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Influence of HLA-DR2, HLA-DPw4, and T cell receptor alpha chain genes on the susceptibility to multiple sclerosis

M A Sherritt1, J Oksenberg, N K de Rosbo

  • 1Neuroimmunology Laboratory, La Trobe University, Bundoora, Victoria, Australia.

International Immunology
|February 1, 1992
PubMed

Insights

Multiple sclerosis (MS) risk is linked to T cell receptor (TCR) alpha chain polymorphisms, particularly C alpha, and HLA-DR2. While these factors increase risk, their combined presence isn't essential for MS development.

Area of Science:

  • Immunogenetics
  • Neurology
  • Human Genetics

Background:

  • Previous research indicated a link between T cell receptor (TCR) alpha chain restriction fragment length polymorphism (RFLP) and multiple sclerosis (MS).
  • The potential interaction between human leukocyte antigen (HLA) variants (HLA-DR2, HLA-DPw4) and TCR alpha chain RFLPs in MS susceptibility required further investigation.

Purpose of the Study:

  • To investigate the interactive effects of HLA-DR2, HLA-DPw4, and TCR alpha chain RFLPs on the risk of developing multiple sclerosis (MS).

Main Methods:

  • Restriction fragment length polymorphism (RFLP) analysis was used for TCR alpha chain typing and HLA-DR/DP typing in MS patients and healthy controls.
  • Hierarchical log-linear analysis was employed to assess interaction effects among these genetic loci and MS susceptibility.

Main Results:

  • HLA-DR2 showed a significant association with MS (P = 0.002).
  • Significant interactions were found between MS and TCR alpha chain polymorphisms, specifically C alpha (P < 0.001) and V alpha.
  • The combination of HLA-DR2 and C alpha demonstrated a high relative risk (47) for MS.

Conclusions:

  • TCR alpha chain polymorphisms, particularly C alpha, interact with HLA-DR2 to significantly increase the risk of multiple sclerosis.
  • No significant four- or three-way interactions were observed, suggesting that the combined presence of all studied polymorphic markers is not mandatory for MS susceptibility.

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