Wadia N H, Trikannad V S, Krishnaswamy P R
J Neurol Neurosurg Psychiatry. 1981 Sep;44(9):849-51. doi: 10.1136/jnnp.44.9.849.
The infrequency of multiple sclerosis in India may have genetic implications. We found (a) the HLA-A3 and HLA-B7 haplotypes amongst Indians to be lower than those reported in Caucasians, (b) no excess of HLA-A3 and HLA-B7 amongst our 27 multiple sclerosis patients compared to 330 controls; instead it was the reverse, (c) HLA-B12 as high as 74% in the "clinically definite" cases, against only 9% in controls, (d) a significant relative risk of MS amongst Indians with HLA-B12 haplotype. Attention is drawn to th higher incidence of MS amongst the small Parsee community and the high association of HLA-B12 in these patients.
多发性硬化症在印度发病率较低,这可能具有遗传学意义。我们发现:(a)印度人中HLA - A3和HLA - B7单倍型低于高加索人所报告的水平;(b)在我们的27例多发性硬化症患者中,与330名对照相比,HLA - A3和HLA - B7并无过量;相反,情况正好相反;(c)在“临床确诊”病例中,HLA - B12高达74%,而对照组中仅为9%;(d)携带HLA - B12单倍型的印度人患多发性硬化症的相对风险显著。值得注意的是,在人数较少的帕西人群体中多发性硬化症发病率较高,且这些患者中HLA - B12的关联性也很高。