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多发性硬化症的诊断时性别和年龄与HLA - DR2、DQ6单倍型相关。

Sex and age at diagnosis are correlated with the HLA-DR2, DQ6 haplotype in multiple sclerosis.

作者信息

Celius E G, Harbo H F, Egeland T, Vartdal F, Vandvik B, Spurkiand A

机构信息

Department of Neurology, Oslo City Hospitals, Ullevaal Sykehus, 0407, Oslo, Norway.

出版信息

J Neurol Sci. 2000 Sep 15;178(2):132-5. doi: 10.1016/s0022-510x(00)00389-0.

Abstract

The HLA-DR2, DQ6 (i.e., HLA-DRB11501, DQA10102, DQB1*0602) haplotype contributes to the risk of developing multiple sclerosis (MS) in Caucasoids of Northern European heritage. A correlation between the clinical expression of MS and the presence of HLA-DR2, DQ6 has, however, not convincingly been shown. In this study conventional bivariate analysis and logistic regression analysis were used to study the relationship between HLA-DR2, DQ6 and four disease variables in a cohort of 286 Norwegian MS patients from the Oslo area. Logistic regression analysis showed that HLA-DR2, DQ6 was significantly more frequent among female than male patients (P=0. 0251), and was negatively correlated with age at diagnosis regardless of sex (P=0.0254). No significant correlation was observed between HLA-DR2, DQ6 and type of disease (relapsing-remitting versus primary chronic progressive MS) or presence/absence of oligoclonal bands in the cerebrospinal fluid.

摘要

HLA - DR2、DQ6单倍型(即HLA - DRB11501、DQA10102、DQB1*0602)会增加北欧血统白种人患多发性硬化症(MS)的风险。然而,MS的临床症状表现与HLA - DR2、DQ6之间的相关性尚未得到令人信服的证实。在本研究中,我们运用传统双变量分析和逻辑回归分析,对来自奥斯陆地区的286名挪威MS患者队列中HLA - DR2、DQ6与四个疾病变量之间的关系进行了研究。逻辑回归分析显示,HLA - DR2、DQ6在女性患者中出现的频率显著高于男性患者(P = 0.0251),且无论性别,其与确诊年龄呈负相关(P = 0.0254)。未观察到HLA - DR2、DQ6与疾病类型(复发缓解型与原发慢性进展型MS)或脑脊液中寡克隆带的有无之间存在显著相关性。

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