Conventional matching is based on numbers of alleles shared between do
nor and recipient. This approach, however, ignores the degree of relat
ionship between alleles and haplotypes, and therefore the actual degre
e of difference. To address this problem, we have compared family memb
ers using a block matching technique which reflects differences in gen
omic sequences. All parents and siblings had been genotyped using conv
entional MHC typing so that haplotypes could be assigned and relatives
could be classified as sharing 0, 1 or 2 haplotypes. We trained an Ar
tificial Neural Network (ANN) with subjects from 6 families (85 compar
isons) to distinguish between relatives. Using the outputs of the ANN,
we developed a score, the Histocompatibility Index (HI), as a measure
of the degree of difference. Subjects from a further 3 families (106
profile comparisons) were rested. The HI score for each comparison was
plotted. We show that the HI score is trimodal allowing the definitio
n of three populations corresponding to approximately 0, 1 or 2 haplot
ype sharing. The means and standard deviations of the three population
s were found. As expected, comparisons between family members sharing
2 haplotypes resulted in high HI scores with one exception. More incre
asingly, this approach distinguishes between the 1 and 0 haplotype gro
ups, with some informative exceptions. This distinct ion was considere
d too difficult to attempt visually. The approach provides promise in
the quantification of degrees of histocompatibility. (C) American Soci
ety for Histocompatibility and Immunogenetics, 1998. Published by Else
vier Science Inc.