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Published on: April 18, 2015
Positive association of HLA-DRB1*15 with Dupuytren's disease in Caucasians
J J Brown1, W Ollier, W Thomson
1Department of Plastic & Reconstructive Surgery, South Manchester University Hospital Foundation Trust, Manchester, UK.
Insights
Dupuytren
Area of Science:
- Genetics
- Immunology
- Orthopedics
Background:
- Dupuytren's disease (DD) is a hereditary connective tissue disorder impacting hand function.
- It causes progressive digit contractures and deformities, particularly in Caucasians.
- The exact etiology of DD remains incompletely understood.
Purpose of the Study:
- To investigate the potential association between HLA-DRB1 phenotypes and Dupuytren's disease.
- To compare HLA-DRB1 phenotype frequencies in DD patients versus a control group.
Main Methods:
- Case-control study comparing HLA-DRB1 phenotype frequencies.
- Analysis included 67 patients with Dupuytren's disease and 537 controls.
- Statistical analysis used corrected P-values for significance.
Main Results:
- The HLA-DRB1*15 phenotype frequency was significantly higher in Caucasian DD patients (37.3%) compared to controls (20.9%).
- This difference remained statistically significant after correction (P=0.029).
Conclusions:
- The HLA-DRB1*15 phenotype is associated with an increased risk of developing Dupuytren's disease in individuals of European origin.
- This finding contributes to understanding the genetic predisposition to Dupuytren's disease.
Abstract:
Dupuytren's disease (DD) is a permanent nodular condition affecting the palms and digits of the hands, leading to progressive shortening and contractures of the digits often resulting in diminished function and severe deformity. DD is thought to be one of the most common hereditary connective tissue disorders in Caucasians. To elucidate further the aetiology of DD, we compared the HLA-DRB1 phenotype frequencies of DD patients (n=67) against the HLA-DRB1 phenotype frequencies observed in a control population (n=537). HLA-DRB1*15 phenotype frequency was higher in DD positive Caucasoids (37.3%) when compared with control data (20.9%) (corrected P=0.029): we conclude that in Caucasoids of European origin, HLA-DRB1*15 is associated with risk of developing DD.
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