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DNA Labs India

HLA Pre-Transplant Workup Sensitized Recipient Panel 4 Test

DNA Labs India | ISO 9001:2015 Certified

HLA Pre-Transplant Workup Sensitized Recipient Panel 4 Test

Short Name: HLA Pre-Transplant Workup Sensitized Recipient Panel 4

Also known as: HLA Pre-Transplant Workup Panel 4, Sensitized Recipient HLA Panel 4, HLA Transplant Workup Sensitized Recipient Panel

HLA Pre-Transplant Workup Sensitized Recipient Panel 4 Test test available at DNA Labs India for ₹68,679. Uses Complement Dependent Cytotoxicity with DTT treatment, Reverse SSOP - Luminex, Luminex X-Map technology, Flow cytometry, Sequence based Typing (SBT) on Whole blood and serum samples. Results in Reports are typically available within 10-12 days.. Free home collection in 300+ cities across India.

Nephrologist🏠 Home Collection

Overview

Pre-kidney transplantation workup of recipient to: assess a sensitized recipient with history of multiple blood transfusions, pregnancies and re-transplants; assess the HLA match/mismatch between recipient and donor at high resolution (allele level); antibody screening for allo-immunization status of the recipient; evaluate the level of sensitization of recipient to donor by antibody identification at allele specificity level and identify specificities of all antibodies present.

Test Code
3484
Price
₹68,679
Sample Type
Whole blood and serum
Result Time
Reports are typically available within 10-12 days.
Fasting Required
No
Method
Complement Dependent Cytotoxicity with DTT treatment, Reverse SSOP - Luminex, Luminex X-Map technology, Flow cytometry, Sequence based Typing (SBT)
Step 1

Sample Collection

Schedule collection preferably 48 hours after dialysis. Bring a doctor's prescription on letterhead with one photograph each of recipient and donor duly stamped, and a signed consent Form 33 for HLA typing for solid organ transplant.

Method: Venipuncture

Step 2

Laboratory Analysis

A phlebotomist will collect multiple blood tubes as follows: 6 mL whole blood in Yellow Top (ACD), 9 mL serum from 3 SSTs, 4 mL whole blood in Lavender Top (EDTA), and 4 mL whole blood in Green Top (Sodium Heparin).

Step 3

Report Delivery

The specimen should be shipped at 18–22°C. Do not refrigerate or freeze. Reports will be shared via online portal, email, or WhatsApp.

Timeline: Reports are typically available within 10-12 days.

Patient Instructions

1
Before the Test:Schedule collection preferably 48 hours after dialysis. Bring a doctor's prescription on letterhead with one photograph each of recipient and donor duly stamped, and a signed consent Form 33.
2
During the Test:A phlebotomist will collect the required whole blood and serum samples as per the panel requirements.
3
After the Test:The specimen should be shipped at 18–22°C. Do not refrigerate or freeze. Reports will be delivered online.

About This Test

Who Should Get This Test

Pre-kidney transplantation workup of recipient to: assess a sensitized recipient with history of multiple blood transfusions, pregnancies and re-transplants; assess the HLA match/mismatch between recipient and donor at high resolution (allele level); antibody screening for allo-immunization status of the recipient; evaluate the level of sensitization of recipient to donor by antibody identification at allele specificity level and identify specificities of all antibodies present.

How to Prepare

  • Collect 6 mL whole blood in 1 Yellow Top (ACD) tube
  • Collect 9 mL serum from 3 SST tubes
  • Collect 4 mL whole blood in 1 Lavender Top (EDTA) tube
  • Collect 4 mL whole blood in 1 Green Top (Sodium Heparin) tube
  • Collect specimen preferably 48 hours after dialysis
  • Ship at 18–22°C; do not refrigerate or freeze
  • Doctor's prescription with photographs and signed Form 33 consent are mandatory

Doctor's Notes

"For sensitized recipients with a history of blood transfusions, pregnancy, or previous transplant, this panel helps identify preformed anti-HLA antibodies and donor-specific responses. It is a critical step before transplantation to reduce rejection risk."

Test Parameters & Specifications

Sample TypeWhole blood and serum
Sample Volume6 mL whole blood (Yellow Top ACD) + 9 mL serum (3 SSTs) + 4 mL whole blood (Lavender Top EDTA) + 4 mL whole blood (Green Top Sodium Heparin)
ContainerYellow Top (ACD), SST tubes, Lavender Top (EDTA), Green Top (Sodium Heparin)
Collection MethodVenipuncture

Sample Stability

Sample Rejection Criteria:
  • Missing doctor's prescription on letterhead with recipient and donor photographs
  • Missing signed consent Form 33 for HLA typing for solid organ transplant
  • Inadequate sample volume
  • Refrigerated or frozen specimen

Understanding Your Results

This panel provides a comprehensive assessment of HLA compatibility and anti-HLA antibody status. A positive T or B cell crossmatch or donor-specific antibodies suggests an increased risk of rejection and should be discussed with the transplant physician.
HLA DNA high-resolution typing reports allele-level HLA assignments for donor-recipient match/mismatch assessment.
A negative HLA T and B cell crossmatch indicates no preformed donor-specific antibodies detected by the test.
A positive crossmatch suggests recipient antibodies against donor HLA antigens, increasing rejection risk.
Panel reactive antibody percentage and single antigen bead results identify sensitization level and antibody specificity.
⚠️ When to Consult a Doctor:

Consult a transplant nephrologist or transplant physician if the crossmatch is positive, donor-specific antibodies are identified, or if you have symptoms such as fever, decreased urine output, abdominal pain, or swelling.

Limitations

  • A negative crossmatch does not completely exclude all immune risk.
  • Final transplant suitability requires clinical correlation including biopsy and transplant physician assessment.
  • Reference ranges and thresholds may vary by laboratory and testing platform.

Risks & Considerations

  • Mild pain or bruising at the venipuncture site
  • Standard low-risk blood draw

Interfering Factors

  • Specimen should be collected preferably 48 hours after dialysis
  • Specimen must not be refrigerated or frozen before testing

Frequently Asked Questions

What is the HLA Pre-Transplant Workup Sensitized Recipient Panel 4 Test?
It is a comprehensive pre-transplant immunology panel used to assess HLA compatibility and anti-HLA antibody status in sensitized transplant recipients.
Why is this test needed?
It is recommended for patients with a history of previous transplant, blood transfusion, or pregnancy, as these events can lead to antibodies that may cause organ rejection.
What does the panel include?
The panel includes HLA DNA typing, T and B cell lymphocyte crossmatch, flow cytometry crossmatch, panel reactive antibody screen, and single antigen bead IgG Class I and II testing.
What sample type is required?
It requires 6 mL whole blood in a Yellow Top ACD tube, 9 mL serum from 3 SSTs, 4 mL whole blood in a Lavender Top EDTA tube, and 4 mL whole blood in a Green Top Sodium Heparin tube.
Is fasting required before the test?
No fasting is required. However, the specimen should preferably be collected 48 hours after dialysis.
What is the cost of the HLA Pre-Transplant Workup Sensitized Recipient Panel 4 Test?
The test is offered at a cost of Rs 68679.0 at DNA Labs India.
How long does it take to get reports?
Reports are typically available within 10-12 days.
Is a doctor's prescription mandatory?
Yes, a doctor's prescription on letterhead with one photograph each of recipient and donor duly stamped, along with signed consent Form 33, is mandatory.
Does DNA Labs India provide home sample collection for this test?
Yes, free home sample collection is available for online bookings for this test across India.
What are the symptoms of organ rejection?
Symptoms can include fever, decreased urine output, abdominal pain, and swelling. However, rejection can also occur without any symptoms.
How should the specimen be transported?
The specimen should be shipped at 18–22°C. It must not be refrigerated or frozen.
What does a positive crossmatch mean?
A positive crossmatch suggests that the recipient has antibodies against donor HLA antigens, which may increase the risk of organ rejection. A transplant physician should be consulted.
Worried about the process? Our certified phlebotomists collect thousands of samples every month across India. The process takes under 5 minutes and is virtually painless. Questions? Message us on WhatsApp — we're here 7 days a week.

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