Total serum IgA levels and HLA-DQB1*02:01 allelic status.


Journal

Immunologic research
ISSN: 1559-0755
Titre abrégé: Immunol Res
Pays: United States
ID NLM: 8611087

Informations de publication

Date de publication:
19 Sep 2023
Historique:
received: 19 06 2023
accepted: 28 08 2023
medline: 19 9 2023
pubmed: 19 9 2023
entrez: 19 9 2023
Statut: aheadofprint

Résumé

Immunoglobulin A Deficiency (IgAD) is the most common primary immunodeficiency and is significantly associated with Celiac Disease (CD), which recognizes a specific background of human leukocyte antigens (HLA) predisposition (including HLA-DQB1*02:01 allele). A number of studies investigated the role of HLA in IgAD etiopathogenesis: HLA-DQB1*02 alleles are included in the main haplotypes linked to this primary immunodeficiency. In this preliminary study, we investigated the potential impact of HLA-DQB1*02:01 allelic status on total serum IgA levels: 108 serum samples from the bone marrow donors' registry were analyzed for total IgA concentration with respect to the HLA-DQB1*02:01 status. Although total serum IgA levels between HLA-DQB1*02:01 carriers and HLA-DQB1*02:01 negative donors were not different, we observed a statistically significant difference (p=0.0118) in total serum IgA levels among donors with low IgA concentration (<80mg/dL) in the sub-analysis between HLA-DQB1*02:01 positive group (including both homozygous and heterozygous carriers) compared to HLA-DQB1*02:01 negative donors. Our results might suggest a role of HLA-DQB1*02:01 allelic variant in the determination of total serum IgA levels, at least in patients affected with IgA deficiency and/or otherwise predisposed to it; however, larger and more standardized studies are needed to confirm this speculation.

Identifiants

pubmed: 37725324
doi: 10.1007/s12026-023-09420-1
pii: 10.1007/s12026-023-09420-1
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Nazarbayev University
ID : 240919FD3912

Informations de copyright

© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

Références

Yel L. Selective IgA deficiency. J Clin Immunol. 2010;30:10–6. https://doi.org/10.1007/s10875-009-9357-x .
doi: 10.1007/s10875-009-9357-x pubmed: 20101521 pmcid: 2821513
Cunningham-Rundles C. Physiology of IgA and IgA deficiency. J Clin Immunol. 2001;21:303–9. https://doi.org/10.1023/a:1012241117984 .
doi: 10.1023/a:1012241117984 pubmed: 11720003
European Society for Immunodeficiencies. Clinical Working Party Diagnostic criteria for PID/ IgA deficiency diagnostic criteria. URL: https://esid.org/Working-Parties/Clinical-Working-Party/Resources/Diagnostic-criteria-for-PID2#Q7 [last accessed on March 19
MacHulla HK, et al. HLA-A, B, Cw and DRB1, DRB3/4/5, DQB1, DPB1 frequencies in German immunoglobulin A-deficient individuals. Scand J Immunol. 2000;52:207–11. https://doi.org/10.1046/j.1365-3083.2000.00765.x .
doi: 10.1046/j.1365-3083.2000.00765.x pubmed: 10931389
Mohammadi J, et al. IgA deficiency and the MHC: assessment of relative risk and microheterogeneity within the HLA A1 B8, DR3 (8.1) haplotype. J Clin Immunol. 2010;30:138–43. https://doi.org/10.1007/s10875-009-9336-2 .
doi: 10.1007/s10875-009-9336-2 pubmed: 19834793
Ferreira RC, et al. High-density SNP mapping of the HLA region identifies multiple independent susceptibility loci associated with selective IgA deficiency. PLoS Genet. 2012;8:e1002476. https://doi.org/10.1371/journal.pgen.1002476 .
doi: 10.1371/journal.pgen.1002476 pubmed: 22291608 pmcid: 3266887
Lindfors K, et al. Coeliac disease. Nat Rev Dis Primers. 2019;5:3. https://doi.org/10.1038/s41572-018-0054-z .
doi: 10.1038/s41572-018-0054-z pubmed: 30631077
Capittini C, De Silvestri A, Rebuffi C, Tinelli C, Poddighe D. Relevance of HLA-DQB1*02 allele in the genetic predisposition of children with celiac disease: additional cues from a meta-analysis. Medicina (Kaunas). 2019;55:190. https://doi.org/10.3390/medicina55050190 .
doi: 10.3390/medicina55050190 pubmed: 31121940
Poddighe D, Rebuffi C, De Silvestri A, Capittini C. Carrier frequency of HLA-DQB1*02 allele in patients affected with celiac disease: a systematic review assessing the potential rationale of a targeted allelic genotyping as a first-line screening. World J Gastroenterol. 2020;26:1365–81. https://doi.org/10.3748/wjg.v26.i12.1365 .
doi: 10.3748/wjg.v26.i12.1365 pubmed: 32256023 pmcid: 7109277
Megiorni F, et al. HLA-DQ and risk gradient for celiac disease. Hum Immunol. 2009;70:55–9. https://doi.org/10.1016/j.humimm.2008.10.018 .
doi: 10.1016/j.humimm.2008.10.018 pubmed: 19027045
Poddighe D, et al. Genetic predisposition to celiac disease in Kazakhstan: potential impact on the clinical practice in Central Asia. PLoS One. 2020;15:e0226546. https://doi.org/10.1371/journal.pone.0226546 .
doi: 10.1371/journal.pone.0226546 pubmed: 31895924 pmcid: 6939901
Poddighe D, Capittini C. The role of HLA in the association between IgA deficiency and celiac disease. Dis Markers. 2021;2021:8632861. https://doi.org/10.1155/2021/8632861 .
doi: 10.1155/2021/8632861 pubmed: 35186163 pmcid: 8856801
Dieguez-Alvarez M, et al. Serum immunoglobulin-A (IgA) concentrations in a general adult population: association with demographics and prevalence of selective IgA deficiency. Clin Chem Lab Med. 2020;58:e109–12. https://doi.org/10.1515/cclm-2019-0957 .
doi: 10.1515/cclm-2019-0957 pubmed: 31689231
Khan SR, et al. Determinants and reference ranges of serum ummunoglobulins in middle-aged and elderly individuals: a population-based study. J Clin Immunol. 2021;41:1902–14. https://doi.org/10.1007/s10875-021-01120-5 .
doi: 10.1007/s10875-021-01120-5 pubmed: 34505230 pmcid: 8604889
Jabri B, Sollid LM. T cells in celiac disease. J Immunol. 2017;198:3005–14. https://doi.org/10.4049/jimmunol.1601693 .
doi: 10.4049/jimmunol.1601693 pubmed: 28373482
Sollid LM. Molecular basis of celiac disease. Annu Rev Immunol. 2000;18:53–81. https://doi.org/10.1146/annurev.immunol.18.1.53 .
doi: 10.1146/annurev.immunol.18.1.53 pubmed: 10837052
Singh K, Chang C, Gershwin ME. IgA deficiency and autoimmunity. Autoimmun Rev. 2014;13:163–77. https://doi.org/10.1016/j.autrev.2013.10.005 .
doi: 10.1016/j.autrev.2013.10.005 pubmed: 24157629
Odineal DD, Gershwin ME. The epidemiology and clinical manifestations of autoimmunity in selective IgA deficiency. Clin Rev Allergy Immunol. 2020;58:107–33. https://doi.org/10.1007/s12016-019-08756-7 .
doi: 10.1007/s12016-019-08756-7 pubmed: 31267472
Pabst O, Slack E. IgA and the intestinal microbiota: the importance of being specific. Mucosal Immunol. 2020;13:12–21. https://doi.org/10.1038/s41385-019-0227-4 .
doi: 10.1038/s41385-019-0227-4 pubmed: 31740744
Huus KE, Petersen C, Finlay BB. Diversity and dynamism of IgA-microbiota interactions. Nat Rev Immunol. 2021;21:514–25. https://doi.org/10.1038/s41577-021-00506-1 .
doi: 10.1038/s41577-021-00506-1 pubmed: 33568782
Abdukhakimova D, Dossybayeva K, Poddighe D. Fecal and duodenal microbiota in pediatric celiac disease. Front Pediatr. 2021;9:652208. https://doi.org/10.3389/fped.2021.652208 .
doi: 10.3389/fped.2021.652208 pubmed: 33968854 pmcid: 8100229
Valitutti F, Cucchiara S, Fasano A. Celiac disease and the microbiome. Nutrients. 2019;11:2403. https://doi.org/10.3390/nu11102403 .
doi: 10.3390/nu11102403 pubmed: 31597349 pmcid: 6835875
Azizi G, et al. Autoimmunity in a cohort of 471 patients with primary antibody deficiencies. Expert Rev Clin Immunol. 2017;13:1099–106. https://doi.org/10.1080/1744666X.2017.1384312 .
doi: 10.1080/1744666X.2017.1384312 pubmed: 29019451
Litzman J, Vlková M, Pikulová Z, Stikarovská D, Lokaj J. T and B lymphocyte subpopulations and activation/differentiation markers in patients with selective IgA deficiency. Clin Exp Immunol. 2007;147:249–54. https://doi.org/10.1111/j.1365-2249.2006.03274.x .
doi: 10.1111/j.1365-2249.2006.03274.x pubmed: 17223965 pmcid: 1810464
Aghamohammadi A, et al. Analysis of switched memory B cells in patients with IgA deficiency. Int Arch Allergy Immunol. 2011;156:462–8. https://doi.org/10.1159/000323903 .
doi: 10.1159/000323903 pubmed: 21832837
Yazdani R, Azizi G, Abolhassani H, Aghamohammadi A. Selective IgA deficiency: epidemiology, pathogenesis, clinical phenotype, diagnosis, prognosis and management. Scand J Immunol. 2017;85:3–12. https://doi.org/10.1111/sji.12499 .
doi: 10.1111/sji.12499 pubmed: 27763681
Abolhassani H, Aghamohammadi A, Hammarstrom L. Monogenic mutations associated with IgA deficiency. Expert Rev Clin Immunol. 2016;12:1321–35. https://doi.org/10.1080/1744666X.2016.1198696 .
doi: 10.1080/1744666X.2016.1198696 pubmed: 27266541
Bagheri Y, et al. The heterogeneous pathogenesis of selective immunoglobulin A deficiency. Int Arch Allergy Immunol. 2019;179:231–46. https://doi.org/10.1159/000499044 .
doi: 10.1159/000499044 pubmed: 31091523
Frankowiack M, et al. The higher frequency of IgA deficiency among Swedish twins is not explained by HLA haplotypes. Genes Immun. 2015;16:199–205. https://doi.org/10.1038/gene.2014.78 .
doi: 10.1038/gene.2014.78 pubmed: 25569265
Kuranov AB, et al. Polymorphisms of HLA-DRB1, -DQA1 and -DQB1 in inhabitants of Astana, the capital city of Kazakhstan. PLoS One. 2014;9:e115265. https://doi.org/10.1371/journal.pone.0115265 .
doi: 10.1371/journal.pone.0115265 pubmed: 25531278 pmcid: 4274022

Auteurs

Diyora Abdukhakimova (D)

School of Medicine, Nazarbayev University, Astana, 010000, Kazakhstan.

Malika Ibrayeva (M)

School of Medicine, Nazarbayev University, Astana, 010000, Kazakhstan.

Kuanysh Dossybayeva (K)

School of Medicine, Nazarbayev University, Astana, 010000, Kazakhstan.

Aida Turganbekova (A)

Research and Production Center of Transfusion Medicine, Ministry of Health of the Republic of Kazakhstan, Astana, Kazakhstan.

Zhuldyz Zhanzakova (Z)

Research and Production Center of Transfusion Medicine, Ministry of Health of the Republic of Kazakhstan, Astana, Kazakhstan.

Saniya Abdrakhmanova (S)

Research and Production Center of Transfusion Medicine, Ministry of Health of the Republic of Kazakhstan, Astana, Kazakhstan.

Pauline McLoone (P)

School of Medicine, Nazarbayev University, Astana, 010000, Kazakhstan.

Dimitri Poddighe (D)

School of Medicine, Nazarbayev University, Astana, 010000, Kazakhstan. dimitri.poddighe@nu.edu.kz.
Clinical Academic Department of Pediatrics, National Research Center for Maternal and Child Health, University Medical Center, Astana, 010000, Kazakhstan. dimitri.poddighe@nu.edu.kz.

Classifications MeSH