Calculator results display:
Allele level HLA-DP4:
The donor cohort records HLA-DP at broad antigen level, so DPB0401 and DPB0402 cannot be scored against a donor column. Selecting one scores it against the expected carriers of that allele among the DP4 donors, following the approach NHSBT takes for these two specificities:
cRF = (S + f × D) / N
where N is the blood group identical donors, S those excluded by the patient's other specificities, and D the further DP4 donors only the DP4 entry excludes. The carrier fractions f are DPB1*04:01 0.86, DPB1*04:02 0.26, from HLA-DPB1 typing of 456 UK deceased solid organ donors.
Selecting DPB4, or both alleles together, resolves the entry to the broad antigen. Only cRF is weighted: Mp and Fm count whole donors, and score an allele entry as broad DP4.
Matchability point bands:
| BG | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 360 | 279 | 228 | 178 | 146 | 115 | 87 | 63 | 19 | 0 |
| B | 70 | 54 | 42 | 35 | 29 | 24 | 19 | 14 | 6 | 0 |
| O | 405 | 311 | 247 | 193 | 157 | 128 | 103 | 74 | 34 | 0 |
| AB | 23 | 14 | 10 | 8 | 6 | 3 | 2 | 0 |
For each blood group, patients are assigned to an Mp band based on the maximum number of favourably matched donors (Fm) they have. The Mp bands are defined by specific Fm threshold values as outlined in the table above.
NB: The banding is subject to change as the calculator is updated by NHSBT-ODT. There is no set schedule.
HLA type for matchability calculation:
Matchability estimates how many levels 1 and 2 mismatched, ABO-identical, and HLA-compatible donors (a.k.a. favourably matched donors, Fm) are available for a patient within the 10,000 donor cohort.
The calculation is based on broad HLA specificities. For determining favourable matches (levels 1 and 2), only HLA-B and DRB1 are needed: HLA-A does not affect this categorisation.
| HLA mismatch levels for HLA-A, B and DR | ||
|---|---|---|
| Level | Summary | Combinations included |
| 1 | 000 | 000 |
| 2 | [0 DR and 0/1 B] or [1 DR and 0 B] | 100, 010, 110, 200, 210, 001, 101, 201 |
| 3 | [0 DR and 2 B] or [1 DR and 1 B] | 020, 120, 220, 011, 111, 211 |
| 4 | [1 DR and 2 B] or [2 DR] | 021, 121, 221, 002, 102, 202, 012, 112, 212, 022, 122, 222 |
bg, specs, recip_hla, and donor_set, for example
?bg=O&specs=A1,B7&recip_hla=B44,DR7&donor_set=1. Open that URL to restore the
blood group, selected specificities, recipient HLA-B/DR types, and donor cohort.
| Match Level | Summary | Combinations | Donors |
|---|---|---|---|
| Levels 1 and 2 (favourable) |
0 DR and 0/1 B | 000, 100, 010, 110, 200, 210 | |
| 1 DR and 0 B | 001, 101, 201 | ||
| Level 3 | 0 DR and 2 B | 020, 120, 220 | |
| 1 DR and 1 B | 011, 111, 211 | ||
| Level 4 | 1 DR and 2 B | 021, 121, 221 | |
| 2 DR | 002, 102, 202, 012, 112, 212, 022, 122, 222 | ||
| Total (n/10,000): | |||