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Genetic factors and multiple sclerosis in the Moroccan population: a role for HLA class II
S Ouadghiri1, K El Alaoui Toussi, C Brick
1Unité d'immunologie, service de transfusion sanguine et d'hémovigilance, CHU Ibn-Sina, Rabat, Morocco; UPR d'immunologie, faculté de médecine et de pharmacie de Rabat, université Mohamed V, Souissi, Rabat, Morocco.
Background And Objective:
Multiple sclerosis (MS) is an autoimmune inflammatory demyelinating disease of the central nervous system that mainly affects young adults. The association between susceptibility to MS and HLA class II genes, in particular the DRB1*15 allele, has been reported in diverse ethnic groups. The aim of our study was to investigate the distribution of HLA-DRB1* and -DQB1* alleles in Moroccan population and their implication in the susceptibility to the disease.
Methods:
Fifty-seven MS patients were compared to 172 healthy controls unrelated to one another and matched by age, sex and ethnic origin. HLA class II (DRB1* and DQB1*) typing was performed by PCR-SSP and/or Luminex (PCR-SSO). Allelic and haplotypic frequencies, P-values, odds ratio (OR) and 95% confidence interval (CI) were calculated using the software SPSS.
Results:
A significant increase of DRB1*15 allele frequency (17.6% vs 8.4%, OR=2.67, 95% CI=1.36-5.23, P=0.004) and HLA-DRB1*15-DQB1*06 haplotype (8.8% vs 4.08%, OR=2.78, 95% CI=1.41-5.48, P=0.002) were observed in Moroccan MS patients. No association of the DR15 allele with sex or age at onset was appreciated. Concerning HLA-DQB1* alleles, no significant difference between patients and controls was found.
Conclusions:
Our results reveal a role for HLA-DRB1*15 allele molecules in the predisposition of Moroccan patients to MS. Although this study should be confirmed on a larger sample size, it analyzes for the first time the possible role of a genetic marker for susceptibility to MS in Moroccan population.
Insights
The HLA-DRB1*15 allele is linked to increased multiple sclerosis (MS) risk in the Moroccan population. This genetic marker may play a role in MS susceptibility for this group.
Area of Science:
- Immunogenetics
- Neurology
- Human Genetics
Background:
- Multiple sclerosis (MS) is an autoimmune CNS disease primarily affecting young adults.
- The human leukocyte antigen (HLA) class II genes, particularly HLA-DRB1*15, are associated with MS susceptibility across diverse ethnicities.
- Genetic factors influencing MS risk in specific populations require further investigation.
Purpose of the Study:
- To determine the frequency of HLA-DRB1* and -DQB1* alleles in the Moroccan population.
- To assess the association of these HLA alleles with susceptibility to multiple sclerosis in Morocco.
Main Methods:
- Case-control study comparing 57 Moroccan MS patients with 172 healthy controls.
- HLA class II (DRB1* and DQB1*) typing using PCR-SSP and/or Luminex (PCR-SSO).
- Statistical analysis of allelic and haplotypic frequencies, odds ratios (OR), and confidence intervals (CI).
Main Results:
- A significant elevation in the frequency of the HLA-DRB1*15 allele was observed in MS patients (17.6%) compared to controls (8.4%).
- The HLA-DRB1*15-DQB1*06 haplotype was also significantly more frequent in Moroccan MS patients (8.8% vs 4.08%).
- No significant association was found for HLA-DQB1* alleles or the DR15 allele with sex or age at onset.
Conclusions:
- The HLA-DRB1*15 allele is implicated in the predisposition to multiple sclerosis in the Moroccan population.
- This study provides the first genetic marker analysis for MS susceptibility in Moroccans.
- Further validation with larger sample sizes is recommended to confirm these findings.
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