Specific HLA genotypes confer susceptibility to acute necrotizing encephalopathy

Acute necrotizing encephalopathy (ANE) is a rare and severe syndrome of acute encephalopathy triggered by viral infections. Cytokine storm is considered as the main pathogenetic mechanism of ANE. ANE is prevalent in East Asia, suggesting the association of host genetic factors. To elucidate the gene...

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Veröffentlicht in:Genes and immunity 2016-09, Vol.17 (6), p.367-369
Hauptverfasser: Hoshino, A, Saitoh, M, Miyagawa, T, Kubota, M, Takanashi, J-i, Miyamoto, A, Tokunaga, K, Oka, A, Mizuguchi, M
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container_end_page 369
container_issue 6
container_start_page 367
container_title Genes and immunity
container_volume 17
creator Hoshino, A
Saitoh, M
Miyagawa, T
Kubota, M
Takanashi, J-i
Miyamoto, A
Tokunaga, K
Oka, A
Mizuguchi, M
description Acute necrotizing encephalopathy (ANE) is a rare and severe syndrome of acute encephalopathy triggered by viral infections. Cytokine storm is considered as the main pathogenetic mechanism of ANE. ANE is prevalent in East Asia, suggesting the association of host genetic factors. To elucidate the genetic background of Japanese ANE, we examined genotypes of human leukocyte antigen ( HLA ) -A, C, B, DRB1, DQB1 and DPB1 in 31 patients. Significant positive association was observed in both the allele frequency and positivity of DRB1*09:01 ( P =0.043 and 0.025, respectively), as well as those of DQB1*03:03 ( P =0.034 and 0.026, respectively). The carrier frequency of DRB1*09:01 and DQB1*03:03 alleles was higher in the patients (45.16%) than in controls (28.57%). These alleles are more common in East Asian than in European populations, and are reportedly associated with various autoimmune diseases in Japanese patients. Our data provide further evidence that altered immune response based on individual HLA genotypes may contribute to ANE pathogenesis.
doi_str_mv 10.1038/gene.2016.32
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subjects 45/77
631/208/205
631/250/21/324
Alleles
Autoimmune diseases
Biomedical and Life Sciences
Biomedicine
Cancer Research
Care and treatment
Cytokine storm
Cytokines
Development and progression
Disease Susceptibility
Drb1 protein
Encephalitis, Viral - genetics
Encephalitis, Viral - pathology
Encephalopathy
Gene Expression
Gene frequency
Genetic aspects
Genetic factors
Genetic Predisposition to Disease
Genotype
Genotypes
Health aspects
Histocompatibility antigen HLA
Histocompatibility antigens
HLA Antigens - genetics
HLA histocompatibility antigens
Human Genetics
Humans
Immune response
Immunology
Leigh disease
Leukoencephalitis, Acute Hemorrhagic - genetics
Population genetics
short-communication
title Specific HLA genotypes confer susceptibility to acute necrotizing encephalopathy
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