Sequencing-based HLA typing (SET) is a PCR based high resolution HLA t
yping method in which polymorphic regions of the gene are sequenced an
d directly used for typing. Currently, for class II SET, alleles are i
dentified by comparison of the exon 2 sequence with their correspondin
g allele sequence library. Routine SET requires reliable identificatio
n of heterozygosity, and automated assignment of the alleles. In seque
ncing strategies different enzymes can be used for primer extension. T
he most characteristic difference between sequences obtained by two pr
otocols using Sequenase(R), or Tag-cycle sequencing? respectively, is
a difference in incorporation of nucleotides in the primer extension l
eading to different sequence profiles. In Tag-cycling sequencing varia
ble nucleotide incorporation results in irregular, but reproducible pe
ak patterns, whereas Sequenase(R) incorporates nucleotides in nearly e
qual amounts, resulting in more even peak patterns. In a previously pu
blished multi-center study we evaluated HLA-DPB1 SET using Tag-cycle s
equencing, and showed that typing can reliably be performed, consideri
ng the specific sequence profiles. In this study the applicability of
Sequenase(R) for HLA-DPB1 SET was tested. A panel of samples were type
d by SET at five test sites which participate in the Sequencing Based
Typing component of the 12th International Histocompatibility Workshop
. The panel represents the existing polymorphism at all known polymorp
hic positions of exon 2, both in homozygous and heterozygous combinati
ons. The assignment of homozygosity and heterozygosity was validated b
y Multi-Sequence Analysis, performing cluster analysis of chromatograp
hic data of all sequences at each position. Sequence characteristics w
ere examined and considered for appropriate assignment. Data reveals t
hat Sequenase(R) sequencing can also reliably be used for HLA-DPB1 typ
ing.