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比利时多发性硬化症患者的人类白细胞抗原(HLA)I类和II类分型

Human leucocyte antigen (HLA) class I and II typing in Belgian multiple sclerosis patients.

作者信息

Lysandropoulos Andreas P, Racapé Judith, Holovska Vanda, Toungouz Michel

机构信息

Department of Neurology, Hôpital Erasme, Université Libre de Bruxelles, Route de Lennik 808, 1070, Brussels, Belgium.

Centre de Recherche Epidémiologie, Biostatistique et Recherche clinique, Ecole de Santé Publique (Université Libre de Bruxelles), Brussels, Belgium.

出版信息

Acta Neurol Belg. 2017 Mar;117(1):61-65. doi: 10.1007/s13760-016-0716-0. Epub 2016 Oct 28.

Abstract

This is one of the first studies to compare the frequencies of different human leucocyte antigen (HLA) class I and II alleles and haplotype HLA-DRB115-DQB106 in a cohort of 119 patients with multiple sclerosis (MS) and a cohort of 124 healthy controls in Belgium. An association with MS was found for the HLA-DRB115 (odds ratio [OR] 2.60 [95% confidence interval (CI) 1.51-4.50]) and HLA-DQB106 (OR 1.97 [95% CI 1.18-3.29]) alleles, and for haplotype DRB115-DQB106 (OR 2.63 [95% CI 1.52-4.56]). The HLA-B07 allele also tended to be more frequent in MS patients (OR 1.46 [95% CI 0.80-2.65]) and more frequent among MS patients with than in those without the HLA-DRB115 allele (26/54 [48.1%] versus 6/65 [9.2%]; p value <0.0001). Other alleles were underrepresented in MS patients, such as the HLA-DRB107 (OR 0.39 [95% CI 0.21-0.73]) and HLA-A02 (OR 0.56 [95% CI 0.34-0.94]), showing a protective role against the disease. The HLA-B44 (OR 0.58 [95% CI 0.31-1.09]) and HLA-DRB104 (OR 0.75 [95% CI 0.42-1.34]) alleles tended to be less frequent in MS patients. Altogether, the significant results observed in this population are in line with those from other countries and confirm that propensity to MS can be due to a complex presence of various HLA class I and class II alleles.

摘要

这是首批对比119例多发性硬化症(MS)患者队列与124例比利时健康对照队列中不同人类白细胞抗原(HLA)I类和II类等位基因以及单倍型HLA - DRB115 - DQB106频率的研究之一。研究发现,HLA - DRB115等位基因(优势比[OR] 2.60 [95%置信区间(CI)1.51 - 4.50])、HLA - DQB106等位基因(OR 1.97 [95% CI 1.18 - 3.29])以及单倍型DRB115 - DQB106(OR 2.63 [95% CI 1.52 - 4.56])与MS存在关联。HLA - B07等位基因在MS患者中也往往更为常见(OR 1.46 [95% CI 0.80 - 2.65]),且在携带HLA - DRB115等位基因的MS患者中比未携带该等位基因的患者更为常见(26/54 [48.1%] 对6/65 [9.2%];p值<0.0001)。其他等位基因在MS患者中出现频率较低,例如HLA - DRB107(OR 0.39 [95% CI 0.21 - 0.73])和HLA - A02(OR 0.56 [95% CI 0.34 - 0.94]),显示出对该疾病的保护作用。HLA - B44等位基因(OR 0.58 [95% CI 0.31 - 1.09])和HLA - DRB104等位基因(OR 0.75 [95% CI 0.42 - 1.34])在MS患者中往往出现频率较低。总体而言,在该人群中观察到的显著结果与其他国家的结果一致,并证实MS的易感性可能归因于多种HLA I类和II类等位基因的复杂存在。

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