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Visualizing Antigen Specific CD4+ T Cells using MHC Class II Tetramers
Published on: March 6, 2009
Techniques used to define human MHC antigens: serology
1Northwestern Regional Tissue Typing Laboratory, St. Mary's Hospital, Manchester, U.K.
Insights
The complement-mediated cytotoxicity assay remains the standard for human leukocyte antigen (HLA) tissue typing, defining HLA antigens on various cell types. Automation and microsphere technology enhance this established method for accurate HLA typing.
Area of Science:
- Immunology
- Genetics
- Clinical Diagnostics
Background:
- The complement-mediated cytotoxicity assay, developed in the 1960s, is the classical method for human leukocyte antigen (HLA) tissue typing.
- This assay defines HLA antigens on lymphocytes from peripheral blood, spleen, or lymph nodes, crucial for transplantation and disease studies.
Purpose of the Study:
- To describe the established complement-mediated cytotoxicity assay for HLA antigen definition.
- To highlight the application of this assay in various clinical and research settings, including cell lines and prenatal diagnostics.
Main Methods:
- Target cells (lymphocytes) are incubated with typing antisera, followed by the addition of rabbit serum as a complement source.
- Incubation at 22°C in Terasaki trays, followed by staining to detect target cell death, indicates a positive reaction.
- Automation and antibody-coated magnetisable microspheres are employed for enhanced efficiency and pure B lymphocyte separation for class II typing.
Main Results:
- The assay accurately defines HLA-A, B, Cw (class I) and HLA-DR, DQ (class II) antigens.
- Successful HLA typing has been demonstrated using various cell sources, including cultured cells and cell lines.
- The method allows for the definition of antibodies to HLA antigens using cells with known HLA phenotypes.
Conclusions:
- The complement-mediated cytotoxicity assay is a robust and adaptable method for HLA antigen definition.
- Modern adaptations, including automation and microsphere technology, improve the efficiency and precision of HLA typing.
- This assay remains fundamental for immunological and clinical applications requiring precise HLA characterization.
Abstract:
The classical, routine test employed for definition of HLA antigens expressed in humans (tissue typing) is the complement-mediated cytotoxicity assay developed by Terasaki and McClelland in the early 1960s. In both healthy persons and patients, the assay target cells are usually lymphocytes obtained from peripheral blood, but when typing cadaver donors, splenic or lymph node lymphocytes can be used. HLA-A, B, Cw (class I) antigens are expressed on all nucleated cells while HLA-DR, DQ (class II) are restricted to B lymphocytes and immune activated cells. Tissue typing has been achieved using culture cells from amniocentesis and typing of cell lines is possible with small modifications to the standardised cytotoxicity assay. Usually, target cells are incubated under oil with typing antisera at 22 degrees C in a 60- or 72-well Terasaki tray. After 30 min rabbit serum is added as a source of complement. After a further 60 min incubation the test is stained. A positive reaction results in target cell death. There are local variations to this test. Automation of the assay is now commonplace, from reagent dispensing to automated reading of finished assay. The use of antibody-coated magnetisable microspheres has enabled separation of pure B lymphocyte samples for class II typing and has reduced incubation times through antigen modulation. It is possible to define antibodies to HLA antigens in the same assay using target cells with known HLA phenotypes.
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