Is multiple sclerosis progression associated with the HLA-DR15 haplotype?

EDSS HLA-DRB1*15:01 HLA-DRB5*01:01 Multiple sclerosis progression

Journal

Multiple sclerosis journal - experimental, translational and clinical
ISSN: 2055-2173
Titre abrégé: Mult Scler J Exp Transl Clin
Pays: United States
ID NLM: 101668877

Informations de publication

Date de publication:
Historique:
received: 19 06 2019
revised: 04 11 2019
accepted: 09 11 2019
entrez: 17 12 2019
pubmed: 17 12 2019
medline: 17 12 2019
Statut: epublish

Résumé

The prevalence of multiple sclerosis is associated with the major histocompatibility complex class II DR15 haplotype HLA-DRB1*15:01∼HLA-DRB5*01:01. To assess whether multiple sclerosis progression is associated with the main susceptibility haplotype HLA-DRB1*15:01∼HLA-DRB5*01:01. Patients ( After follow-up of the consecutive cohort 349 patients were classified as having clinical isolated syndrome and 881 patients as having multiple sclerosis. The susceptibility allele HLA-DRB1*15:01 was more frequent in clinical isolated syndrome (odds ratio 1.56) and multiple sclerosis (odds ratio 3.17) compared to controls. HLA- DRB1*15:01 was the only enriched HLA-DRB1 allele in multiple sclerosis patients. Comparison of clinical characteristics between HLA-DRB1*15:01∼HLA-DRB5*01:01 negative and positive patients with multiple sclerosis showed that baseline EDSS score, disease duration and frequency of the category secondary progressive multiple sclerosis with relapse were increased in the HLA-DRB1*15:01∼HLA-DRB5*01:01 positive group. The study confirmed HLA-DRB1*15:01 and HLA-DRB5*01:01 as the main susceptibility alleles and showed weak indirect evidence for a role in progression of the disease.

Sections du résumé

BACKGROUND BACKGROUND
The prevalence of multiple sclerosis is associated with the major histocompatibility complex class II DR15 haplotype HLA-DRB1*15:01∼HLA-DRB5*01:01.
OBJECTIVE OBJECTIVE
To assess whether multiple sclerosis progression is associated with the main susceptibility haplotype HLA-DRB1*15:01∼HLA-DRB5*01:01.
METHODS METHODS
Patients (
RESULTS RESULTS
After follow-up of the consecutive cohort 349 patients were classified as having clinical isolated syndrome and 881 patients as having multiple sclerosis. The susceptibility allele HLA-DRB1*15:01 was more frequent in clinical isolated syndrome (odds ratio 1.56) and multiple sclerosis (odds ratio 3.17) compared to controls. HLA- DRB1*15:01 was the only enriched HLA-DRB1 allele in multiple sclerosis patients. Comparison of clinical characteristics between HLA-DRB1*15:01∼HLA-DRB5*01:01 negative and positive patients with multiple sclerosis showed that baseline EDSS score, disease duration and frequency of the category secondary progressive multiple sclerosis with relapse were increased in the HLA-DRB1*15:01∼HLA-DRB5*01:01 positive group.
CONCLUSION CONCLUSIONS
The study confirmed HLA-DRB1*15:01 and HLA-DRB5*01:01 as the main susceptibility alleles and showed weak indirect evidence for a role in progression of the disease.

Identifiants

pubmed: 31839982
doi: 10.1177/2055217319894615
pii: 10.1177_2055217319894615
pmc: PMC6902395
doi:

Types de publication

Journal Article

Langues

eng

Pagination

2055217319894615

Informations de copyright

© The Author(s) 2019.

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Auteurs

Klarissa Hanja Stürner (KH)

Institute for Neuroimmunology and Clinical MS Research, University Medical Center Hamburg-Eppendorf, Germany.

Inessa Siembab (I)

Institute for Neuroimmunology and Clinical MS Research, University Medical Center Hamburg-Eppendorf, Germany.

Gerhard Schön (G)

Department of Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, Germany.

Jan-Patrick Stellmann (JP)

Institute for Neuroimmunology and Clinical MS Research, University Medical Center Hamburg-Eppendorf, Germany.

Nika Heidari (N)

Institute for Neuroimmunology and Clinical MS Research, University Medical Center Hamburg-Eppendorf, Germany.

Boris Fehse (B)

Research Department Cell and Gene Therapy, University Medical Center Hamburg-Eppendorf, Germany.

Christoph Heesen (C)

Institute for Neuroimmunology and Clinical MS Research, University Medical Center Hamburg-Eppendorf, Germany.

Thomas H Eiermann (TH)

HLA Laboratory, University Medical Center Hamburg-Eppendorf, Germany.

Roland Martin (R)

Institute for Neuroimmunology and Clinical MS Research, University Medical Center Hamburg-Eppendorf, Germany.

Thomas Mc Binder (TM)

HLA Laboratory, University Medical Center Hamburg-Eppendorf, Germany.

Classifications MeSH