HLA class II molecules and autoimmune hepatitis susceptibility in Japanese patients

To investigate the association between autoimmune hepatitis and HLA alleles in Japanese patients, serological typing and class II genotyping were performed using the polymerase chain reaction-restriction fragment length polymorphisms (PCR-RFLP) method. Serological typing showed that HLA-B54, -DR4, -...

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Veröffentlicht in:Gastroenterology (New York, N.Y. 1943) N.Y. 1943), 1992-09, Vol.103 (3), p.1041-1047
Hauptverfasser: Seki, Takeshi, Ota, Masao, Furuta, Seiichi, Fukushima, Hirohumi, Kondo, Toshiro, Hino, Kunihiko, Mizuki, Nobuhisa, Ando, Asako, Tsuji, Kimiyoshi, Inoko, Hidetoshi, Kiyosawa, Kendo
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container_issue 3
container_start_page 1041
container_title Gastroenterology (New York, N.Y. 1943)
container_volume 103
creator Seki, Takeshi
Ota, Masao
Furuta, Seiichi
Fukushima, Hirohumi
Kondo, Toshiro
Hino, Kunihiko
Mizuki, Nobuhisa
Ando, Asako
Tsuji, Kimiyoshi
Inoko, Hidetoshi
Kiyosawa, Kendo
description To investigate the association between autoimmune hepatitis and HLA alleles in Japanese patients, serological typing and class II genotyping were performed using the polymerase chain reaction-restriction fragment length polymorphisms (PCR-RFLP) method. Serological typing showed that HLA-B54, -DR4, -DR53, and -DQ4 were significantly more frequent in patients with autoimmune hepatitis than in controls. HLA-DR4 was most frequently associated with autoimmune hepatitis (88.7%). In PCR-RFLP typing, the frequency of DRB1*0405 was significantly higher in autoimmune hepatitis than in controls. However, there was no significant difference in the frequency of Dw between the patients and the controls who were DR4-positive. The significant increase observed in DQA1*0301 and DQB1*0401 was explained by a linkage disequilibrium with DR4. Six DR4-negative patients had DR2, but there was no significant difference in the frequency of the DR2-associated Dwalleles compared with the DR2-positive controls. No DPB1 allele was significantly associated with autoimmune hepatitis. These findings suggest that the basic amino acid at position 13, which is present only on the DR2 and DR4 B1 molecules (Arg on DR2 and His on DR4), contributes to the susceptibility to autoimmune hepatitis among the Japanese.
doi_str_mv 10.1016/0016-5085(92)90041-V
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Serological typing showed that HLA-B54, -DR4, -DR53, and -DQ4 were significantly more frequent in patients with autoimmune hepatitis than in controls. HLA-DR4 was most frequently associated with autoimmune hepatitis (88.7%). In PCR-RFLP typing, the frequency of DRB1*0405 was significantly higher in autoimmune hepatitis than in controls. However, there was no significant difference in the frequency of Dw between the patients and the controls who were DR4-positive. The significant increase observed in DQA1*0301 and DQB1*0401 was explained by a linkage disequilibrium with DR4. Six DR4-negative patients had DR2, but there was no significant difference in the frequency of the DR2-associated Dwalleles compared with the DR2-positive controls. No DPB1 allele was significantly associated with autoimmune hepatitis. These findings suggest that the basic amino acid at position 13, which is present only on the DR2 and DR4 B1 molecules (Arg on DR2 and His on DR4), contributes to the susceptibility to autoimmune hepatitis among the Japanese.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>1354193</pmid><doi>10.1016/0016-5085(92)90041-V</doi><tpages>7</tpages></addata></record>
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subjects Adult
Aged
Alleles
Autoimmune Diseases - ethnology
Autoimmune Diseases - immunology
Biological and medical sciences
Biomarkers
Disease Susceptibility
Female
Gastroenterology. Liver. Pancreas. Abdomen
Gene Frequency
Genotype
Hepatitis, Chronic - ethnology
Hepatitis, Chronic - immunology
Histocompatibility Antigens Class II - genetics
HLA-DQ Antigens - genetics
HLA-DQ beta-Chains
HLA-DR4 Antigen - genetics
Humans
Japan
Male
Medical sciences
Middle Aged
Polymerase Chain Reaction
Polymorphism, Restriction Fragment Length
title HLA class II molecules and autoimmune hepatitis susceptibility in Japanese patients
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