History and Naming of Human Leukocyte Antigens - Genetic Complexity Typifies HLA

Genetic Complexity Typifies HLA

The naming of human leukocyte antigens HLA "antigens" is deeply rooted in the discovery history of their serotypes and alleles. There is no doubt that HLA terminology can be bewildering, this terminology is a consequence of the complex genetics as well as the way these antigens were characterized.

Historical perspective is important to an understanding how the HLA were systematized. In organ transplant the goal was to explain graft rejection for recipients, and of course, to prevent future rejection. From this perspective, the cause of rejections were found to be "antigens". In the same way bacterial antigens can cause inflammatory response, HLA antigens from the donor of the organ caused an inflammatory response when placed in a recipient. This is called allograft rejection.

To explain rejection in a nutshell, certain immune system components are highly variable, the agents are called the Major histocompatibility (MHC) antigens. MHC antigens cause rejection of improperly matched organ transplants. The variability stems from genetics. From the perspective of human evolution, why are antigens of the MHC so variable when many other human proteins lack variability? The cause of host-versus-graft-disease may actually stem from the functions of the system.

The use of the word alloantigen actually masks the fact that HLA are infrequently autoantigens in the donor, and therefore their function is not as antigens, but something else. But the naming of these antigens is not borne out of function but the need to match organ donors with recipients.

Read more about this topic:  History And Naming Of Human Leukocyte Antigens

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