Aim HLA typing by Sanger Sequencing is a high-resolution typing method which depend on the correct analysis of the sequence traces. Using a combination of Core sequencing and Group Specific Sequencing reactions (GSSPs) results in allele level typing in the vast majority of samples. However, the reliability of the results depend on the sequence quality and the accuracy of the manual inspection and editing. SBTengine® is a software package which optimizes the SBT analysis workflow. CWD lists and genotype expected frequencies are applied to focus on the crucial steps of the analysis. GSSP advisor and GPS predictor are tools used to minimize the amount of work needed to come to the required resolution. However, an accurate manual inspection and editing are still required. Methods To reduce the manual inspection and editing work, we developed a module for batch analysis, which analyzes Sanger SBT data to come to an HLA typing result. The analysis includes an extensive evaluation of the sequence quality at every position in the context of the other traces of a sample. This means that the results are based on the combined quality of all traces. The module also optimizes the result in the context of the expected frequencies of the genotyping results. The quality of the traces directly influences the possibilities of batch analysis, which is a balance between acceptance of some data which turns out to result in inaccuracy of determining the typing results, or rejection, which results in rejection of a sample for automated typing. Result Here we will present an update on the batch analysis feature. The results of the batch analysis depend on the basic quality of the traces. With good quality data, in the majority of cases the correct genotype is identified, which makes the module applicable for registry typing. A small percentage of samples may not come to the correct genotype, although it is expected that this concerns only minor subtypes. For donor-recipient typing, the module can perform the first analysis, which always has to be followed by an intensive evaluation by the lab supervisor. Conclusion In conclusion: The batch analysis leads to a reduction of editing, and offers a method for increased efficiency of Sanger SBT data analysis. E.H. Rozemuller: Employee; Company/Organization; GenDx. Stock Shareholder; Company/Organization; GenDx. J. Geerligs: Employee; Company/Organization; GenDx. M.T. Penning: Employee; Company/Organization; GenDx. W. Mulder: Employee; Company/Organization; GenDx. Stock Shareholder; Company/Organization; GenDx.
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