The 39th annual European Federation for Immunogenetics Conference 2026 brought together researchers, clinicians, and industry experts from around the world in Edinburgh to discuss the latest advances in immunogenetics and histocompatibility. Centered around this year’s theme, “From Genes to Grafts: Where Innovation Meets Medicine,” the conference highlighted the rapid pace of innovation shaping the field.
Our colleague Cynthia Kramer, PhD, Scientist at GenDx, attended the conference and shares her key scientific highlights below.
The 39th EFI conference was held in Edinburgh Scotland, and the organizers welcomed the participants from around the world with the famous bagpipe sounds of Scotland. The theme of this year was “From Genes to Grafts: Where Innovation Meets Medicine” and overall, the meeting highlighted the importance of interaction among all fields within immunogenetics and histocompatibility.
One of the main topics was the new opportunities of hematopoietic stem cell transplantation due to post-transplant cyclophosphamide (Pt-Cy) era. These new opportunities compared to old dogmas were set out clearly by Katharina Flieschhauer. Pt-Cy has reduced GvHD incidence across all donor types and less differences in outcomes are observed between match unrelated donors (MUD), mismatch unrelated donors (MMUD), and Haplo-identical donors. As a result, the experts indicated that it would be relevant to look beyond the HLA for donor selection and start considering other factors such as donor age. Interestingly, Bronwen Shaw proposed that “for donor selection go for unrelated and family simultaneously” while Rob Wynn emphasized the importance of cord blood as donor source by “Don’t cut the Cord”.
Looking beyond HLA was a theme that repeatedly surfaced throughout the EFI scientific program. As researchers increasingly explore all aspects of the immune system and indicating how complex the immune system is and how it affects clinical outcomes after transplantation. This was evident from the number of talks delving into the immunopeptidome, T-cell receptor sequencing, killer cell immunoglobulin-like receptors (KIR), and related topics, across both basic research and clinical contexts. This further underscore the close interplay between immune system and clinical outcomes, and the importance of close collaboration between researchers and clinicians.
However, HLA remains a key player, as reflected in the many presentations on HLA loss in various clinical scenarios. Additionally, for those that are interested in investigating HLA genomic and transcriptomic disruption, Nicholas McGranahan presented a tool to detect HLA disruption named MHC Hammer and this tool has been made available (https://github.com/McGranahanLab/mhc-hammer).
In addition to immunogenetics, the program highlighted a wide range of cell-focused topics, spanning immune cell contribution to clinical outcome, cell therapy, and monitoring strategies. Wolfram-Hubertus Zimmerman gave a fascinating talk on how iPSCs are used to engineer heart muscles for heart-failure patients who have lost muscle function. On the other hand, several talks focused on engineered T-cells, such as CD19-T cells, CHAR T-cells, and CHER-T cells that can be used for therapy either in transplantation or autoimmune disease setting. Lastly, Carla Baan and her group identified donor-derived extracellular vesicles in recipient circulation as biomarker for rejection post-kidney transplantation. While further research was still required she noted that “These efforts may clarify the role of extracellular vesicles not only as biomarkers but also as modulators of kidney transplantation rejection”.
Altogether, the EFI scientific program highlighted the broad scope of immunogenetics and histocompatibility and emphasized how essential close collaborations are in advancing the field.




“Our goal is for participants to become experts in HLA typing by providing everything from lab fundamentals to advanced data analysis, all while keeping the ultimate benefit to the patient in mind. We believe that well-trained customers lead to better outcomes, which is why we foster a collaborative environment where people from diverse backgrounds can interact during lab work, case studies, social walks through Utrecht, and coffee breaks. Education doesn’t end when the course finishes; we view this as a long-term partnership supported by our technical support team, monthly webinars, and the upcoming GenDx Academy, ensuring that our in-person training and online resources work together to provide continuous support.”




Mattijs Punt PhD, Project Manager R&D commented: ”After extensive team work and collaboration with our customers, we are proud to announce the launch of 




Eniko R. Toke, PhD Chief Scientific Officer of Treos Bio, commented:


𝗔𝗯𝗼𝘂𝘁 𝘄𝗲𝗯𝗶𝗻𝗮𝗿


In our upcoming webinar, Lizzy Russell-Lowe, Clinical Scientist at Manchester Royal Infirmary, will present a study in which HLA typing results obtained with the GenDx NGS-Turbo® kit, using Oxford Nanopore Technologies sequencing, were retrospectively compared with standard intermediate-resolution HLA typing methods. The NGS-Turbo® kit produced concordant typing results for all samples in less than 4 hours, showcasing the potential of rapid high-resolution typing.



































and GenDx doubled the amount, offering ultimately €2800 to 
Are you interested in learning about high-resolution HLA typing or expanding your laboratory and data analysis skills? Then our course “Become an expert in NGS HLA typing” is for you! It will take place at the GenDx Headquarters in Utrecht, the Netherlands, in September and includes hands-on laboratory work of the complete NGS HLA workflow and data analysis.










TRKengine software interprets the informativity of the markers and quantifies the chimerism percentage in post-samples. Its use as data management system allows for insightful chimerism monitoring and trending over time.
I found it a bit hard not to know the person for which I was doing this. It was someone, somewhere in the world, but that was all I knew; it remains anonymous. At some point during the day, they told me the patient’s gender and age. Also, I learned that the patient was on the heavier side, which meant that he needed more stem cells than the average person. So, it depends on how many stem cells are required for the patient whether the donation takes shorter or longer. For me, it took until 5.00PM.
Also, what I remember very vividly, is something that happened in 2012, when I was doing extremely unwell. My old soccer team, N.E.C. Nijmegen, played against my favorite soccer team, Feyenoord. There was a gigantic banner, put up by the crowd in the stadium, that said: “Frans, keep fighting” along with a huge painting of my face. It touched me deeply. I got so many messages after that. The original banner is completely weathered by now. To my surprise, the boys who made the original banner gifted me a small replica, on canvas, a short while ago. That was heartwarming.





