Relevance of HLA gene polymorphisms in Romanian patients with chronic renal insufficiency undergoing renal transplantation

Background Chronic renal insufficiency (CRI) is a global public health problem with a high incidence in the Romanian population. In this study, we aimed to investigate genomic HLA polymorphisms in Romanian patients with CRI waiting for kidney transplantation. To determine the existence of a potentia...

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Veröffentlicht in:Journal of clinical laboratory analysis 2021-12, Vol.35 (12), p.e24075-n/a
Hauptverfasser: Mărunţelu, Ion, Cristea, Bogdan Mihai, Omer, Secil, Preda, Carmen Monica, Constantinescu, Ileana
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container_issue 12
container_start_page e24075
container_title Journal of clinical laboratory analysis
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creator Mărunţelu, Ion
Cristea, Bogdan Mihai
Omer, Secil
Preda, Carmen Monica
Constantinescu, Ileana
description Background Chronic renal insufficiency (CRI) is a global public health problem with a high incidence in the Romanian population. In this study, we aimed to investigate genomic HLA polymorphisms in Romanian patients with CRI waiting for kidney transplantation. To determine the existence of a potential strong link between certain HLA polymorphisms and CRI, we also looked at HLA specificity combinations within the same locus or even different loci, referring to randomly inherited allelic combinations rather than potential haplotypes. Methods A total of 2199 patients with CRI on the kidney transplantation waiting list were included. A total of 2786 healthy individuals were included as controls. Both patients and controls were assessed for both HLA I and class II genes. HLA genes were typed using the low‐resolution method polymerase chain reaction sequence‐specific primer. Results Certain class I and class II HLA allele groups, genotypes and haplotypes were significantly more frequent in patients with CRI than in the control individuals (eg B* 40 (p ≤ .001, pc ≤ .001), C* 12 (p ≤ .001, pc ≤ .001), DRB1*14 (p = .0022, pc = .04), C*12,‐ (p 
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In this study, we aimed to investigate genomic HLA polymorphisms in Romanian patients with CRI waiting for kidney transplantation. To determine the existence of a potential strong link between certain HLA polymorphisms and CRI, we also looked at HLA specificity combinations within the same locus or even different loci, referring to randomly inherited allelic combinations rather than potential haplotypes. Methods A total of 2199 patients with CRI on the kidney transplantation waiting list were included. A total of 2786 healthy individuals were included as controls. Both patients and controls were assessed for both HLA I and class II genes. HLA genes were typed using the low‐resolution method polymerase chain reaction sequence‐specific primer. Results Certain class I and class II HLA allele groups, genotypes and haplotypes were significantly more frequent in patients with CRI than in the control individuals (eg B* 40 (p ≤ .001, pc ≤ .001), C* 12 (p ≤ .001, pc ≤ .001), DRB1*14 (p = .0022, pc = .04), C*12,‐ (p &lt; .001, pc &lt; .001), A*01‐C*15 (p = .0003, pc = .03) and A*02‐C*12 (p = .0005, pc = .0486)). Conclusions HLA gene polymorphisms could be clinically relevant CRI‐associated genetic profiles in Romanian patients with CRI. Chronic renal insufficiency and HLA</description><identifier>ISSN: 0887-8013</identifier><identifier>EISSN: 1098-2825</identifier><identifier>DOI: 10.1002/jcla.24075</identifier><identifier>PMID: 34704282</identifier><language>eng</language><publisher>United States: John Wiley &amp; Sons, Inc</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Case-Control Studies ; Child ; Child, Preschool ; combined HLA types ; CRI ; Disease ; disease‐associated HLA genes ; Drb1 protein ; Expected values ; Female ; Gene Frequency ; Gene polymorphism ; Genes ; Genotype &amp; phenotype ; Haplotypes ; Health care ; Histocompatibility antigen HLA ; HLA Antigens - genetics ; Humans ; Kidney Transplantation ; Kidney transplants ; Male ; Middle Aged ; Polymerase chain reaction ; Polymorphism, Genetic ; polymorphisms ; Population ; Population studies ; Public health ; Renal insufficiency ; Renal Insufficiency, Chronic - genetics ; Renal Insufficiency, Chronic - therapy ; Romania ; Young Adult</subject><ispartof>Journal of clinical laboratory analysis, 2021-12, Vol.35 (12), p.e24075-n/a</ispartof><rights>2021 The Authors. published by Wiley Periodicals LLC.</rights><rights>2021 The Authors. Journal of Clinical Laboratory Analysis published by Wiley Periodicals LLC.</rights><rights>2021. This work is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4485-38947441f1fb798ec67aa42e048bef9885078b19c79750a24c81b4e2eb71bc0b3</citedby><cites>FETCH-LOGICAL-c4485-38947441f1fb798ec67aa42e048bef9885078b19c79750a24c81b4e2eb71bc0b3</cites><orcidid>0000-0001-5828-2694</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8649334/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8649334/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,725,778,782,862,883,1414,11545,27907,27908,45557,45558,46035,46459,53774,53776</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34704282$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mărunţelu, Ion</creatorcontrib><creatorcontrib>Cristea, Bogdan Mihai</creatorcontrib><creatorcontrib>Omer, Secil</creatorcontrib><creatorcontrib>Preda, Carmen Monica</creatorcontrib><creatorcontrib>Constantinescu, Ileana</creatorcontrib><title>Relevance of HLA gene polymorphisms in Romanian patients with chronic renal insufficiency undergoing renal transplantation</title><title>Journal of clinical laboratory analysis</title><addtitle>J Clin Lab Anal</addtitle><description>Background Chronic renal insufficiency (CRI) is a global public health problem with a high incidence in the Romanian population. In this study, we aimed to investigate genomic HLA polymorphisms in Romanian patients with CRI waiting for kidney transplantation. To determine the existence of a potential strong link between certain HLA polymorphisms and CRI, we also looked at HLA specificity combinations within the same locus or even different loci, referring to randomly inherited allelic combinations rather than potential haplotypes. Methods A total of 2199 patients with CRI on the kidney transplantation waiting list were included. A total of 2786 healthy individuals were included as controls. Both patients and controls were assessed for both HLA I and class II genes. HLA genes were typed using the low‐resolution method polymerase chain reaction sequence‐specific primer. Results Certain class I and class II HLA allele groups, genotypes and haplotypes were significantly more frequent in patients with CRI than in the control individuals (eg B* 40 (p ≤ .001, pc ≤ .001), C* 12 (p ≤ .001, pc ≤ .001), DRB1*14 (p = .0022, pc = .04), C*12,‐ (p &lt; .001, pc &lt; .001), A*01‐C*15 (p = .0003, pc = .03) and A*02‐C*12 (p = .0005, pc = .0486)). Conclusions HLA gene polymorphisms could be clinically relevant CRI‐associated genetic profiles in Romanian patients with CRI. 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In this study, we aimed to investigate genomic HLA polymorphisms in Romanian patients with CRI waiting for kidney transplantation. To determine the existence of a potential strong link between certain HLA polymorphisms and CRI, we also looked at HLA specificity combinations within the same locus or even different loci, referring to randomly inherited allelic combinations rather than potential haplotypes. Methods A total of 2199 patients with CRI on the kidney transplantation waiting list were included. A total of 2786 healthy individuals were included as controls. Both patients and controls were assessed for both HLA I and class II genes. HLA genes were typed using the low‐resolution method polymerase chain reaction sequence‐specific primer. Results Certain class I and class II HLA allele groups, genotypes and haplotypes were significantly more frequent in patients with CRI than in the control individuals (eg B* 40 (p ≤ .001, pc ≤ .001), C* 12 (p ≤ .001, pc ≤ .001), DRB1*14 (p = .0022, pc = .04), C*12,‐ (p &lt; .001, pc &lt; .001), A*01‐C*15 (p = .0003, pc = .03) and A*02‐C*12 (p = .0005, pc = .0486)). Conclusions HLA gene polymorphisms could be clinically relevant CRI‐associated genetic profiles in Romanian patients with CRI. Chronic renal insufficiency and HLA</abstract><cop>United States</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>34704282</pmid><doi>10.1002/jcla.24075</doi><tpages>0</tpages><orcidid>https://orcid.org/0000-0001-5828-2694</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Aged
Aged, 80 and over
Case-Control Studies
Child
Child, Preschool
combined HLA types
CRI
Disease
disease‐associated HLA genes
Drb1 protein
Expected values
Female
Gene Frequency
Gene polymorphism
Genes
Genotype & phenotype
Haplotypes
Health care
Histocompatibility antigen HLA
HLA Antigens - genetics
Humans
Kidney Transplantation
Kidney transplants
Male
Middle Aged
Polymerase chain reaction
Polymorphism, Genetic
polymorphisms
Population
Population studies
Public health
Renal insufficiency
Renal Insufficiency, Chronic - genetics
Renal Insufficiency, Chronic - therapy
Romania
Young Adult
title Relevance of HLA gene polymorphisms in Romanian patients with chronic renal insufficiency undergoing renal transplantation
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