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HLA-DRB1*07 等位基因与墨西哥梅斯蒂索人群中的间质性肺异常 (ILA) 和胸膜下位置相关。

The HLA-DRB1*07 Allele Is Associated with Interstitial Lung Abnormalities (ILA) and Subpleural Location in a Mexican Mestizo Population.

机构信息

Translational Research Laboratory on Aging and Pulmonary Fibrosis, Instituto Nacional de Enfermedades Respiratorias Ismael Cosio Villegas, Mexico City 14080, Mexico.

HLA Laboratory, Instituto Nacional de Enfermedades Respiratorias Ismael Cosio Villegas, Mexico City 14080, Mexico.

出版信息

Biomolecules. 2022 Nov 9;12(11):1662. doi: 10.3390/biom12111662.

Abstract

Interstitial lung abnormalities (ILA) are defined as the presence of different patterns of increased lung density, including ground glass attenuation and reticular opacities on chest high-resolution computed tomography (HRCT). In this study, we included 90 subjects with ILA and 189 healthy controls (HC) from our Aging Lung Program. We found that subjects with ILA are older, have a significant smoking history, and have worse pulmonary function than HC ( < 0.05). When we evaluated the allele frequencies of the human leukocyte antigen (HLA) system, we found that HLA-DRB107 was associated with a higher risk for ILA ( < 0.05, OR = 1.95, 95% CI = 1.06-3.57). When we compared subjects with subpleural ILA vs. HC, the association with HLA-DRB107 became stronger than the whole ILA group ( < 0.05, OR = 2.29, 95% CI = 1.24-4.25). Furthermore, subjects with subpleural ILA and central ILA display differences in allele frequencies with HLA-DRB1*14 (3.33% vs. 13.33%, < 0.05) and 15 (3.33% vs. 20%, < 0.05). Our findings indicate that the HLA-DRB107 allele contributes to the risk of ILA, especially those of subpleural locations.

摘要

间质性肺异常 (ILA) 定义为肺部密度增加的不同模式,包括高分辨率胸部 CT (HRCT) 上的磨玻璃影衰减和网状混浊。在这项研究中,我们纳入了 90 名 ILA 患者和 189 名来自我们的老年肺计划的健康对照 (HC)。我们发现 ILA 患者年龄较大,有明显的吸烟史,肺功能比 HC 差 ( < 0.05)。当我们评估人类白细胞抗原 (HLA) 系统的等位基因频率时,发现 HLA-DRB107 与 ILA 风险增加相关 ( < 0.05,OR = 1.95,95%CI = 1.06-3.57)。当我们比较胸膜下 ILA 患者与 HC 时,与 HLA-DRB107 的关联比整个 ILA 组更强 ( < 0.05,OR = 2.29,95%CI = 1.24-4.25)。此外,胸膜下 ILA 和中央 ILA 患者的 HLA-DRB1*14 (3.33%比 13.33%, < 0.05) 和 15 (3.33%比 20%, < 0.05) 等位基因频率存在差异。我们的研究结果表明,HLA-DRB107 等位基因增加了 ILA 的风险,特别是胸膜下位置的 ILA。

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