Scheme 1B - 2016-09-10


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UK NEQAS FOR H&I SCHEME 1B - HLA-B27 TESTING

HLA-B27 TYPING RESULTS OF SAMPLES 1B09&10/2016 DISPATCHED ON 27TH SEPTEMBER 2016 Summary of Results Total tested (excl. Positive Negative NT/Equivocal % Positive % Negative Consensus

115 72 43 10 62.6% 37.4%

119 3 116 6 2.5% 97.5%

Donor HLA type Donor HLA type

1B09/2016 1B10/2016

Not Assessed

Negative

1 3 4 7 8 9 10 11 12 14 15 16 17 19 20

Result 1B09/2016 Positive NT Positive Equivocal Negative Positive Negative Positive Positive Positive Positive Positive Positive Positive Positive

Result 1B10/2016 Negative NT Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative

Date received 28-Sep NT 27-Sep 28-Sep 27-Sep 28-Sep 28-Sep 28-Oct 28-Sep 28-Sep 28-Sep 28-Sep 06-Oct 28-Sep 29-Sep

Date tested 05-Oct NT 11-Oct 28-Sep 12-Oct 30-Sep 28-Sep 05-Oct 06-Oct 30-Sep 03-Oct 30-Sep 20-Oct 29-Sep 29-Sep

21 22 23 24 26 27 28 29 31 32 34 35 37 39 40 41 42 45 46

Negative Positive Positive Positive Negative Negative Positive Positive Negative Negative Positive Positive Positive Negative Positive Positive Positive Positive Negative

Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative

27-Sep 29-Sep 28-Sep 21-Sep 28-Sep 28-Sep 28-Sep 29-Sep 28-Sep 27-Sep 28-Sep 28-Sep 28-Sep 29-Sep 28-Sep 28-Sep 28-Sep 28-Sep 28-Sep

28-Sep 06-Oct 10-Oct 05-Oct 28-Sep 28-Sep 04-Oct 04-Oct 28-Sep 13-Oct

47 48 54 55 57 58 62 66 67 68 72 76 78 83 84 85 86 90 93 96 101 103 104 106 107 108 109 110 111 112 113 115 126 127 128 129 130 131 133 137 142 153 154 156 158 174 176 185 198 199 209 219 223 225 232 234 236 245 253 255 256 257 269

Negative Positive Positive Negative Negative Positive Positive Positive Negative Negative NT NT Positive Negative Negative Negative Positive Negative Negative Positive Positive Negative Equivocal Negative Positive Positive Positive Positive Negative Positive Positive Positive Positive Positive Positive Negative Positive Negative Positive Negative Negative Negative Positive Positive Positive Positive Negative Positive Positive Positive Positive Negative Positive Positive Positive Positive Negative Positive Positive Positive Negative Positive Negative

Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative NT NT Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative Positive Negative Negative Negative Negative Negative Negative Negative Negative Negative Equivocal Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative Positive Negative Equivocal

29-Sep 29-Sep 28-Sep 30-Sep 28-Sep 28-Sep 28-Sep 29-Sep 28-Sep 28-Sep 04-Oct 28-Sep 29-Sep 28-Sep 28-Sep 28-Sep 28-Sep 28-Sep 28-Oct 29-Sep 28-Sep 28-Sep 29-Sep 29-Sep 04-Oct 29-Sep 28-Sep 28-Sep 29-Sep 30-Sep 28-Sep 28-Sep 03-Oct 28-Sep

07-Oct 29-Sep 28-Sep 30-Sep 05-Oct 29-Sep 13-Oct 30-Sep 04-Oct 30-Sep 29-Sep 11-Oct 06-Oct 03-Oct 11-Oct 29-Sep 30-Sep 13-Oct 28-Sep 10-Oct 10-Oct 04-Oct

04-Oct 28-Sep 28-Sep 28-Sep 28-Sep 29-Sep 28-Sep 28-Sep 30-Sep 04-Oct 03-Oct 03-Oct 28-Sep 28-Sep 03-Oct 29-Sep 06-Oct 28-Sep 04-Oct 03-Oct 03-Oct 05-Oct 28-Sep 03-Oct 29-Sep 28-Sep 27-Sep

07-Oct 29-Sep 30-Sep 30-Sep 29-Sep 04-Oct 29-Sep 30-Sep 17-Oct 11-Oct 08-Oct 03-Oct 04-Oct 30-Sep 06-Oct 03-Oct 07-Oct 04-Oct 07-Oct 07-Oct 04-Oct 06-Oct 04-Oct 07-Oct 04-Oct 28-Sep 27-Sep

273 276 278

Positive Positive Positive

Negative Negative Negative

29-Sep 28-Sep 03-Oct

04-Oct 10-Oct 13-Oct

SSP SSP/RT-PCR Microarray

279 285 288

Negative Negative Equivocal

Negative Negative Equivocal

28-Sep 28-Sep 28-Sep

30-Sep 29-Sep 29-Sep

Cytotoxicity Cytotoxicity Flow Cytometry

292 295 300 305 306 307 310 317 319 323 324 325 326 327 329 334 339 340 348 349 353 356

Negative Positive Negative Positive Positive Positive Negative Positive Equivocal Negative Negative Positive Negative Positive Positive Equivocal Negative Equivocal Negative Equivocal Positive Negative

Positive Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative Negative

30-Sep 28-Sep 20-Oct 27-Sep 28-Sep 28-Sep 29-Sep 10-Oct 28-Sep 30-Sep 29-Sep 28-Sep 29-Sep 05-Oct 28-Sep 28-Sep 03-Oct 28-Sep 03-Oct 28-Sep 28-Sep 04-Oct

30-Sep 29-Sep

Cytotoxicity Flow Cytometry SSP SSP SSP SSP Flow Cytometry SSP RT-PCR Cytotoxicity Flow Cytometry SSP Flow Cytometry SSP SSO Flow Cytometry SSP PCR-SSP Flow Cytometry Flow Cytometry SSP, SSO Flow Cytometry

Lab No

06-Oct 29-Sep 03-Oct 10-Oct 11-Oct 04-Oct 04-Oct 09-Oct 29-Sep 06-Oct 06-Oct 14-Oct 13-Oct 29-Sep 28-Sep 10-Oct 28-Sep 28-Sep

14-Oct 06-Oct 17-Oct 30-Sep 16-Oct 30-Sep 03-Oct 29-Sep 04-Oct 30-Sep 12-Oct 03-Oct 28-Sep 11-Oct 06-Oct 03-Oct 29-Sep 06-Oct 04-Oct

HLA-A1, A3; B27, B44; Cw2, Cw16; DR4, DR17; DQ2, DQ8 HLA-A24, A32; B7, B61; Cw2, Cw7; DR9, DR17; DQ2, DQ9

PCR-SSP

Method SSP NT SSP Flow Cytometry Flow Cytometry SSP Flow Cytometry Luminex SSP SSP PCR-SSP SSP, Luminex Flow Cytometry, SSP SSP, Luminex Flow Cytometry, SSP

Flow Cytometry RT-PCR SSP SSP SSP Flow Cytometry SSO SSP/SSO Flow Cytometry Flow Cytometry SSP SSP SSP SSP Flow Cytometry SSP Luminex SSP Flow Cytometry Flow Cytometry SSP SSP SSP Flow Cytometry SSP SSP, SBT RT-PCR - TAQMAN Flow Cytometry Flow Cytometry SSP Flow Cytometry SSP Flow Cytometry Flow Cytometry, SSP RT-PCR SSP Flow Cytometry Flow Cytometry SSP SSP Flow Cytometry Flow Cytometry Flow Cytometry SSP SSP SSP Flow Cytometry, SSP Flow Cytometry SSP SSP SSP RT-PCR Microarray Flow Cytometry, Luminex SSO Cytotoxicity, SSP Flow Cytometry Flow Cytometry, SSP Flow Cytometry RT-PCR Flow Cytometry SSP RT-PCR SSP SSP/SSO, Microarray Cytotoxicity SSP Flow Cytometry RT-PCR SSP SSP SSP SSP SSP Molecular Serological SSO RT-PCR RT-PCR Flow Cytometry SSP SSP

Primers and Probes Alta Bioscience NT Own design

Detection system Gel NT Fluorescence

Own design

Gel

Own design Own design

Gel Gel

Olerup, One Lambda Olerup Own design

Gel, Fluorescence Gel Gel

High Resolution Typing HLA-B*27 alleles 1B09/2016 1B10/2016

Comments

No results returned Patient samples with such results would be referred for PCR analysis B*27:12 B*27:12

B*27:12 B*27:12

B*27:12/26

In-house Own design Olerup Own design

Gel Gel Gel

Sample showed unusual reactivity by flow cytometry. It was weakly positive with the use of Beckton Dickinson B27 antibody and negative with One Lambda B27 antibody. This prompted the test to be completed by PCR-SSP where the uncommon B*27:12 was detected (B*27:26 cannot be ruled out)

B*27:12 B*27:12

B*27:12 B*27:12

Biofortuna Phoenix Flow

Gel

Olerup Own design Own design Own design

Gel Gel Gel, Fluorescence Gel

Own design

Gel

Own design

Gel

Invitrogen Own design Hain Lifesciences

Gel Gel Fluorescence

Innotrain Olerup Own design

Gel

TIB MOLBIOL

Fluorescence

Commercial

Gel

Olerup Own design Invitrogen

Gel Fluorescence (Taqman probes) Gel

Olerup Olerup

Gel Gel

EuroArray Olerup LinkSeq HLA-B27 Commercial

Fluorescence Gel

Own design Olerup Olerup Own design

Gel Gel Gel Fluorescence

Olerup

Gel

1B09/2016 Weak/Neg reaction with some antisera - CDC. DNA testing - B*27:12

Olerup

Gel

We also confirm by SSP LR typing - Sample 1B09 the presence of ?B*27:12

B*27:12 B*27:12

B*27:12 B*27:12 Sample 1B09 peak has fallen directly on the decision line. Although the median is "Negative", this would require confirmation by genetic testing

B*27:12

Fluorescence

HLA-B27 testing currently being validated Unable to perform NEQAS or patient testing due to production facility failure

Determination by PCR: NEG

Gel

1B09 was negative by Flow cytometry

Olerup

Gel

Olerup

Gel Gel

Olerup

Gel

Linkafe Biosciences Commercial Clonit Invitrogen Commercial Olerup

Fluorescence Gel Fluorescence Gel Gel Gel

Sample 1B10 showed HLA-B7 crossreaction

Olerup EuroImmun, Euroarray

Gel

Olerup Linkage biosciences

Gel Melting Point

Samples seems to be HLA-B27 pos, but also some non HLA-B27:01 alleles are possible (B*07:197, 15:342, 37:02, 47:04, 47:05, 48:26)

Sample 1B09/2016: Exon2 - Neg, Exon3 - Pos Sample 1B10/2016: Exon2 - Neg, Exon3 - Neg

1B09: Equivocal (BD), Weak Pos (BC) 1B10: Neg (BD), Pos (BC) Technical issue?

Innotrain Commercial Sciences Biomark inc Olerup

Gel Gel Fluorescence Gel

Olerup

Gel

BAG Healthcare

Gel

Delivery delay due to customs

Discrepant results from different assays for sample 1B09

AnDiaTec

Gel Fluorescence

Own design Own design

Fluorescence Fluorescence

Sample 1B09 would be send to another laboratory We used two sets of primers, discordant results observed

Fluorescence Sample delivery delay

NEQ-115 Issue 2 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

P. 1 of 2 Effective Date 10/10/16

UK NEQAS FOR H&I SCHEME 1B - HLA-B27 TESTING

HLA-B27 TYPING RESULTS OF SAMPLES 1B09&10/2016 DISPATCHED ON 27TH SEPTEMBER 2016 Lab No

Source of pos/neg control cells used (if applicable) 3 7 10 17 20 21 27

Enzo Life Sciences In-house In-house In-house Neg = Immunotrol cells (Beckman Coulter) Pos = Pheonix Flow CRISP HLA B27 pos cells

31 Positive control cells not used 32 40 46 Axxora 47 In-house 57 In-house 67 68 Crisp HLA-B27 76 83 HLA B27 CRISP positive control cells 84 Enzo Life Sciences 90 93 Beckman+One Lambda 103 Phoenix 104 106 110 111 In-house 128 131 Phoenix 133 BD 137 153 In-house, Commercial 198 256 288 295 In-house 310 In-house 324 326 In-house 334 348 349 356

Designation HLA-B27 FITC FITC HLA-B27 FITC B27 FITC Anti B27-FITC/CD3-PE HLA-B27 Duraclone B27

Monoclonal 1 Specificity Clone GS145.2 Anti-HLA-B27 HLA-B27 B27 B27+B7 HLA-B27 FITC CD3, HLA-B27, HLA-B7

BD BD One Lambda One Lambda BD One Lambda Beckman Coulter

MSIgG1 RDI/MsIgG2a FITC

Isotype control

PF/FITC HLA-B27 PE Anti HLA-B27 ABC m3 IgG2a IgG2a PE- anti-Human-HLA-B27 HLA-B27/B7 FD705 HLA-B27

B7/B27

B7/B27 HLA-B27 B27 HLA-B27-FITC/HLA-B7-PE Anti-HLA-B27 HLA-B27 Anti-HLA-B27 FITC Anti-HLA-B27 FITC Iotest HLA-B27 FITC HLA-B27-FITC/HLA-B7-PE

B7/B27 R-PE B27 HLA-B27 FITC/CD3 PE HLA-B27 FD705-9E1E10 Clone GS145.2 HLA-B27 HLA-B27

HLA-ABC m3/BB7.1 HLA-B27 FITC HLA-B27 testing on T-cells Anti-HLA-B27 Anti-HLA-B27 FITC Anti-HLA-B27 FITC Iotest HLA-B27 FITC/B7 PE HLA-B27 FITC Iotest HLA-B27 FITC, HLA-B7 PE HLA-B27 FITC CD3 PE/HLA-B27 FITC Anti-CD3 PE Duraclone B27

FITC HLA-B27 HLA-B27 clone FD705 and ABCm3 HLA-B27-FITC/B7-PE HLA-B27 FITC

HLA-B27/B7 IgG2b FD705 anti-HLA-B27 FITC + anti-CD3-PE HLA-B27 HLA-B27 Clone GS145.2 HLA-B27 HLA-B27 HLA-B27 HLA-B27 CD3, Clone UCHT1

CD3 PE PE/FITC CD3 PE CD3 PE Anti B27-FITC HLA-B27/HLA-B7

Monoclonal 2 Specificity Clone SK7 Anti CD3 CD3 CD3 B27 HLA-B27-FITC/HLA-B7-PE

Manufacturer BD BD BD BD One Lambda Beckman Coulter

Beckman Coulter

HLA-B27 FITC/B7 PE

B7/B27

Beckman Coulter

Beckman Coulter Beckman Coulter BD Beckman Coulter Beckman Coulter Beckman Coulter Beckman Coulter Beckman Coulter Beckman Coulter

PE/FITC CD3-PE-DY649 Anti CD3 FD705 IgG2b IgG2b PE- Dyomics649- anti-Human CD3 HLA-B27 ABCm3 HLA-B7

IgG/IgG2 PE HLA-B27 HLA-B27 clone UCHT1 HLA-B27-FITC HLA-B27 PE

Beckman Coulter Beckman Coulter BD Beckman Coulter Beckman Coulter Beckman Coulter One Lambda Beckman Coulter Beckman Coulter

CD3 B27

PE-Dyomics649 B27

Beckman Coulter B7 Beckman Coulter

HLA-B27

HLA-B7/B27

Immunotech

CD3 PE Iotest HLA-B7 PE

Clone SK7 HLA-B7

BD Beckman Coulter CD45 PerCp-Cy5.5

HLA-B27 IgG2a-IgG1 anti-HLA-B27 FITC + anti-CD3-PE CD3 CD3 Clone SK7 HLA-B7 HLA-B7 HLA-B27

BD One Lambda Immunotech Beckman Coulter Isotype control BD BD Anti-HLA-B7 PE BD Beckman Coulter Beckman Coulter One Lambda Beckman Coulter

Manufacturer

Beckman Coulter Beckman Coulter One Lambda Beckman Coulter BD One Lambda One Lambda BD Beckman Coulter Beckman Coulter BD Immunotech One Lambda BD BD BD and Beckman Coulter BD Beckman Coulter Beckman Coulter Beckman Coulter Beckman Coulter BD BD Beckman Coulter

Designation

MPC-11 HLA-B27-FITC/B7-PE HLA-B27 control +B7 crossreaction Anti-CD3 Anti-CD3 PE Anti-CD3 PE Iotest HLA-B27 FITC/B7 PE HLA-B7 PE MO AB B27 FITC HLA-B7 PE Anti HLA-B27 FITC Duraclone B27

HLA-B27, Clone ABCm3

Designation

Monoclonal 3 Specificity

Manufacturer

BB7.1 IgG1 IgG1K unlabeled anti-Human B7

HLA-B7 CD3 Clone BB7.1

Beckman Coulter Beckman Coulter Beckman Coulter

BB7.1 CD3

HLA-B7 PC5

Beckman Coulter Beckman Coulter

Clone BB7.1

Beckman Coulter

Lymphocytes gating

BD

BD Beckman Coulter Duraclone B27

IgG2a-FITC and IgG1-PE Beckman Coulter HLA-B7

Beckman Coulter

HLA-B27, Clone FD705

Beckman Coulter

NEQ-115 Issue 2 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

P. 2 of 2 Effective Date 10/10/16