ATC Abstracts

American Transplant Congress abstracts

  • Home
  • Meetings Archive
    • 2022 American Transplant Congress
    • 2021 American Transplant Congress
    • 2020 American Transplant Congress
    • 2019 American Transplant Congress
    • 2018 American Transplant Congress
    • 2017 American Transplant Congress
    • 2016 American Transplant Congress
    • 2015 American Transplant Congress
    • 2013 American Transplant Congress
  • Keyword Index
  • Resources
    • 2021 Resources
    • 2016 Resources
      • 2016 Welcome Letter
      • ATC 2016 Program Planning Committees
      • ASTS Council 2015-2016
      • AST Board of Directors 2015-2016
    • 2015 Resources
      • 2015 Welcome Letter
      • ATC 2015 Program Planning Committees
      • ASTS Council 2014-2015
      • AST Board of Directors 2014-2015
      • 2015 Conference Schedule
  • Search

hlaR,” a Simplified Interface for the HLA Matchmaker Tool

A. Johnson1, J. Zhang1, H. Gebel2, C. Larsen1

1Surgery, Emory University, Atlanta, GA, 2Pathology, Emory University, Atlanta, GA

Meeting: 2021 American Transplant Congress

Abstract number: 1295

Keywords: Alloantigens, Epitopes, HLA matching

Topic: Clinical Science » Organ Inclusive » Machine Learning, Artificial Intelligence and Social Media in Transplantation

Session Information

Session Name: Machine Learning, Artificial Intelligence and Social Media in Transplantation

Session Type: Poster Abstract

Session Date & Time: None. Available on demand.

Location: Virtual

*Purpose: Functional epitopes, or eplets, represent a set of amino acids within three angstroms of one another that may not be sequentially contiguous but are neighbors in three-dimensional space. The HLA Matchmaker tool, developed by Rene Duquesnoy, catalogues the eplets of each HLA allele and identifies mismatched eplets between donor:recipient pairs. The degree of eplet mismatching correlates with patient outcomes. Unfortunately, the scalability and magnitude of application has been restricted by the time and effort required at the user interface

*Methods: We developed a software package using the programming language R, with capacity to build into a user-friendly web application, that dramatically reduces the effort of the end user. The tool is a compilation of several functions. HLA typing data on a population of one or many donors and recipients is read into R. The data is then converted into a consistent format using the function AlleleClean. Cleaned data are processed using the functions, CalEpletMHCI and CalEpletMHCII, which generate both a detailed output of the eplet mismatches between paired samples and a simplified output with the numerical count of mismatched eplets. Allele level mismatch can be analyzed with the function EvalAlleleMism. Finally, the AlleleTopN function generates a list of the most common alleles in the user’s dataset. We demonstrate through applied vignettes the simplified workstream allowed by our R package, hlaR, accessible at https://github.com/LarsenLab/hlaR.

*Results: User data input can be tailored to the intended application. The most common use of eplet data has been retrospective analysis of patient outcomes in the context of the mismatch load between recipient and donor (1 to 1). Analyzing a dataset of contrived donor recipient pairs with high-resolution HLA typed subjects, we observed equivalent results between hlaR and eplet mismatches calculated by HLAMatchmaker. Results were consistent excepting minor typographical errors traced to the excel workbook. To emulate the use of mismatch load in organ allocation, we provide an additional vignette, calculating mismatch between a single donor and a set of possible recipients or, similarly, between a set of donors and a single recipient (1 to many, many to 1).

*Conclusions: Our new tool, hlaR, can provide simplified eplet data with a streamlined workflow for multiple applications. We plan to expand the functionality of this package to include imputation of low-resolution data by incorporating a query of the National Marrow Donor Program’s HaploStats web application. With decreased effort from the end user, eplet matching and mismatch load data, which have been significantly associated with graft outcomes, can be further incorporated into both research and clinical use.

  • Tweet
  • Click to email a link to a friend (Opens in new window) Email
  • Click to print (Opens in new window) Print

To cite this abstract in AMA style:

Johnson A, Zhang J, Gebel H, Larsen C. hlaR,” a Simplified Interface for the HLA Matchmaker Tool [abstract]. Am J Transplant. 2021; 21 (suppl 3). https://atcmeetingabstracts.com/abstract/hlar-a-simplified-interface-for-the-hla-matchmaker-tool/. Accessed May 28, 2025.

« Back to 2021 American Transplant Congress

Visit Our Partner Sites

American Transplant Congress (ATC)

Visit the official site for the American Transplant Congress »

American Journal of Transplantation

The official publication for the American Society of Transplantation (AST) and the American Society of Transplant Surgeons (ASTS) »

American Society of Transplantation (AST)

An organization of more than 3000 professionals dedicated to advancing the field of transplantation. »

American Society of Transplant Surgeons (ASTS)

The society represents approximately 1,800 professionals dedicated to excellence in transplantation surgery. »

Copyright © 2013-2025 by American Society of Transplantation and the American Society of Transplant Surgeons. All rights reserved.

Privacy Policy | Terms of Use | Cookie Preferences