In the last few years, a variety of DNA-based human leukocyte antigen
(HLA) typing methods have emerged, revealing the extreme polymorphism
of HLA genes. This polymorphism makes it difficult for a clinical labo
ratory to establish the best HLA typing strategy. In this study we hav
e compared two techniques for performing HLA-DRB typing: a commercial
rapid assay based on the polymerase chain reaction (PCR) followed by r
everse dot-blot hybridization of the PCR products (the Inno-LiPA assay
), and a method based on PCR followed by restriction fragment length p
olymorphism analysis. We found that both methods provide reliable resu
lts with a high rate of concordance (97%) and that Inno-LiPA is conven
ient for large-scale routine typing. However, if a high-resolution all
elic typing is required, each method lacks accuracy but using them in
association improves the accuracy of the results.