Table 2. Donor types for allogeneic hematopoietic cell transplantation by HLA status.
Related donors | Unrelated donors | |||||
Monozygotic twins | HLA-identical siblings | Haploidentical family | HLA-compatible | Partially HLA-compatible | Umbilical cord blood | |
Major antigens | 0 | 0 | ≤ 6 | 0 | 1–5 | 0–5 |
Minor antigens | None | + | + | ++ | ++ | ++ |
Probability | < 1% | 25% | > 90% | 75% | > 90% | > 90% |
Unrelated donors: Stem cell donors who are not family members; haploidentical family: difference for an entire HLA haplotype, i.e., for one of the two chromosomes carrying the six HLA loci (HLA-A, -B, -C, -DR, -DQ, -DP); HLA-compatible: shown is the possible number of differences for the five most relevant HLA loci (HLA-A, -B, -C, -DR, -DQ); in around 80% of cases there is also a difference for one or two HLA-DP alleles (21); major antigens: total number of HLA differences; minor antigens: polymporphic peptides encoded by variable genes different in donor and recipient (11);their number is lower in related (+) than in unrelated (++) donors owing to the greater genetic similarity between related than between unrelated individuals. Probability: the likelihood of identifying at least one of the respective types of donors for a patient in Germany; the percentages are based on the experience of German transplant centers and may vary according to ethnicity; HLA, human leukocyte antigens