[HLA polymorphism and Behçet's disease in Moroccan population]
N Bennani1, O Atouf, N Benseffaj
1Unité d'immunologie, service de transfusion sanguine et d'hémovigilance, hôpital Ibn Sina, CHU de Rabat, Rabat, Maroc. pegy_nai@yahoo.fr
Insights
The HLA-B51 allele is strongly associated with Behçet disease in the Moroccan population. Other human leukocyte antigen (HLA) alleles may influence susceptibility or protection against this inflammatory condition.
Area of Science:
- Immunogenetics
- Human Leukocyte Antigen (HLA) complex
- Autoimmune diseases
Context:
- Behçet disease is a multisystemic inflammatory disorder with a complex etiology.
- Genetic factors, particularly HLA alleles, are known to influence susceptibility to Behçet disease.
- The Moroccan population represents a distinct genetic background for studying HLA associations.
Purpose:
- To investigate the association between specific human leukocyte antigen (HLA) class I and II alleles and Behçet disease in a Moroccan cohort.
- To determine the correlation of HLA allele distribution with clinical manifestations and sex in patients with Behçet disease.
Summary:
- The study identified HLA-B51 as a significant predisposing allele for Behçet disease in Moroccans, with specific alleles like -A2, -B5102, -B58, and -B72 also showing predisposition.
- Conversely, alleles A23, -A33, -B18, -B41, and -B49 demonstrated a negative correlation, suggesting a protective role.
- Sex-specific associations were observed, with alleles A2 and -B72 linked to males, and -A68 and -B58 to females, while -B51 and -B5102 were associated with both genders.
- Clinical manifestations were linked to specific alleles: B51 with mucous issues, B72 with vasculitis, and B58 with cutaneous symptoms.
- The haplotype A2-B51 showed a strong positive correlation with Behçet disease.
- No significant association was found for DRB1* alleles, but DQB1*02 appeared to offer protection.
Impact:
- This research elucidates the specific genetic landscape of Behçet disease in the Moroccan population, highlighting the crucial role of HLA-B51.
- Findings contribute to understanding the genetic underpinnings of Behçet disease, potentially aiding in risk stratification and personalized medicine approaches.
- Identifies potential genetic markers for disease susceptibility and protection, paving the way for further etiological research.
Objectives:
We have study the various associations between Behçet disease and alleles HLA class I and II in Moroccan population. The distribution of HLA alleles involved in the disease is assessed according to clinical signs and sex.
Patients And Methods:
Patients suffering from Behçet's disease have been compared to healthy controls matched by age and ethnic origin. The HLA typing has been conducted by using microlymphocytotoxicity for the class I (A and B) and molecular biology (polymerase chain reaction-sequence specific primers) for the class II (DR and DQ).
Results:
In addition to the allele B51, -A2, -B5102, -B58 and -B72 predispose to the Behçet's disease and the alleles A23, -A33, -B18, -B41 and -B49 have a negative correlation in our Moroccan patients. The alleles A2 and -B72 are specific to men, -A68 and -B58 to women, whereas -B51 and -B5102 are predisposing to the Behçet's disease of both genders. The allele B51 is related to the mucous manifestations, -B72 to the vascularitis manifestations and -B58 to the cutaneous manifestations. The haplotypes A2-B51 has a high positive correlation with this Behçet's disease. Concerning class II, none of the alleles DRB1* is implicated in the pathology even though the allele DQB1*02 ensures the patients' protection.
Conclusions:
The allele HLA-B51 shows a high positive correlation with the Behçet's disease. Other genetic factors seem to be implicated in susceptibility or protection against the disease.
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