Chronic cerebrospinal vascular insufficiency is not associated with HLA DRB11501 status in multiple sclerosis patients

Chronic cerebrospinal venous insufficiency (CCSVI) was described as a vascular condition characterized by anomalies of veins outside the skull was reported to be associated with multiple sclerosis (MS). The objective was to assess the associations between HLA DRB1*1501 status and the occurrence of C...

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Veröffentlicht in:PloS one 2011-02, Vol.6 (2), p.e16802-e16802
Hauptverfasser: Weinstock-Guttman, Bianca, Zivadinov, Robert, Cutter, Gary, Tamaño-Blanco, Miriam, Marr, Karen, Badgett, Darlene, Carl, Ellen, Elfadil, Makki, Kennedy, Cheryl, Benedict, Ralph H B, Ramanathan, Murali
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container_title PloS one
container_volume 6
creator Weinstock-Guttman, Bianca
Zivadinov, Robert
Cutter, Gary
Tamaño-Blanco, Miriam
Marr, Karen
Badgett, Darlene
Carl, Ellen
Elfadil, Makki
Kennedy, Cheryl
Benedict, Ralph H B
Ramanathan, Murali
description Chronic cerebrospinal venous insufficiency (CCSVI) was described as a vascular condition characterized by anomalies of veins outside the skull was reported to be associated with multiple sclerosis (MS). The objective was to assess the associations between HLA DRB1*1501 status and the occurrence of CCSVI in MS patients. This study included 423 of 499 subjects enrolled in the Combined Transcranial and Extracranial Venous Doppler Evaluation (CTEVD) study. The HLA DRB1*1501 status was obtained in 268 MS patients and 155 controls by genotyping rs3135005, a SNP associated with DRB1*1501 status. All subjects underwent a clinical examination and Doppler scan of the head and neck. The frequency of CCSVI was higher (OR = 4.52, p
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The objective was to assess the associations between HLA DRB1*1501 status and the occurrence of CCSVI in MS patients. This study included 423 of 499 subjects enrolled in the Combined Transcranial and Extracranial Venous Doppler Evaluation (CTEVD) study. The HLA DRB1*1501 status was obtained in 268 MS patients and 155 controls by genotyping rs3135005, a SNP associated with DRB1*1501 status. All subjects underwent a clinical examination and Doppler scan of the head and neck. The frequency of CCSVI was higher (OR = 4.52, p&lt;0.001) in the MS group 56.0% vs. 21.9% in the controls group and also higher in the progressive MS group 69.8% vs. 49.5% in the non-progressive MS group. The 51.9% frequency of HLA DRB1*1501 positivity (HLA(+)) in MS was higher compared (OR = 2.33, p&lt;0.001) to 31.6% to controls. The HLA(+) frequency in the non-progressive (51.6%) and progressive MS groups (52.3%) was similar. The frequency of HLA(+) CCSVI(+) was 40.7% in progressive MS, 27.5% in non-progressive MS and 8.4% in controls. The presence of CCSVI was independent of HLA DRB1*1501 status in MS patients. The lack of strong associations of CCSVI with HLA DRB1*1501 suggests that the role of the underlying associations of CCSVI in MS should be interpreted with caution. 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The objective was to assess the associations between HLA DRB1*1501 status and the occurrence of CCSVI in MS patients. This study included 423 of 499 subjects enrolled in the Combined Transcranial and Extracranial Venous Doppler Evaluation (CTEVD) study. The HLA DRB1*1501 status was obtained in 268 MS patients and 155 controls by genotyping rs3135005, a SNP associated with DRB1*1501 status. All subjects underwent a clinical examination and Doppler scan of the head and neck. The frequency of CCSVI was higher (OR = 4.52, p&lt;0.001) in the MS group 56.0% vs. 21.9% in the controls group and also higher in the progressive MS group 69.8% vs. 49.5% in the non-progressive MS group. The 51.9% frequency of HLA DRB1*1501 positivity (HLA(+)) in MS was higher compared (OR = 2.33, p&lt;0.001) to 31.6% to controls. The HLA(+) frequency in the non-progressive (51.6%) and progressive MS groups (52.3%) was similar. The frequency of HLA(+) CCSVI(+) was 40.7% in progressive MS, 27.5% in non-progressive MS and 8.4% in controls. The presence of CCSVI was independent of HLA DRB1*1501 status in MS patients. The lack of strong associations of CCSVI with HLA DRB1*1501 suggests that the role of the underlying associations of CCSVI in MS should be interpreted with caution. 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associated with HLA DRB11501 status in multiple sclerosis patients</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2011-02-14</date><risdate>2011</risdate><volume>6</volume><issue>2</issue><spage>e16802</spage><epage>e16802</epage><pages>e16802-e16802</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Chronic cerebrospinal venous insufficiency (CCSVI) was described as a vascular condition characterized by anomalies of veins outside the skull was reported to be associated with multiple sclerosis (MS). The objective was to assess the associations between HLA DRB1*1501 status and the occurrence of CCSVI in MS patients. This study included 423 of 499 subjects enrolled in the Combined Transcranial and Extracranial Venous Doppler Evaluation (CTEVD) study. The HLA DRB1*1501 status was obtained in 268 MS patients and 155 controls by genotyping rs3135005, a SNP associated with DRB1*1501 status. All subjects underwent a clinical examination and Doppler scan of the head and neck. The frequency of CCSVI was higher (OR = 4.52, p&lt;0.001) in the MS group 56.0% vs. 21.9% in the controls group and also higher in the progressive MS group 69.8% vs. 49.5% in the non-progressive MS group. The 51.9% frequency of HLA DRB1*1501 positivity (HLA(+)) in MS was higher compared (OR = 2.33, p&lt;0.001) to 31.6% to controls. The HLA(+) frequency in the non-progressive (51.6%) and progressive MS groups (52.3%) was similar. The frequency of HLA(+) CCSVI(+) was 40.7% in progressive MS, 27.5% in non-progressive MS and 8.4% in controls. The presence of CCSVI was independent of HLA DRB1*1501 status in MS patients. The lack of strong associations of CCSVI with HLA DRB1*1501 suggests that the role of the underlying associations of CCSVI in MS should be interpreted with caution. Further longitudinal studies should determine whether interactions between these factors can contribute to disease progression in MS.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>21340025</pmid><doi>10.1371/journal.pone.0016802</doi><tpages>e16802</tpages><oa>free_for_read</oa></addata></record>
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1932-6203
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source MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry; Public Library of Science (PLoS)
subjects Adult
Alleles
Biology
Case-Control Studies
Chronic Disease
Correlation analysis
Development and progression
Disease
Disease Progression
Drb1 protein
Epidemiology
Female
Gene expression
Genome-Wide Association Study
Genotyping
Head and neck
Histocompatibility antigen HLA
HLA-DR Antigens - genetics
HLA-DRB1 Chains
Humans
Longitudinal studies
Male
Medical imaging
Medical research
Medicine
Middle Aged
Multiple sclerosis
Multiple Sclerosis - complications
Multiple Sclerosis - diagnostic imaging
Multiple Sclerosis - genetics
Mutation
Neurology
Patients
Pharmaceutical sciences
Polymorphism, Single Nucleotide - physiology
Spinal Cord - blood supply
Spinal Cord - diagnostic imaging
Spinal Cord - pathology
Studies
Ultrasonic imaging
Ultrasonography, Doppler, Color
Varicose veins
Venous Insufficiency - complications
Venous Insufficiency - diagnostic imaging
Venous Insufficiency - genetics
title Chronic cerebrospinal vascular insufficiency is not associated with HLA DRB11501 status in multiple sclerosis patients
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