 DR14 L 2000-5000 273 DR14 L 2000-5000 277 DR14 L < 2000 284 DR14 L 2000-5000 292 DR14 L < 2000 293 DR14 L < 2000 294 DR14 L 2000-5000 297 DR14 L 2000-5000 303 DR14 L < 2000 DR1403 L 309 DR14 L 2000-5000 311 DR14 315 L < 2000 323 DR14 Technique : C = CDC; E = ELISA; F = Flow cytometry; L = Luminex; O = Other 77 80

< 2000 35 2000-5000 39 > 5000 0

2 80

< 2000 0 2000-5000 0 > 5000 0

MFI

DR1404 Not Assessed 11.3% spec

tech

DR1404

L

DR1404

L

DR1404

L

DR8 Present 98.8% MFI spec DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 < 2000 DR8 DR8 < 2000 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 < 2000 DR8 DR8 DR8 DR8 DR8 DR8

L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L FL L L L L L L L L

tech

MFI 2000-5000 < 2000 2000-5000 < 2000 < 2000 2000-5000 2000-5000 2000-5000 2000-5000 2000-5000 < 2000 < 2000 < 2000 2000-5000 2000-5000 2000-5000 2000-5000 < 2000 2000-5000 2000-5000 2000-5000 2000-5000 < 2000 2000-5000 < 2000 < 2000 < 2000 2000-5000 2000-5000 < 2000 2000-5000 2000-5000 < 2000 2000-5000 < 2000 2000-5000 2000-5000 2000-5000 < 2000 < 2000 2000-5000 2000-5000 < 2000 2000-5000 < 2000 2000-5000 2000-5000 2000-5000 < 2000 < 2000 < 2000 2000-5000 < 2000 < 2000 2000-5000

L L L L L L L L L L L L L L L L L L L L L L L L

2000-5000 2000-5000 < 2000 < 2000 2000-5000 < 2000 < 2000 < 2000 2000-5000 < 2000 < 2000 < 2000 2000-5000 2000-5000 < 2000 2000-5000 < 2000 < 2000 2000-5000 2000-5000 < 2000 2000-5000 < 2000 < 2000

DR51 Absent 1.3% spec

DR1404

L

< 2000

DR1404 DR1404

L L

< 2000

DR1404

L

< 2000

DR1404

DR1404

9 80

L

L

< 2000 8 2000-5000 0 > 5000 0

< 2000

< 2000

79 80

< 2000 37 2000-5000 42 > 5000 0

tech

MFI < 2000

DR52

L

< 2000

DR52

L

< 2000

DR52

L

< 2000

DR52

L

DR52

L

< 2000

DR52 DR52 DR52

L L L

2000-5000 < 2000 < 2000

DR52

L

< 2000

DR52

L

< 2000

DR52

L

< 2000

DR52 DR52 DR52

L L L

< 2000 < 2000 < 2000

DR53 Absent 1.3% spec

DR53

DR51 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8 DR8

tech

DR52 Not Assessed 41.3% MFI spec DR52 L

1 80

L

< 2000 0 2000-5000 0 > 5000 0

DR52

L

< 2000

DR52 DR52 DR52 DR52 DR52

L L L L L

< 2000 < 2000 < 2000 < 2000 < 2000

DR52 DR52

L L

< 2000

DR52 DR52 DR52 DR52

L L L L

< 2000 < 2000 < 2000 < 2000

L L

< 2000 < 2000

DR52

L

< 2000

DR52 DR52 DR52

L L L

< 2000 < 2000 2000-5000

< 2000 29 2000-5000 2 > 5000 0

L

MFI

1 80

< 2000 1 2000-5000 0 > 5000 0

tech

DQ4 Absent 2.5% MFI spec

tech

MFI

< 2000

DQ8

DR52 DR52

33 80

tech

DQ8 Absent 1.3% spec

1 80

L

< 2000 0 2000-5000 0 > 5000 0

DQ4

L

DQ4

L

2 80

< 2000

< 2000 1 2000-5000 0 > 5000 0

UK NEQAS for H&I is operated by Velindre NHS Trust, a UKAS proficiency testing provider No 8351. © Confidential report; no data may be published without permission from UK NEQAS for H+I

NEQ-120 Issue 1 P 9 of 13 Effective Date 16/03/16

UK NEQAS for H&I - SCHEME 3 - HLA ANTIBODY SPECIFICITY ANALYSIS CLASS II HLA ANTIBODY SPECIFICITY ANALYSIS OF 3 04/2016 DESPATCHED ON 26TH JANUARY 2016 Techniques used IgG

Sample Treatment IgG

High Allele Specific Antibodies Background IgG

Luminex kit (lot)

Cut-off value

Control bead MFI Negative

Cut-off value

IgG

Control bead MFI Positive

Luminex kit (lot)

IgG

IgG

IgG

Control bead MFI Positive

Control bead MFI Negative

None

LS2A01 LS2A01 LS2A01

400 500 500

8050 27 9450

59 4075 36

LSM12 LSM12

2.5 3

73 9120

2953 61

LS2A01 LS2A01 LS2A01 LS2A01

1500 1000 1000 500

10668 10332 11894 9275

36 18 20 39

LS2A01 LS2A01

1000 1000

8728 11382

24 31

LS2PRA

1000

14558

51

LS2A01 LS2A01 LS2A01

1000

16509 7173 8783

710 69 39

LSAII

1500

20172

166

35 62 42 13 49 33

LSAII

18797

142

Lab no. 9 L 11 L 12 L

EDTA

No No No

14 15 19 20

L L L C, L

Heat Inactivation, EDTA EDTA EDTA wash buffer EDTA

No No No No

23 24

L L

None EDTA

No No

25 26 28

L L L

EDTA EDTA None

Yes

34 35 38 39 41 42

L L L L L L

EDTA None EDTA EDTA wash buffer None EDTA

No No No No

45 48 51

L L L

EDTA, Adsorption beads Heat Inactivation

No No

No

DRB1*04:04 DRB1*04:01, 04:03, 04:04 DPB1*01:01, 19:01 DRB1*04:04

DRB1*04:01, 04:03, 04:04 DRB3*02:02, 03:01 DPB1*01:01, 19:01 DPA1*01:03, 02:01 DRB1*04:04, 12:01 DRB1*04:04, 12:01, 14:01, 14:54 DRB3*03:01 DRB1*04:01, 04:04 DRB1*04:04, 14:01, 14:54 DRB1*04:01, 04:03, 04:04 DRB3*02:02, 03:01

No

54

L

None

No

58 62 100 101 112 114 116 117

L L L L L

EDTA None

No No

None None

No No

C, L EL

None None

No No

119 120

L L

EDTA EDTA

No No

None

133

L

136 139 142 143 145 147 149 157 159 160 162

L L L L L L

None EDTA None None

No No No No No

L L L L

EDTA None Adsorption beads EDTA

No No No No

163 164 165 169 181 185 186 190 193 194 195 197 204 206 209

L L F, E, L L L L L L L L L L L L C, L

EDTA None Dilution

No

None EDTA None EDTA None DTT None None EDTA EDTA EDTA

No No

No No No

DRB1*04:01, 04:04 DRB1*04:04 DRB1*04:01, 04:04 DRB1*13:03, 14:01 DRB1*04:04, 14:54 DRB3*03:01 DRB3*03:01 DRB1*04:01, 04:03, 04:04 DRB3*02:02, 03:01 DRB1*04:04 DRB3*03 DRB1*04:04

DP1, 19 DRB1*04:04 DRB1*04:01, 04:04 DRB3*03:01 DRB1*04:04 DRB1*04:01, 04:03, 04:04 DRB3*03:01 DP19 DRB1*03:01, 03:02, 03:03, 08:01, 11:01, 11:04, 13:01, 13:03, 14:01, 14:04 DRB3*03:01 DRB1*04:04, 14:01, 14:54 DRB1*13:03

DRB1*04:04 DRB1*13:03, 14:01 DRB1*04:04, 12:01 DRB1*04:04 DRB1*04:04, 14:01, 14:54 MICA = negative DRB1*04:01, 04:04

No DP19 DRB3*03:01 No No No

218

L

Heat Inactivation

No

227 232 235 238 245 262 267 268 273

L L L L L L L C, L L

Dilution, EDTA None DTT None EDTA None None None None

No No No No No No No No

277

L

EDTA

No

284 292

L L

EDTA EDTA

No No

293 294 297 303

L L L L

None None EDTA EDTA

No No

309 311

L L

None EDTA

No

DRB1*04:01, 12:01, 14:01, 14:54

1000

17285 11562 9692 12063 7357 8062

LS2A01

DRB1*04:04 DRB3*03:01 DRB3*03:01 DRB1*04:04 DRB3*03:01

315 L EDTA No 323 L EDTA No Technique : C = CDC; E = ELISA; F = Flow cytometry; L = Luminex; O = Other

1000 1000 918 1200

1500

8999

18

LS2A01

800

6766

505

LSM12

350

9448

101

LSM12 LS2A01 LSAII LS2A01 LSAII LS2A01 LS2A01 LS2A01

3 1000 390 1000 500 1000 1000 500

9595 9618 13463 7878 17937 11283 7427 8757

22 65 170 30 167 50 22 49

LSAII

1000

9753

23

7459

44

LS2A01 LS2A01

1000 500

6596 7413

16 29

LSM12

1.5

7662

23

LSM12

6

8621

26

LSM12 LSM12

1.5/1.2 5

7991 8047

49 26

LSM12

3

8100

59

LM2 LSA I&II

1000

20478 19425

63 161

LSM12

1000

8863

72

LMX LM2

1000

20759

65/76/130

Cut-off value

Control bead MFI Positive

Control bead MFI Negative

Luminex kit (lot)

Cut-off value

IgG

IgG

IgG

LSAII

default

19833

141

LMX

Control bead MFI Positive

Control bead MFI Negative

19264

LS2A01

LSAII

14702

108

LS2A01 LS2A01 LS2A01 LS2A01 LS2A01 LS2A01

1000 1000 1000 1000 1000 1500

9368 8029 6739 11426 6203 10252

25 20 222 33 31 28

LS2A01 LS2A01 LS2A01 LS2A01

1000 1500 1000 1000

8835 8167 9500 10700

41 29 16 20

LS2A01 LS2A01 LS2A01 LS2A01 LS2A01 LSAII LSM12 LS2A01 LS2A01 LS2A01 LS2A01

1500 1500 210 1000 500 1000 1000 1000

13767 10437 9054 8400 7087 18831 7795 8600 8186

35 38 43 23 35 116 58 26 15

1400

10400

34

LS2A01 LS2A01 LS2A01

1000 1000 500

9235 7214 3000

14 30 500

14700

158

13 27

DRB1*04:01, 04:04 DRB3*03:01 DRB1*03:01, 03:02, 03:03, 08:01, 11:01, 11:04, LSAII 12:01, 13:01, 13:03, 14:01, 14:04 DRB3*01:01, 03:01

DRB1*04:04 DRB3*03:01 DRB1*04:01, 04:03, 04:04 DRB3*03:01 DPB1*19:01/DPA1*01:03 DRB1*04:04 DRB1*04:01, 04:03, 04:04, 16:02 DPB1*19:01

500

LS2A01 LS2A01 LS2A01 LS2A01 LS2A01 LS2A01

Luminex kit (lot) IgG

LSM12

LS2A01 LS2PRA LSAII LS2A01 LSAII LSAII LSAII LS2A01

1000 500 1000/500 AD BCR >5 BCM >700 1500 857

6646 10026 16934 9049 16248 19066 15700 8916

25 240 173 134 33

LS2A01

500

7317

30

LS2A01 LS2A01

1000 500

8020 12143

18 48

LSM12 LSM12

3 2.5

8096 3089

21 38

LS2A01 LSAII LS2A01 LS2A01

500

7457 15158 4778 7171

6

LS2PRA

500

7457

6

1500 1000

17 26

LSAII LS2A01

1500

20100 9594

450 28

LS2A01 LS2A01

2000 1000

11257 9662

33 11

LMX

19484

LMX

UK NEQAS for H&I is operated by Velindre NHS Trust, a UKAS proficiency testing provider No 8351. © Confidential report; no data may be published without permission from UK NEQAS for H+I

NEQ-120 Issue 1 P 10 of 13 Effective Date 16/03/16

UK NEQAS for H&I - SCHEME 3 - HLA ANTIBODY SPECIFICITY ANALYSIS CLASS II HLA ANTIBODY SPECIFICITY ANALYSIS OF 3 05/2016 DESPATCHED ON 26TH JANUARY 2016 HLA specificity for assessment DR1 DR103 DR15 Consensus Absent Absent Absent 1.3% 2.5% 1.3% % reported Lab no. spec tech MFI spec tech MFI spec tech 9 11 12 14 15 19 20 23 24 25 26 28 34 35 38 39 41 42 45 48 51 54 58 62 100 101 112 114 116 117 119 120 133 136 139 142 DR103 L < 2000 143 145 147 149 157 159 160 162 163 164 165 169 181 NT NT NT NT NT NT NT NT 185 186 190 193 194 195 DR1 L DR103 L DR15 L 197 204 206 209 218 227 232 235 238 245 262 267 268 273 277 284 292 293 294 297 303 309 311 315 323 Technique : C = CDC; E = ELISA; F = Flow cytometry; L = Luminex; O = Other No. Reporting Spec Total Participants

1 79

< 2000 0 2000-5000 0 > 5000 0

2 79

< 2000 1 2000-5000 0 > 5000 0

1 79

< 2000 0 2000-5000 0 > 5000 0

DR16 Absent 1.3% MFI spec

NT

tech

NT

NT

DR16

L

1 79

< 2000 0 2000-5000 0 > 5000 0

DR4 Absent 2.5% MFI spec

NT

tech

MFI

DR4

L

< 2000

NT

NT

NT

DR4

L

2 79

< 2000 1 2000-5000 0 > 5000 0

DR11 Absent 2.5% spec

tech

MFI

DR13 Absent 2.5% spec

tech

MFI

DR14 Absent 1.3% spec

tech

MFI

DR8 Absent 1.3% spec

tech

MFI

DR11

L

< 2000 DR13

L

< 2000 DR14

L

< 2000 DR8

L

< 2000

NT

NT

NT

NT

NT

NT

NT

NT

NT

NT

DR11

L

DR13

L

2 79

< 2000 1 2000-5000 0 > 5000 0

2 79

< 2000 1 2000-5000 0 > 5000 0

NT

1 79

< 2000 1 2000-5000 0 > 5000 0

NT

1 79

< 2000 1 2000-5000 0 > 5000 0

DR10 Absent 1.3% spec

tech

NT

NT

DR10

L

1 79

DR51 Absent 1.3% MFI spec

NT

< 2000 0 2000-5000 0 > 5000 0

UK NEQAS for H&I is operated by Velindre NHS Trust, a UKAS proficiency testing provider No 8351. © Confidential report; no data may be published without permission from UK NEQAS for H+I

tech

NT

NT

DR51

L

1 79

< 2000 0 2000-5000 0 > 5000 0

DR53 Absent 1.3% MFI spec

NT

tech

NT

NT

DR53

L

1 79

MFI

NT

< 2000 0 2000-5000 0 > 5000 0

NEQ-120 Issue 1 P 11 of 13 Effective Date 16/03/16

UK NEQAS for H&I - SCHEME 3 - HLA ANTIBODY SPECIFICITY ANALYSIS CLASS II HLA ANTIBODY SPECIFICITY ANALYSIS OF 3 05/2016 DESPATCHED ON 26TH JANUARY 2016 HLA specificity for assessment DQ5 DQ6 DQ7 Consensus Absent Absent Not Assessed 1.3% 1.3% 15.2% % reported Lab no. spec tech MFI spec tech MFI spec 9 11 DQ7 12 14 15 19 20 23 24 25 26 DQ7 28 34 35 38 39 41 DQ7 42 45 48 DQ7 51 54 58 62 100 101 112 114 116 117 119 120 133 136 139 142 DQ7 143 145 147 149 157 159 160 162 163 164 165 169 181 NT NT NT NT NT NT 185 NT 186 DQ7 190 193 DQ7 194 195 L DQ6 L DQ7 197 DQ5 204 206 209 218 DQ7 227 232 235 238 DQ7 245 262 267 268 273 DQ7 277 284 292 293 294 297 DQ7 303 309 311 315 323 Technique : C = CDC; E = ELISA; F = Flow cytometry; L = Luminex; O = Other 1 79

< 2000 0 2000-5000 0 > 5000 0

1 79

< 2000 0 2000-5000 0 > 5000 0

12 79

tech

L

MFI

< 2000

L

DQ8 Not Assessed 15.2% spec

DQ8

tech

L

DQ8

L

MFI

< 2000

DQ9 Not Assessed 17.7% spec

tech

MFI

DQ9

L

< 2000

DQ9

L

< 2000

DQ9

L

L

< 2000

DQ8

L

< 2000

DQ9

L

< 2000

L

2000-5000

DQ8

L

2000-5000

DQ9

L

2000-5000

DQ9

L

< 2000

L

< 2000

DQ8

L

< 2000

DQ9

L

< 2000

NT

NT

NT

NT

NT

NT

NT

NT

L

< 2000

DQ8

L

< 2000

DQ9

L

< 2000

L

< 2000

DQ8

L

< 2000

DQ9

L

< 2000

L

DQ8

L

< 2000

DQ9

L

< 2000

L

< 2000

DQ8

L

< 2000

DQ9

L

2000-5000

L

< 2000

DQ8

L

< 2000

DQ9

L

< 2000

L

< 2000

DQ8

L

< 2000

DQ9

L

< 2000

L

< 2000

DQ8

L

< 2000

DQ9

L

< 2000

< 2000 9 2000-5000 1 > 5000 0

12 79

< 2000 10 2000-5000 1 > 5000 0

14 79

< 2000 11 2000-5000 2 > 5000 0

UK NEQAS for H&I is operated by Velindre NHS Trust, a UKAS proficiency testing provider No 8351. © Confidential report; no data may be published without permission from UK NEQAS for H+I

NEQ-120 Issue 1 P 12 of 13 Effective Date 16/03/16

UK NEQAS for H&I - SCHEME 3 - HLA ANTIBODY SPECIFICITY ANALYSIS CLASS II HLA ANTIBODY SPECIFICITY ANALYSIS OF 3 05/2016 DESPATCHED ON 26TH JANUARY 2016 Techniques used IgG Lab no. 9 L 11 L 12 L

Sample Treatment IgG

High Allele Specific Antibodies Background IgG

Luminex kit (lot)

Cut-off value

IgG

IgG

Control bead MFI Positive

Control bead MFI Negative

None EDTA

No No No

LS2A01 LSM12 LS2A01

800 2.5 500

7775 73 10314

82 2953 121

LS2A01 LS2A01 LS2A01 LS2A01 LS2A01 LS2A01 LM2 LS2A01 LS2A01 LS2A01 LS2A01 LS2A01 LS2A01 LS2A01 LS2A01 LS2A01

1500 1000 1000 500 1000 1000 6 1000 500 1000 1000

11422 11493 13397 7904 8679 11773 9284 12772 10248 11174 11465 10007 10948 7467 7530 12478

29 27 36 36 24 63 126.79 126 39.8 17 72 38 18 38 41 24

LS2A01 LS2A01 LSM12 LS2A01 LSAII LS2A01 LSAII LS2A01 LS2A01 LS2A01 LS2A01 LS2A01 LSAII LS2A01 LS2A01 LS2A01 LS2A01 LS2A01 LSM12

500 1000 3 1000 506 1000 500 1000 1000 500 1000 500 1000 1000 1000 1000 1000 8773

12240 11013 8530 10722 15547 7750 17657 9905 7502 9653 6770 7907 14054 9368 7886 7680 13651 11806 5

94 36 16 62 135 77 143 17 27 49 17 53 211 24 41 33 60 50 46

14 15 19 20 23 24 25 26 28 34 35 38 39 41 42 45 48 51 54 58 62 100 101 112 114 116 117 119 120 133 136 139 142 143 145 147 149 157 159 160 162 163 164 165 169 181 185

L L L C, L L L L L L L L L L L L L L L L L L L L L C, L C, L EL L L L L L L L L L

Heat Inactivation, EDTA EDTA EDTA wash buffer EDTA None EDTA EDTA

No No No No No No No

None EDTA None EDTA EDTA wash buffer None EDTA EDTA, Adsorption beads Heat Inactivation

No No No No No No No No No

None EDTA None

No No No

None None EDTA None None EDTA EDTA None

No No No No No No No

L L L L L L F, E, L L L L

EDTA None Adsorption beads EDTA EDTA None Dilution Dilution None EDTA

No Yes

186 190 193 194 195 197 204 206 209 218 227 232 235 238 245

L L L L L L L L C, L L L L L L L

None EDTA None

No No No

None None EDTA EDTA EDTA Heat Inactivation Dilution, EDTA None DTT, Adsorption beads None EDTA

No

DQA1*03:02 has been interpreted as causing positivity seen against DQB1*03:02, 03:03 DQA1*05:03, 05:05, 06:01 has been interpreted as causing positivity seen against DQB1*03:01

DQA1*03:02

DQA1*03:02, 05:03, 05:05, 06:01

DQA1*03:02, 05:05, 06:01

DP13

None EDTA None None None

DRB1*11:01, 13:03, 14:01, 14:54 DQA1*03:02, 05:05

No No No No No

No No No No No

DQA1*03:02, 05:05

LS2A01 LS2A01

1500

9344 17145

18 86

MICA = negative

LSM12 LS2A01 LS2A01 LS2A01 LS2A01 LS2A01

3 1500 1500 45 1000 500

7400 11900 10437 10076 9800 7707

19 25 38 223 30 187

LSM12 LS2A01 LS2A01 LS2A01 LS2A01

1000 1000 1000

9459 8580 7318

223 38 14

1400

12700

30

LS2A01 LS2A01 LS2A01 LSAII

1000 1000 500

9130 7733 3000 15143

12 25 500 193

8261 10743 15833 12322

28 374

182 168 151 71 109 25 38 21

28 46 18

No DQA1*03:02, 05:03, 05:05, 06:01 Aspecific reactions epitopes 46VY3? All DQ except DQ2 are reactive. High background also for DR & DP.

DQA1*03:02, 05:05

No No No No No No Yes No No

1000 1500

DQA1*03:02

DQA1*03:02, 05:03, 05:05, 06:01 (in our protocol HLA-DQ7, DQ8 and DQ9 wouldn't be assigned as present)

262 L None No 267 L Sera Clean No 268 C, L None No 273 L None No 277 L EDTA No DQA1*03:02, 05:03, 05:05, 06:01 284 L EDTA No 292 L EDTA No 293 L None 294 L None 297 L EDTA 303 L EDTA No 309 L None No 311 L EDTA No 315 L EDTA No DQA*03 323 L EDTA No Technique : C = CDC; E = ELISA; F = Flow cytometry; L = Luminex; O = Other

LS2A01 LS2PRA LSAII LS2A01

1000 500 1000/500

LSAII LSAII LSAII LS2A01 LS2A01 LS2A01 LS2A01 LS2A01 LSAII LS2A01 LS2A01

AD BCR >5 BCM >700 1500 1311 500 1000 500 500 1500 1000

17863 19208 15686 11111 9881 8250 10975 7288 15167 4765 8760

LS2A01 LS2A01 LS2A01

1500 2000 1000

9336 10224 9724

Luminex kit (lot)

Cut-off value

IgG

IgG

Control bead MFI Positive

Control bead MFI Negative

LSM12

3

10721

202

LS2PRA

1000

12136

33

18385

171

8609 10566

13 45

LSAII

LSM12 LSAII

350 1000

LSM12

7824

59

LSM12

1.5

10381

35

LSM12

6

8396

33

LSM12

1.5/1.2

7991

49

LSA I&II

1000

19502

151

LSM12

1000

11251

293

LMX LM2

1000

20296

31/102/135

LSM12 LSM12 LS2PRA

3 2.5 500

7553 6589 7288

20 50 21

Luminex kit (lot)

Cut-off value

IgG

IgG

Control bead MFI Positive

Control bead MFI Negative

IgG

LSAII

default

17527

160

LMX

LMX

Luminex kit (lot) Cut-off value Control bead MFI IgG Positive

Control bead MFI Negative

18076

17379

36

25 183

UK NEQAS for H&I is operated by Velindre NHS Trust, a UKAS proficiency testing provider No 8351. © Confidential report; no data may be published without permission from UK NEQAS for H+I

NEQ-120 Issue 1 P 13 of 13 Effective Date 16/03/16