Soluble HLA class I alloantigens (sHLA class I) can be typed according
to their isoelectric points (IEP) after immunoprecipitation by w6/32
monoclonal antibody (mAb) coupled to immunomagnetic beads and focusing
. In order to prove the large scale efficacy of this methodology, EDTA
-plasma samples from 344 probands HLA-A, B typed by serology were anal
ysed by one-dimensional isoelectric focusing and HLA class I specific
Westernblot (1D-IEF). In addition, detergent solubilized HLA class I m
embrane molecules from approximately one half of the probands were stu
died too. Soluble HLA-A24, B7, B18, B62 antigens were identified in ne
arly all experiments, whereas A28, B13, and B51 could be detected in a
bout 50%. A third group of HLA antigens (A26, B8, B44) could be visual
ized rarely. The difficulties of detection might be due to the differe
nt affinity of mAb w6/32 to certain sHLA class I gene products or to v
ariable amounts of sHLA class I in the plasma specimens. Some modifica
tions of the antigen capture technique have already led to a slightly
better degree of antigen recognition in 25 probands tested. Thus, HLA-
A, B typing using sHLA molecules and 1D-IEF in the assay format presen
ted does not yet seem to be a definitive alternative for HLA class I s
erology or biochemistry of membrane-bound HLA class I molecules but it
should be a promising technique if no cells are available or donor-de
rived sHLA allotypes are to be monitored after HLA mismatched organ tr
ansplantation.