9781555818715-Cover.jpg

MANUAL OF MOLECULAR
AND CLINICAL
LABORATORY
IMMUNOLOGY

EIGHTH EDITION

EIGHTH EDITION

MANUAL OF MOLECULAR
AND CLINICAL
LABORATORY
IMMUNOLOGY

EDITED BY

BARBARA DETRICK

Johns Hopkins University, School of Medicine, Baltimore, Maryland

JOHN L. SCHMITZ

University of North Carolina, School of Medicine, Chapel Hill, North Carolina

ROBERT G. HAMILTON

Johns Hopkins University, School of Medicine, Baltimore, Maryland

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Disclaimer: To the best of the publisher’s knowledge, this publication provides information concerning the subject matter covered that is accurate as of the date of publication. The publisher is not providing legal, medical, or other professional services. Any reference herein to any specific commercial products, procedures, or services by trade name, trademark, manufacturer, or otherwise does not constitute or imply endorsement, recommendation, or favored status by the American Society for Microbiology (ASM). The views and opinions of the author(s) expressed in this publication do not necessarily state or reflect those of ASM, and they shall not be used to advertise or endorse any product.

Library of Congress Cataloging-in-Publication Data

Names: Detrick, Barbara, editor. | Schmitz, John L. (John Leo), editor. | Hamilton, Robert G., editor.

Title: Manual of molecular and clinical laboratory immunology / edited by Barbara Detrick, John L. Schmitz, and Robert G. Hamilton.

Description: 8th edition. | Washington, DC : ASM Press, [2016] | ?2016

Identifiers: LCCN 2016012270 (print) | LCCN 2016014573 (ebook) | ISBN 9781555818715 | ISBN 9781683673262 ()

Subjects: LCSH: Immunodiagnosis—Handbooks, manuals, etc. | Immunology—Handbooks, manuals, etc. | Molecular immunology—Handbooks, manuals, etc.

Classification: LCC RB46.5 .M36 2016 (print) | LCC RB46.5 (ebook) | DDC 616.07/9—dc23

LC record available at http://lccn.loc.gov/2016012270

doi:10.1128/9781555818722

Printed in Canada

10 9 8 7 6 5 4 3 2 1

Address editorial correspondence to: ASM Press, 1752 N St., N.W.,
Washington, DC 20036-2904, USA.

Send orders to: ASM Press, P.O. Box 605, Herndon, VA 20172, USA.

Phone: 800-546-2416; 703-661-1593. Fax: 703-661-1501.

E-mail: books@asmusa.org

Online: http://estore.asm.org

CONTENTS

Editorial Board

Contributors

Foreword: How It Began

Preface

Author and Editor Conflicts of Interest

SECTION A GENERAL METHODS

VOLUME EDITOR: ROBERT G. HAMILTON

SECTION EDITOR: THOMAS A. FLEISHER

1 Introduction

THOMAS A. FLEISHER

2 Molecular Methods for Diagnosis of Genetic Diseases Involving the Immune System

AMY P. HSU

3 The Human Microbiome and Clinical Immunology

FREDERIC D. BUSHMAN

4 Protein Analysis in the Clinical Immunology Laboratory

ROSHINI SARAH ABRAHAM AND DAVID R. BARNIDGE

SECTION B IMMUNOGLOBULIN METHODS

VOLUME EDITOR: ROBERT G. HAMILTON

SECTION EDITOR: DAVID F. KEREN

5 Introduction

DAVID F. KEREN

6 Immunoglobulin Genes

THOMAS J. KIPPS, EMANUELA M. GHIA, AND LAURA Z. RASSENTI

7 Immunoglobulin Quantification and Viscosity Measurement

JEFFREY S. WARREN

8 Clinical Indications and Applications of Serum and Urine Protein Electrophoresis

DAVID F. KEREN AND RICHARD L. HUMPHREY

9 Immunochemical Characterization of Immunoglobulins in Serum, Urine, and Cerebrospinal Fluid

ELIZABETH SYKES AND YVONNE POSEY

10 Cryoglobulins, Cryofibrinogenemia, and Pyroglobulins

PETER D. GOREVIC AND DENNIS GALANAKIS

11 Strategy for Detecting and Following Monoclonal Gammopathies

JERRY A. KATZMANN AND DAVID F. KEREN

SECTION C COMPLEMENT

VOLUME EDITOR: ROBERT G. HAMILTON

SECTION EDITOR: PATRICIA C. GICLAS

12 Introduction

PATRICIA C. GICLAS

13 The Classical Pathway of Complement

PATRICIA C. GICLAS

14 Analysis of Activity of Mannan-Binding Lectin, an Initiator of the Lectin Pathway of the Complement System

STEFFEN THIEL

15 The Nature of the Diseases That Arise from Improper Regulation of the Alternative Pathway of Complement

RICHARD J. H. SMITH

SECTION D FLOW CYTOMETRY

VOLUME EDITOR: JOHN L. SCHMITZ

SECTION EDITOR: MAURICE R. G. O’GORMAN

16 Introduction

MAURICE R. G. O’GORMAN

17 Polychromatic Flow Cytometry

ANGÉLIQUE BIANCOTTO AND J. PHILIP McCOY, JR.

18 High-Sensitivity Detection of Red and White Blood Cells in Paroxysmal Nocturnal Hemoglobinuria by Multiparameter Flow Cytometry

ANDREA ILLINGWORTH, MICHAEL KEENEY, AND D. ROBERT SUTHERLAND

19 Standardized Flow Cytometry Assays for Enumerating CD34+ Hematopoietic Stem Cells

D. ROBERT SUTHERLAND AND MICHAEL KEENEY

20 Functional Flow Cytometry-Based Assays of Myeloid and Lymphoid Functions for the Diagnostic Screening of Primary Immunodeficiency Diseases

MAURICE R. G. O’GORMAN

21 Acute Lymphoblastic Leukemia/Lymphoma: Diagnosis and Minimal Residual Disease Detection by Flow Cytometric Immunophenotyping

JOSEPH A. DIGIUSEPPE

22 Acute Myeloid Leukemia: Diagnosis and Minimal Residual Disease Detection by Flow Cytometry

BRENT WOOD AND LORI SOMA

23 Chronic Lymphocytic Leukemia, the Prototypic Chronic Leukemia for Flow Cytometric Analysis

HEBA DEGHEIDY, DALIA A. A. SALEM, CONSTANCE M. YUAN, AND MARYALICE STETLER-STEVENSON

24 Plasma Cell Disorders

JUAN FLORES-MONTERO, LUZALBA SANOJA, JOSÉ JUAN PÉREZ, FANNY POJERO, NOEMÍ PUIG, MARÍA BELÉN VIDRIALES, AND ALBERTO ORFAO

25 Future Cytometric Technologies and Applications

HOLDEN T. MAECKER

SECTION E FUNCTIONAL CELLULAR ASSAYS

VOLUME EDITOR: BARBARA DETRICK

SECTION EDITOR: STEVEN D. DOUGLAS

26 Introduction

STEVEN D. DOUGLAS

27 Cryopreservation of Peripheral Blood Mononuclear Cells

ADRIANA WEINBERG

28 Lymphocyte Activation

ROSHINI SARAH ABRAHAM

29 Functional Assays for B Cells and Antibodies

MOON H. NAHM AND ROBERT L. BURTON

30 Methods for Detection of Antigen-Specific T Cells by Enzyme-Linked Immunospot Assay (ELISPOT)

BARBARA L. SHACKLETT AND DOUGLAS F. NIXON

31 Regulatory T Cell (Treg) Assays: Repertoire, Functions, and Clinical Importance of Human Treg

THERESA L. WHITESIDE

32 Measurement of NK Cell Phenotype and Activity in Humans

SAMUEL C. C. CHIANG AND YENAN T. BRYCESON

33 Functional Assays for the Diagnosis of Chronic Granulomatous Disease

DEBRA LONG PRIEL AND DOUGLAS B. KUHNS

SECTION F CYTOKINES AND CHEMOKINES

VOLUME EDITOR: BARBARA DETRICK

SECTION EDITOR: JOHN J. HOOKS

34 Introduction

JOHN J. HOOKS

35 Multiplex Cytokine Assays

ELIZABETH R. DUFFY AND DANIEL G. REMICK

36 Cytokine Measurement by Flow Cytometry

HOLDEN T. MAECKER

37 Chemokine and Chemokine Receptor Analysis

SABINA A. ISLAM, BENJAMIN D. MEDOFF, AND ANDREW D. LUSTER

38 Cytokines: Diagnostic and Clinical Applications

PRIYANKA VASHISHT AND TIMOTHY B. NIEWOLD

39 Detection of Anticytokine Autoantibodies and Clinical Applications

SARAH K. BROWNE

SECTION G IMMUNOHISTOLOGY AND IMMUNOPATHOLOGY

VOLUME EDITOR: ROBERT G. HAMILTON

SECTION EDITOR: R. NEAL SMITH

40 Introduction

ROBERT G. HAMILTON

41 Immunofluorescence Methods in the Diagnosis of Renal and Cardiac Diseases

A. BERNARD COLLINS, JAMES R. STONE, AND R. NEAL SMITH

42 Western Blot Analysis for the Detection of Anti-Glomerular Basement Membrane Antibodies and Anti-Phospholipase A2 Receptor Antibodies

A. BERNARD COLLINS AND R. NEAL SMITH

SECTION H INFECTIOUS DISEASES CAUSED BY BACTERIA, MYCOPLASMAS, CHLAMYDIAE, AND RICKETTSIAE

VOLUME EDITOR: JOHN L. SCHMITZ

SECTION EDITOR: CHRISTINE M. LITWIN

43 Introduction

CHRISTINE M. LITWIN

44 Diagnostic Methods for Group A Streptococcal Infections

CHRISTINE M. LITWIN, SHELDON E. LITWIN, AND HARRY R. HILL

45 Diagnosis of Helicobacter pylori Infection and Assessment of Eradication

BRUCE E. DUNN AND SUHAS H. PHADNIS

46 Laboratory Diagnosis of Syphilis

JOHN L. SCHMITZ

47 Lyme Disease, Relapsing Fever, and Leptospirosis

GUIQING WANG AND MARIA E. AGUERO-ROSENFELD

48 Immunological Tests in Tuberculosis

CHRISTINE M. LITWIN

49 Mycoplasma: Immunologic and Molecular Diagnostic Methods

KEN B. WAITES, MARY B. BROWN, AND JERRY W. SIMECKA

50 Chlamydia and Chlamydophila Infections

ROSEMARY SHE

51 The Rickettsiaceae, Anaplasmataceae, and Coxiellaceae

LUCAS S. BLANTON AND DAVID H. WALKER

52 The Bartonellaceae, Brucellaceae, and Francisellaceae

CHRISTINE M. LITWIN, BURT ANDERSON, RENEE TSOLIS, AND AMY RASLEY

SECTION I MYCOTIC AND PARASITIC DISEASES

VOLUME EDITOR: ROBERT G. HAMILTON

SECTION EDITOR: THOMAS B. NUTMAN

53 Introduction

THOMAS B. NUTMAN

54 Immunological and Molecular Approaches for the Diagnosis of Parasitic Infections

PATRICIA P. WILKINS AND THOMAS B. NUTMAN

55 Serological and Molecular Diagnosis of Fungal Infections

MARK D. LINDSLEY

SECTION J VIRAL DISEASES

VOLUME EDITOR: JOHN L. SCHMITZ

SECTION EDITORS: RICHARD L. HODINKA AND JOHN L. SCHMITZ

56 Introduction

JOHN L. SCHMITZ

57 Immunologic and Molecular Methods for Viral Diagnosis

MARIE LOUISE LANDRY AND YI-WEI TANG

58 Herpes Simplex Virus

D. SCOTT SCHMID

59 Varicella-Zoster Virus

D. SCOTT SCHMID

60 Epstein-Barr Virus and Cytomegalovirus

HENRY H. BALFOUR, JR., KRISTIN A. HOGQUIST, AND PRIYA S. VERGHESE

61 Human Herpesviruses 6, 7, and 8

RICHARD L. HODINKA

62 Parvovirus B19

STANLEY J. NAIDES

63 Respiratory Viruses

DAVID J. SPEICHER, MOHSIN ALI, AND MAREK SMIEJA

64 Measles, Mumps, and Rubella Viruses

DIANE S. LELAND AND RYAN F. RELICH

65 Viral Hepatitis

HUBERT G. M. NIESTERS, ANNELIES RIEZEBOS-BRILMAN, AND CORETTA C. VAN LEER-BUTER

66 Viral Agents of Gastroenteritis

GABRIEL I. PARRA AND KIM Y. GREEN

67 Arboviruses

ROBERT S. LANCIOTTI AND JOHN T. ROEHRIG

68 Diagnosis of Hantavirus Infections

WILLIAM MARCIEL DE SOUZA AND LUIZ TADEU MORAES FIGUEREIDO

69 Rabies Virus

D. CRAIG HOOPER

70 Human T-Cell Lymphotropic Virus Types 1 and 2

BREANNA CARUSO, RAYA MASSOUD, AND STEVEN JACOBSON

71 Diagnosis of Prion Diseases

RICHARD RUBENSTEIN, ROBERT B. PETERSEN, AND THOMAS WISNIEWSKI

72 Principles and Procedures of Human Immunodeficiency Virus Diagnosis

KELLY A. CURTIS, JEFFREY A. JOHNSON, AND S. MICHELE OWEN

SECTION K IMMUNODEFICIENCY DISEASES

VOLUME EDITOR: BARBARA DETRICK

SECTION EDITORS: KATHLEEN E. SULLIVAN AND HOWARD M. LEDERMAN

73 The Primary Immunodeficiency Diseases

HOWARD M. LEDERMAN

74 Severe Combined Immune Deficiency: Newborn Screening

JAMES W. VERBSKY AND JOHN M. ROUTES

75 Combined Immunodeficiencies

CHRISTINE SEROOGY AND MELISSA ELDER

76 Antibody Deficiencies

KIMBERLY C. GILMOUR, ANITA CHANDRA, AND D. S. KUMARARATNE

77 Hereditary and Acquired Complement Deficiencies

PATRICIA C. GICLAS

78 Neutropenia and Neutrophil Defects

STEVEN M. HOLLAND

79 Evaluation of Natural Killer (NK) Cell Defects

KIMBERLY RISMA AND REBECCA MARSH

SECTION L ALLERGIC DISEASES

VOLUME EDITOR: ROBERT G. HAMILTON

SECTION EDITOR: PAMELA A. GUERRERIO

80 Introduction

PAMELA A. GUERRERIO

81 Quantitation and Standardization of Allergens

RONALD L. RABIN, LYNNSEY RENN, AND JAY E. SLATER

82 Immunological Methods in the Diagnostic Allergy Clinical and Research Laboratory

ROBERT G. HAMILTON

83 Assay Methods for Measurement of Mediators and Markers of Allergic Inflammation

JOHN T. SCHROEDER, R. STOKES PEEBLES, JR., AND PAMELA A. GUERRERIO

84 Tests for Immunological Reactions to Foods

CARAH B. SANTOS, DAVID M. FLEISCHER, AND ROBERT A. WOOD

85 Diagnosis of Rare Eosinophilic and Mast Cell Disorders

CEM AKIN, CALMAN PRUSSIN, AND AMY D. KLION

SECTION M SYSTEMIC AUTOIMMUNE DISEASES

VOLUME EDITOR: BARBARA DETRICK

SECTION EDITOR: WESTLEY H. REEVES

86 Introduction

WESTLEY H. REEVES

87 Antinuclear Antibody Tests

ALESSANDRA DELLAVANCE, WILSON DE MELO CRUVINEL, PAULO LUIZ CARVALHO FRANCESCANTONIO, AND LUIS EDUARDO COELHO ANDRADE

88 Detection of Autoantibodies by Enzyme-Linked Immunosorbent Assay and Bead Assays

EDWARD K. L. CHAN, RUFUS W. BURLINGAME, AND MARVIN J. FRITZLER

89 Immunodiagnosis and Laboratory Assessment of Systemic Lupus Erythematosus

WESTLEY REEVES, SHUHONG HAN, JOHN MASSINI, AND YI LI

90 Immunodiagnosis of Autoimmune Myopathies

MINORU SATOH, ANGELA CERIBELLI, MICHITO HIRAKATA, AND EDWARD K. L. CHAN

91 Immunodiagnosis of Scleroderma

MASATAKA KUWANA

92 Antibody and Biomarker Testing in Rheumatoid Arthritis

ANN DUSKIN CHAUFFE AND MICHAEL RAYMOND BUBB

93 Future Perspectives for Rheumatoid Arthritis and Other Autoimmune Diseases

JEREMY SOKOLOVE

94 Antiphospholipid Antibody Syndrome: Clinical Manifestations and Laboratory Diagnosis

MARTINA MURPHY AND NEIL HARRIS

95 Antineutrophil Cytoplasmic Antibodies (ANCA) and Strategies for Diagnosing ANCA-Associated Vasculitides

R. W. BURLINGAME, C. E. BUCHNER, J. G. HANLY, AND N. M. WALSH

96 IgG4-Related Disease: Diagnostic Testing by Serology, Flow Cytometry, and Immunohistopathology

JOHN H. STONE

SECTION N ORGAN-LOCALIZED AUTOIMMUNE DISEASES

VOLUME EDITOR: JOHN L. SCHMITZ

SECTION EDITORS: C. LYNNE BUREK AND PATRIZIO CATUREGLI

97 Introduction

C. LYNNE BUREK

98 Endocrinopathies: Chronic Thyroiditis, Addison Disease, Pernicious Anemia, Graves’ Disease, Diabetes, and Hypophysitis

C. LYNNE BUREK, N. R. ROSE, GIUSEPPE BARBESINO, JIAN WANG, ANDREA K. STECK, GEORGE S. EISENBARTH, LIPING YU, LUDOVICA DE VINCENTIIS, ADRIANA RICCIUTI, ALESSANDRA DE REMIGIS, AND PATRIZIO CATUREGLI

99 Myasthenia Gravis

ARNOLD I. LEVINSON AND ROBERT P. LISAK

100 Autoantibodies to Glycolipids in Peripheral Neuropathy

HUGH J. WILLISON

101 Detection of Antimitochondrial Autoantibodies in Primary Biliary Cholangitis and Liver Kidney Microsomal Antibodies in Autoimmune Hepatitis

PATRICK S. C. LEUNG, MICHAEL P. MANNS, ROSS L. COPPEL, AND M. ERIC GERSHWIN

102 Cardiovascular Diseases

CHERYL L. MAIER, C. LYNNE BUREK, NOEL R. ROSE, AND AFTAB A. ANSARI

103 Celiac Disease and Inflammatory Bowel Disease

MELISSA R. SNYDER

104 Autoantibodies Directed against Erythrocytes in Autoimmune Hemolytic Anemia

R. SUE SHIREY AND KAREN E. KING

105 Immune Thrombocytopenia

THOMAS S. KICKLER

106 Monitoring Autoimmune Reactivity within the Retina

JOHN J. HOOKS, CHI-CHAO CHAN, H. NIDA SEN, ROBERT NUSSENBLATT, AND BARBARA DETRICK

SECTION O CANCER

VOLUME EDITOR: ROBERT G. HAMILTON

SECTION EDITORS: DANIEL CHAN AND LORI J. SOKOLL

107 Introduction

ROBERT G. HAMILTON

108 Immunoassay-Based Tumor Marker Measurement: Assays, Applications, and Algorithms

ELIZABETH A. GODBEY, LORI J. SOKOLL, AND ALEX J. RAI

109 Malignancies of the Immune System: Use of Immunologic and Molecular Tumor Markers in Classification and Diagnostics

ELAINE S. JAFFE AND MARK RAFFELD

110 Monitoring of Immunologic Therapies

THERESA L. WHITESIDE

111 Circulating Tumor Cells as an Analytical Tool in the Management of Patients with Cancer

DANIEL C. DANILA, HOWARD I. SCHER, AND MARTIN FLEISHER

SECTION P TRANSPLANTATION IMMUNOLOGY

VOLUME EDITOR: BARBARA DETRICK

SECTION EDITORS: ELAINE F. REED AND QIUHENG JENNIFER ZHANG

112 Histocompatibility and Immunogenetics Testing in the 21st Century

QIUHENG JENNIFER ZHANG AND ELAINE F. REED

113 Molecular Methods for Human Leukocyte Antigen Typing: Current Practices and Future Directions

MARK KUNKEL, JAMIE DUKE, DEBORAH FERRIOLA, CURT LIND, AND DIMITRI MONOS

114 Evaluation of the Humoral Response in Transplantation

PAUL SIKORSKI, RENATO VEGA, DONNA P. LUCAS, AND ANDREA A. ZACHARY

115 Non-Human Leukocyte Antigen Antibodies in Organ Transplantation

ANNETTE M. JACKSON AND BETHANY L. DALE

116 Evaluation of the Cellular Immune Response in Transplantation

DIANA METES, NANCY L. REINSMOEN, AND ADRIANA ZEEVI

117 Complement in Transplant Rejection

CARMELA D. TAN, E. RENE RODRIGUEZ, AND WILLIAM M. BALDWIN III

118 Molecular Characterization of Rejection in Solid Organ Transplantation

DARSHANA DADHANIA, TARA K. SIGDEL, THANGAMANI MUTHUKUMAR, CHOLI HARTONO, MINNIE M. SARWAL, AND MANIKKAM SUTHANTHIRAN

119 Killer Cell Immunoglobulin-Like Receptors in Clinical Transplantation

RAJA RAJALINGAM, SARAH COOLEY, AND JEROEN VAN BERGEN

120 Chimerism Testing

LEE ANN BAXTER-LOWE

SECTION Q LABORATORY MANAGEMENT

VOLUME EDITOR: ROBERT G. HAMILTON

SECTION EDITOR: RONALD J. HARBECK

121 Clinical Immunology Laboratory Accreditation, Licensure, and Credentials

LINDA COOK AND RONALD J. HARBECK

122 Validation and Quality Control: General Principles and Application to the Clinical Immunology Laboratory

VIJAYA KNIGHT AND TERRI LEBO

Author Index

Subject Index

EDITORIAL BOARD

C. LYNNE BUREK (section N)
Johns Hopkins University, Department of Pathology, SOM, 720 Rutland Ave., Baltimore, MD 21205

PATRIZIO CATUREGLI (section N)
Johns Hopkins University, Department of Pathology, SOM, 720 Rutland Ave., Baltimore, MD 21205

DANIEL CHAN (section O)
Department of Pathology, Johns Hopkins University, SOM, Clinical Chemistry, CRB 11 3M 05, Baltimore, MD 21287

STEVEN D. DOUGLAS (section E)
The Children’s Hospital of Philadelphia, University of Pennsylvania, Suite 1208 Abramson Research Building, 34th & Civic Center Blvd., Philadelphia, PA 19104

THOMAS A. FLEISHER (section A)
Department of Laboratory Medicine, Clinical Center, National Institutes of Health, Bldg. 10 Rm. 2C306, 10 Center Drive, Bethesda, MD 20814

PATRICIA C. GICLAS (section C)
National Jewish Health, Diagnostic Complement Laboratory, 1400 N. Jackson St., Denver, CO 80206

PAMELA A. GUERRERIO (section L)
Food Allergy Research Unit, Laboratory of Allergic Diseases, National Institute of Allergy and Infectious Diseases, 4 Memorial Dr., Building 4, Room 228B, MSC0430, Bethesda, MD 20892

RONALD J. HARBECK (section Q)
National Jewish Health, 1400 Jackson Street, Denver, CO 80206

RICHARD L. HODINKA (section J)
University of South Carolina School of Medicine Greenville and Greenville Health System, Room 210, Health Science Administration Building, 701 Grove Rd., Greenville, SC 2960

JOHN J. HOOKS (section F)
National Institutes of Health, Immunology & Virology Section, NEI, Bldg. 10 Rm. 10N248, 10 Center Dr, Bethesda, MD, 20814

DAVID F. KEREN (section B)
University of Michigan, 5228 Medical Science I, 1301 Catherine, Ann Arbor, MI 48109

HOWARD M. LEDERMAN (section K)
Pediatric Allergy & Immunology, Johns Hopkins Hospital - CMSC 1102, 600 N Wolfe St, Baltimore, MD 21287-3923

CHRISTINE M. LITWIN (section H)
Department of Pathology and Laboratory Medicine, Medical University of South Carolina, 171 Ashley Ave., Charleston, SC 29425

THOMAS B. NUTMAN (section I)
Department of Pathology and Laboratory Medicine, Medical University of South Carolina, 171 Ashley Ave., Charleston, SC 29425

MAURICE R. G. O’GORMAN (section D)
Keck School of Medicine, University of Southern California, and the Children’s Hospital of Los Angeles, Pathology and Pediatrics, 4650 Sunset Blvd #43, Los Angeles, CA 90027

ELAINE F. REED (section P)
UCLA, Pathology, Rehab 1520, 1000 Veteran Avenue, Immunogenetics Center, Los Angeles, CA 90095

WESTLEY H. REEVES (section M)
University of Florida, Division of Rheumatology & Clinical Immunology, PO Box 100221, Gainesville, FL 32610-0221

R. NEAL SMITH (section G)
Massachusetts General Hospital, Pathology, 501B Warren Bldg., 14 Fruit St., Boston, MA 02114

LORI J. SOKOLL (section O)
Department of Pathology, The Johns Hopkins University School of Medicine, Baltimore, MD 21205

KATHLEEN E. SULLIVAN (section K)
University of Pennsylvania, Division of Allergy and Immunology, Children’s Hospital of Philadelphia, 3615 Civic Center Blvd., Philadelphia, PA 19104

QIUHENG JENNIFER ZHANG (section P)
UCLA Immunogenetics Center, Department Pathology & Laboratory Medicine, 15-20 Rehab, 1000 Veteran Ave., Los Angeles, CA 90024