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Published on: November 21, 2014
The association of HLA class II with pars planitis
S Oruc1, B F Duffy, T Mohanakumar
1Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St. Louis, Missouri, USA.
Purpose:
To investigate the association of HLA class II alleles with pars planitis.
Methods:
Blood samples were obtained from 28 patients with pars planitis seen in the Department of Ophthalmology and Visual Sciences and the Barnes Retina Institute at Washington University, St. Louis, Missouri.
Results:
HLA-DR15, one of the allelic subtypes of HLA-DR2, was present in 18 (64.3%) of 28 patients vs. 10 (20%) of 50 controls (OR = 7.20, CI = 2.28--23.20, P =.0001). HLA-DR51 (HLA-DRB 5) was present in 16 (57.1%) of 28 patients vs. 6 (12%) of 50 controls (OR = 9.78, CI = 2.79--36.42, P =.0001). HLA-DR17 was present in eight (28.6%) of 28 patients vs. one (2%) of 50 controls (OR = 19.60, CI = 2.29--886.7, P =.0001).
Conclusion:
Pars planitis is associated with an increased frequency of the HLA-DR2 suballele, -DR15, HLA-DR51, and HLA-DR17. These results suggest an immunogenic predisposition exists to pars planitis.
Insights
Pars planitis is linked to specific human leukocyte antigen (HLA) class II alleles, including HLA-DR15, HLA-DR51, and HLA-DR17. This suggests a genetic predisposition to the condition.
Area of Science:
- Ophthalmology
- Immunogenetics
- Human Leukocyte Antigen (HLA) research
Background:
- Pars planitis is an idiopathic inflammatory condition affecting the ciliary body.
- Understanding the genetic factors associated with pars planitis is crucial for elucidating its pathogenesis.
Purpose of the Study:
- To investigate the association between specific human leukocyte antigen (HLA) class II alleles and the occurrence of pars planitis.
- To identify potential genetic markers that may predispose individuals to developing pars planitis.
Main Methods:
- Blood samples were collected from 28 patients diagnosed with pars planitis.
- HLA class II typing was performed on patient and control samples.
- Statistical analysis, including odds ratios (OR) and confidence intervals (CI), was used to assess associations.
Main Results:
- A significantly higher frequency of HLA-DR15 (a subtype of HLA-DR2) was observed in patients (64.3%) compared to controls (20%), with an OR of 7.20.
- HLA-DR51 was also more prevalent in patients (57.1%) than controls (12%), showing an OR of 9.78.
- HLA-DR17 demonstrated a strong association, present in 28.6% of patients versus 2% of controls, with an OR of 19.60.
Conclusions:
- Pars planitis is significantly associated with an increased frequency of HLA-DR15, HLA-DR51, and HLA-DR17 alleles.
- These findings suggest that certain HLA class II alleles may confer an immunogenic predisposition to pars planitis.
- Further research into the immunogenetic basis of pars planitis is warranted.
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