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HLA-DRB1* alleles in Egyptian children with post-streptococcal acute glomerulonephritis
Ashraf Bakr1, Lotfi Abdel-Naby Mahmoud, Farha Al-Chenawi
1Pediatric Nephrology, Mansoura University Children's Hospital, Goumhoria Street, Mansoura, 35516, Egypt. ashbakr@mans.edu.eg
Insights
The HLA-DRB1* 03011 allele is linked to an increased risk of post-streptococcal acute glomerulonephritis (PSAGN) in Egyptian children. This genetic association suggests susceptibility but does not influence disease severity.
Area of Science:
- Immunogenetics
- Pediatric Nephrology
- Molecular Epidemiology
Background:
- Post-streptococcal acute glomerulonephritis (PSAGN) is a significant kidney disease in children.
- Genetic factors, particularly Human Leukocyte Antigen (HLA) alleles, are implicated in PSAGN susceptibility.
- Understanding these genetic associations can inform disease prevention and management strategies.
Purpose of the Study:
- To investigate the association between specific HLA-DRB1* alleles and the risk of developing PSAGN in Egyptian children.
- To determine if certain HLA-DRB1* alleles are more prevalent in children with PSAGN compared to healthy controls.
- To explore potential correlations between HLA-DRB1* allele frequencies and disease severity markers like hypertension and proteinuria.
Main Methods:
- Case-control study involving 32 Egyptian children diagnosed with PSAGN and 380 healthy controls.
- HLA-DRB1* allele typing performed using polymerase chain-reverse hybridization.
- Statistical analysis to compare allele frequencies and calculate relative risks, including P-value corrections.
Main Results:
- A significantly higher frequency of HLA-DRB1* 03011 (46.9% vs. 19.2%) and HLA-DRB1* 1105 (31.1% vs. 15.6%) was observed in PSAGN patients compared to controls.
- After correcting for multiple comparisons, only the association with HLA-DRB1* 03011 remained statistically significant (Pc=0.025).
- Both alleles showed significantly high relative risks, indicating increased susceptibility, but no correlation was found between these alleles and the grades of hypertension or proteinuria.
Conclusions:
- The HLA-DRB1* 03011 allele confers a significant susceptibility to developing PSAGN in Egyptian children.
- The HLA-DRB1* 1105 allele may also play a role in PSAGN susceptibility, though its association was not significant after statistical correction.
- These specific HLA-DRB1* alleles do not appear to determine the severity of PSAGN, as indicated by the lack of association with hypertension or proteinuria levels.
Abstract:
To investigate the association between HLA-DRB1* alleles and post-streptococcal acute glomerulonephritis (PSAGN) in Egyptian children, 32 unrelated patients with PSAGN and 380 healthy individuals from the same locality were typed for DRB1* alleles using the polymerase chain-reverse hybridization technique. Patients with PSAGN had significantly increased frequency of both DRB1* 03011 (46.9 vs. 19.2% in controls, P=0.00025) and DRB1* 1105 (31.1 vs. 15.6% in controls, P=0.0097) alleles. However, after correction of P values, only the difference for DRB1* 03011 allele remained significant (Pc=0.025). Their relative risks were significantly high (3.71, confidence interval [CI]=1.8-7.8, and 3.57, CI=1.4-8.9 respectively). No significant differences in the frequency of the two alleles were observed among patients with different grades of hypertension or proteinuria. In conclusion, DRB1* 03011, and possibly 1105, alleles confer susceptibility to PSAGN. However, the severity of the disease is not determined by these two alleles.
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