HLA-B62 and HLA-DQ8 are associated with Complex Regional Pain Syndrome with fixed dystonia

Complex Regional Pain Syndrome (CRPS) is clinically characterized by pain in combination with sensory, autonomic, and motor symptoms that may include weakness, tremor, myoclonus and dystonia of the affected limb(s). The syndrome is multifactorial in origin and mostly attributed to tissue injury. The...

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Veröffentlicht in:Pain (Amsterdam) 2009-09, Vol.145 (1-2), p.82-85
Hauptverfasser: de Rooij, Annetje M., Florencia Gosso, M., Haasnoot, Geert W., Marinus, Johan, Verduijn, Willem, Claas, Frans H.J., van den Maagdenberg, Arn M.J.M., van Hilten, Jacobus J.
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container_issue 1-2
container_start_page 82
container_title Pain (Amsterdam)
container_volume 145
creator de Rooij, Annetje M.
Florencia Gosso, M.
Haasnoot, Geert W.
Marinus, Johan
Verduijn, Willem
Claas, Frans H.J.
van den Maagdenberg, Arn M.J.M.
van Hilten, Jacobus J.
description Complex Regional Pain Syndrome (CRPS) is clinically characterized by pain in combination with sensory, autonomic, and motor symptoms that may include weakness, tremor, myoclonus and dystonia of the affected limb(s). The syndrome is multifactorial in origin and mostly attributed to tissue injury. There is some evidence that the human leukocyte antigen (HLA) system plays a role in the pathophysiology of CRPS, but previous studies lacked power. Here we performed the most extensive study investigating the contribution of HLA alleles (i.e. HLA-A, HLA-B, HLA-DRB1, and HLA-DQB1) in 150 CRPS patients who also had fixed dystonia. HLA-B62 (OR=2.05 [95% CI 1.41–2.99], P=0.0005) and HLA-DQ8 (OR=1.75 [95% CI 1.20–2.57], P=0.005) were found significantly associated with CRPS and dystonia. The association remained significant after correction (HLA-B62 Pcorrected [Pc] = 0.02 and HLA-DQ8 Pc=0.04). The involvement of HLA-B62 and HLA-DQ8 in CRPS with dystonia may indicate that these HLA loci are implicated in the susceptibility or expression of the disease.
doi_str_mv 10.1016/j.pain.2009.05.015
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The syndrome is multifactorial in origin and mostly attributed to tissue injury. There is some evidence that the human leukocyte antigen (HLA) system plays a role in the pathophysiology of CRPS, but previous studies lacked power. Here we performed the most extensive study investigating the contribution of HLA alleles (i.e. HLA-A, HLA-B, HLA-DRB1, and HLA-DQB1) in 150 CRPS patients who also had fixed dystonia. HLA-B62 (OR=2.05 [95% CI 1.41–2.99], P=0.0005) and HLA-DQ8 (OR=1.75 [95% CI 1.20–2.57], P=0.005) were found significantly associated with CRPS and dystonia. The association remained significant after correction (HLA-B62 Pcorrected [Pc] = 0.02 and HLA-DQ8 Pc=0.04). The involvement of HLA-B62 and HLA-DQ8 in CRPS with dystonia may indicate that these HLA loci are implicated in the susceptibility or expression of the disease.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Complex Regional Pain Syndrome</subject><subject>Complex Regional Pain Syndromes - complications</subject><subject>Complex Regional Pain Syndromes - genetics</subject><subject>Diseases of striated muscles. Neuromuscular diseases</subject><subject>Dystonia</subject><subject>Dystonia - complications</subject><subject>Dystonia - genetics</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Gene Frequency</subject><subject>Genetic association</subject><subject>Genetic Predisposition to Disease</subject><subject>Genotype</subject><subject>HLA class I</subject><subject>HLA class II</subject><subject>HLA-B Antigens - genetics</subject><subject>HLA-DQ Antigens - genetics</subject><subject>Humans</subject><subject>Illness and personality</subject><subject>Illness, stress and coping</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Neurology</subject><subject>Odds Ratio</subject><subject>Psychology and medicine</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychology. 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Neuromuscular diseases</topic><topic>Dystonia</topic><topic>Dystonia - complications</topic><topic>Dystonia - genetics</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Gene Frequency</topic><topic>Genetic association</topic><topic>Genetic Predisposition to Disease</topic><topic>Genotype</topic><topic>HLA class I</topic><topic>HLA class II</topic><topic>HLA-B Antigens - genetics</topic><topic>HLA-DQ Antigens - genetics</topic><topic>Humans</topic><topic>Illness and personality</topic><topic>Illness, stress and coping</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Neurology</topic><topic>Odds Ratio</topic><topic>Psychology and medicine</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychology. 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The syndrome is multifactorial in origin and mostly attributed to tissue injury. There is some evidence that the human leukocyte antigen (HLA) system plays a role in the pathophysiology of CRPS, but previous studies lacked power. Here we performed the most extensive study investigating the contribution of HLA alleles (i.e. HLA-A, HLA-B, HLA-DRB1, and HLA-DQB1) in 150 CRPS patients who also had fixed dystonia. HLA-B62 (OR=2.05 [95% CI 1.41–2.99], P=0.0005) and HLA-DQ8 (OR=1.75 [95% CI 1.20–2.57], P=0.005) were found significantly associated with CRPS and dystonia. The association remained significant after correction (HLA-B62 Pcorrected [Pc] = 0.02 and HLA-DQ8 Pc=0.04). The involvement of HLA-B62 and HLA-DQ8 in CRPS with dystonia may indicate that these HLA loci are implicated in the susceptibility or expression of the disease.</abstract><cop>Philadelphia, PA</cop><pub>Elsevier B.V</pub><pmid>19523767</pmid><doi>10.1016/j.pain.2009.05.015</doi><tpages>4</tpages></addata></record>
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subjects Adult
Biological and medical sciences
Complex Regional Pain Syndrome
Complex Regional Pain Syndromes - complications
Complex Regional Pain Syndromes - genetics
Diseases of striated muscles. Neuromuscular diseases
Dystonia
Dystonia - complications
Dystonia - genetics
Female
Fundamental and applied biological sciences. Psychology
Gene Frequency
Genetic association
Genetic Predisposition to Disease
Genotype
HLA class I
HLA class II
HLA-B Antigens - genetics
HLA-DQ Antigens - genetics
Humans
Illness and personality
Illness, stress and coping
Male
Medical sciences
Neurology
Odds Ratio
Psychology and medicine
Psychology. Psychoanalysis. Psychiatry
Psychology. Psychophysiology
Retrospective Studies
Young Adult
title HLA-B62 and HLA-DQ8 are associated with Complex Regional Pain Syndrome with fixed dystonia
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