HLA-DRB11101: A Significant Risk Factor for Sarcoidosis in Blacks and Whites

Sarcoidosis is a granulomatous disorder of unknown etiology, associated with an accumulation of CD4+ T cells and a TH1 immune response. Since previous studies of HLA associations with sarcoidosis were limited by serologic or low-resolution molecular identification, we performed high-resolution typin...

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Veröffentlicht in:American journal of human genetics 2003-10, Vol.73 (4), p.720-735
Hauptverfasser: Rossman, Milton D., Thompson, Bruce, Frederick, Margaret, Maliarik, Mary, Iannuzzi, Michael C., Rybicki, Benjamin A., Pandey, Janardan P., Newman, Lee S., Magira, Eleni, Beznik-Cizman, Bojana, Monos, Dimitri
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container_issue 4
container_start_page 720
container_title American journal of human genetics
container_volume 73
creator Rossman, Milton D.
Thompson, Bruce
Frederick, Margaret
Maliarik, Mary
Iannuzzi, Michael C.
Rybicki, Benjamin A.
Pandey, Janardan P.
Newman, Lee S.
Magira, Eleni
Beznik-Cizman, Bojana
Monos, Dimitri
description Sarcoidosis is a granulomatous disorder of unknown etiology, associated with an accumulation of CD4+ T cells and a TH1 immune response. Since previous studies of HLA associations with sarcoidosis were limited by serologic or low-resolution molecular identification, we performed high-resolution typing for the HLA-DPB1, HLA-DQB1, HLA-DRB1, and HLA-DRB3 loci and the presence of the DRB4 or DRB5 locus, to define HLA class II associations with sarcoidosis. A Case Control Etiologic Study of Sarcoidosis (ACCESS) enrolled biopsy-confirmed cases (736 total) from 10 centers in the United States. Seven hundred six (706) controls were case matched for age, race, sex, and geographic area. We studied the first 474 ACCESS patients and case-matched controls. The HLA-DRB1 alleles were differentially distributed between cases and controls ( P
doi_str_mv 10.1086/378097
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Since previous studies of HLA associations with sarcoidosis were limited by serologic or low-resolution molecular identification, we performed high-resolution typing for the HLA-DPB1, HLA-DQB1, HLA-DRB1, and HLA-DRB3 loci and the presence of the DRB4 or DRB5 locus, to define HLA class II associations with sarcoidosis. A Case Control Etiologic Study of Sarcoidosis (ACCESS) enrolled biopsy-confirmed cases (736 total) from 10 centers in the United States. Seven hundred six (706) controls were case matched for age, race, sex, and geographic area. We studied the first 474 ACCESS patients and case-matched controls. The HLA-DRB1 alleles were differentially distributed between cases and controls ( P&lt;.0001). The HLA-DRB1*1101 allele was associated ( P&lt;.01) with sarcoidosis in blacks and whites and had a population attributable risk of 16% in blacks and 9% in whites. HLA-DRB1-F 47 was the amino acid residue most associated with sarcoidosis and independently associated with sarcoidosis in whites. The HLA-DPB1 locus also contributed to susceptibility for sarcoidosis and, in contrast to chronic beryllium disease, a non–E 69-containing allele, HLA-DPB1*0101, conveyed most of the risk. Although significant differences were observed in the distribution of HLA class II alleles between blacks and whites, only HLA-DRB1*1501 was differentially associated with sarcoidosis ( P&lt;.003). In addition to being susceptibility markers, HLA class II alleles may be markers for different phenotypes of sarcoidosis ( DRB1*0401 for eye in blacks and whites, DRB3 for bone marrow in blacks, and DPB1*0101 for hypercalcemia in whites). These studies confirm a genetic predisposition for sarcoidosis and present evidence for the allelic variation at the HLA-DRB1 locus as a major contributor.</description><identifier>ISSN: 0002-9297</identifier><identifier>EISSN: 1537-6605</identifier><identifier>DOI: 10.1086/378097</identifier><identifier>PMID: 14508706</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Black People - genetics ; Gene Frequency ; Geography ; Histocompatibility Testing ; HLA-DR Antigens - blood ; HLA-DR Antigens - genetics ; HLA-DRB1 Chains ; Humans ; Prospective Studies ; Risk Factors ; Sarcoidosis - blood ; Sarcoidosis - genetics ; Sarcoidosis - immunology ; United States ; White People - genetics</subject><ispartof>American journal of human genetics, 2003-10, Vol.73 (4), p.720-735</ispartof><rights>2003 The American Society of Human Genetics</rights><rights>2003 by The American Society of Human Genetics. All rights reserved. 2003</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c526t-31cc2a2226dadcd5a11d509aa6f408646e6d28b42777bc48b4641ec8078439ea3</citedby><cites>FETCH-LOGICAL-c526t-31cc2a2226dadcd5a11d509aa6f408646e6d28b42777bc48b4641ec8078439ea3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1180597/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0002929707636234$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,3537,27901,27902,53766,53768,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14508706$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rossman, Milton D.</creatorcontrib><creatorcontrib>Thompson, Bruce</creatorcontrib><creatorcontrib>Frederick, Margaret</creatorcontrib><creatorcontrib>Maliarik, Mary</creatorcontrib><creatorcontrib>Iannuzzi, Michael C.</creatorcontrib><creatorcontrib>Rybicki, Benjamin A.</creatorcontrib><creatorcontrib>Pandey, Janardan P.</creatorcontrib><creatorcontrib>Newman, Lee S.</creatorcontrib><creatorcontrib>Magira, Eleni</creatorcontrib><creatorcontrib>Beznik-Cizman, Bojana</creatorcontrib><creatorcontrib>Monos, Dimitri</creatorcontrib><creatorcontrib>ACCESS Group</creatorcontrib><title>HLA-DRB11101: A Significant Risk Factor for Sarcoidosis in Blacks and Whites</title><title>American journal of human genetics</title><addtitle>Am J Hum Genet</addtitle><description>Sarcoidosis is a granulomatous disorder of unknown etiology, associated with an accumulation of CD4+ T cells and a TH1 immune response. Since previous studies of HLA associations with sarcoidosis were limited by serologic or low-resolution molecular identification, we performed high-resolution typing for the HLA-DPB1, HLA-DQB1, HLA-DRB1, and HLA-DRB3 loci and the presence of the DRB4 or DRB5 locus, to define HLA class II associations with sarcoidosis. A Case Control Etiologic Study of Sarcoidosis (ACCESS) enrolled biopsy-confirmed cases (736 total) from 10 centers in the United States. Seven hundred six (706) controls were case matched for age, race, sex, and geographic area. We studied the first 474 ACCESS patients and case-matched controls. The HLA-DRB1 alleles were differentially distributed between cases and controls ( P&lt;.0001). The HLA-DRB1*1101 allele was associated ( P&lt;.01) with sarcoidosis in blacks and whites and had a population attributable risk of 16% in blacks and 9% in whites. HLA-DRB1-F 47 was the amino acid residue most associated with sarcoidosis and independently associated with sarcoidosis in whites. The HLA-DPB1 locus also contributed to susceptibility for sarcoidosis and, in contrast to chronic beryllium disease, a non–E 69-containing allele, HLA-DPB1*0101, conveyed most of the risk. Although significant differences were observed in the distribution of HLA class II alleles between blacks and whites, only HLA-DRB1*1501 was differentially associated with sarcoidosis ( P&lt;.003). In addition to being susceptibility markers, HLA class II alleles may be markers for different phenotypes of sarcoidosis ( DRB1*0401 for eye in blacks and whites, DRB3 for bone marrow in blacks, and DPB1*0101 for hypercalcemia in whites). 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Since previous studies of HLA associations with sarcoidosis were limited by serologic or low-resolution molecular identification, we performed high-resolution typing for the HLA-DPB1, HLA-DQB1, HLA-DRB1, and HLA-DRB3 loci and the presence of the DRB4 or DRB5 locus, to define HLA class II associations with sarcoidosis. A Case Control Etiologic Study of Sarcoidosis (ACCESS) enrolled biopsy-confirmed cases (736 total) from 10 centers in the United States. Seven hundred six (706) controls were case matched for age, race, sex, and geographic area. We studied the first 474 ACCESS patients and case-matched controls. The HLA-DRB1 alleles were differentially distributed between cases and controls ( P&lt;.0001). The HLA-DRB1*1101 allele was associated ( P&lt;.01) with sarcoidosis in blacks and whites and had a population attributable risk of 16% in blacks and 9% in whites. HLA-DRB1-F 47 was the amino acid residue most associated with sarcoidosis and independently associated with sarcoidosis in whites. The HLA-DPB1 locus also contributed to susceptibility for sarcoidosis and, in contrast to chronic beryllium disease, a non–E 69-containing allele, HLA-DPB1*0101, conveyed most of the risk. Although significant differences were observed in the distribution of HLA class II alleles between blacks and whites, only HLA-DRB1*1501 was differentially associated with sarcoidosis ( P&lt;.003). In addition to being susceptibility markers, HLA class II alleles may be markers for different phenotypes of sarcoidosis ( DRB1*0401 for eye in blacks and whites, DRB3 for bone marrow in blacks, and DPB1*0101 for hypercalcemia in whites). These studies confirm a genetic predisposition for sarcoidosis and present evidence for the allelic variation at the HLA-DRB1 locus as a major contributor.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>14508706</pmid><doi>10.1086/378097</doi><tpages>16</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Cell Press Free Archives; Elsevier ScienceDirect Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central
subjects Black People - genetics
Gene Frequency
Geography
Histocompatibility Testing
HLA-DR Antigens - blood
HLA-DR Antigens - genetics
HLA-DRB1 Chains
Humans
Prospective Studies
Risk Factors
Sarcoidosis - blood
Sarcoidosis - genetics
Sarcoidosis - immunology
United States
White People - genetics
title HLA-DRB11101: A Significant Risk Factor for Sarcoidosis in Blacks and Whites
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