We have developed and evaluated a test for HLA-B27 based on PCR and D
NA hybridization in microtiter plates. A region within exon 2 of the H
LA-B gene is amplified and labeled by PCR and the amplification produc
t is hybridized to a group-specific HLA-B27 and a generic control oli
gonucleotide probe in two separate cavities of the plate. Bound sequen
ces are detected using an ELISA-like protocol. The assay has been eval
uated on 254 DNA samples routinely received for B27 testing in paralle
l with serological and SSP-PCR typing Results were concordant in typin
g 102 HLA-B27-positive and 152 HLA-B27-negative individuals except for
two samples containing HLA-B73, which stained B27 positive in the mi
crowell test. The new procedure is rapid and simple to perform, and th
e microwell format is particularly suitable for automation.