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Major histocompatibility complex phenotypes influence serum testosterone concentration.

B Larsen1, C A King, M Simms

  • 1Faculty of Medicine, Memorial University of Newfoundland, St John's, Newfoundland, Canada.

Rheumatology (Oxford, England)
|July 26, 2000
PubMed
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The human leukocyte antigen (HLA) phenotype HLA-DR4,7 is more common in male rheumatoid arthritis (RA) patients. A man's major histocompatibility complex (MHC) type may influence testosterone levels, but its link to RA pathogenesis is unclear.

Area of Science:

  • Immunogenetics
  • Rheumatology
  • Endocrinology

Background:

  • The human leukocyte antigen (HLA) phenotype HLA-DR4,7 is observed more frequently in male patients with rheumatoid arthritis (RA) compared to female patients.
  • A potential link between low serum testosterone (Te) levels and RA in males has been hypothesized.
  • This study investigates the association between HLA alleles and serum Te concentration in healthy males to understand this potential relationship.

Purpose of the Study:

  • To confirm the higher frequency of HLA-DR4,7 in male RA patients.
  • To test if DR7 is associated with low normal serum Te levels in healthy males.
  • To characterize the association between specific HLA alleles and serum Te concentration in healthy males.

Main Methods:

  • HLA-DR typing was performed on 82 male RA patients from Newfoundland, combined with previous data for a total of 373 RA patients.

Related Experiment Videos

  • 94 healthy Newfoundland males were typed for HLA, TNFa microsatellite marker, and complement factor B (BF).
  • An additional 38 males were included, with some selected based on HLA-B type.
  • Main Results:

    • The higher frequency of HLA-DR4,7 in male RA patients was confirmed (P<0.01).
    • Contrary to expectations, DR7 was associated with higher than average Te levels, as were B5, B27, DR1, TNFa7, and BF F positivity.
    • Low Te concentrations were associated with B15, DR2, DR5, TNFa5, and BF F negativity. No association was found between HLA alleles and low Te levels in early-onset RA patients.

    Conclusions:

    • A man's major histocompatibility complex (MHC) phenotype may influence his serum testosterone concentration.
    • The precise relationship between MHC phenotype, testosterone levels, and the pathogenesis of rheumatoid arthritis remains speculative and requires further investigation.