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Relationship between human leukocyte antigen (HLA)-DQA1*0102/HLA-DQB1*0602 polymorphism and preeclampsia
Mahmoud Mohammadi1, Touraj Farazmandfar1, Majid Shahbazi1
1Medical Cellular and Molecular Research Center, Golestan University of Medical Sciences, Gorgan, Iran.
Insights
Preeclampsia risk is linked to specific human leukocyte antigen (HLA) gene variations, particularly HLA-DQB1*0602. The absence of this allele may increase susceptibility to preeclampsia in certain ethnic groups.
Area of Science:
- Immunogenetics
- Reproductive Medicine
- Human Genetics
Background:
- Preeclampsia is a pregnancy disorder with unknown causes, potentially involving genetic and environmental factors.
- The Major Histocompatibility Complex (MHC) is crucial for immune tolerance during pregnancy.
- Understanding genetic predispositions is key to addressing preeclampsia.
Purpose of the Study:
- To investigate the association between human leukocyte antigen (HLA)-DQA1*0102/HLA-DQB1*0602 polymorphism and preeclampsia.
- To explore potential genetic risk factors for preeclampsia development.
Main Methods:
- Genomic DNA was extracted from 181 preeclampsia cases and 228 controls.
- Human leukocyte antigen (HLA)-DQA1*0102/HLA-DQB1*0602 polymorphisms were identified using the SSP-PCR method.
- Statistical analysis (Chi-square test) was employed to compare allele and genotype frequencies between groups.
Main Results:
- A significant association was found between preeclampsia and the Sistani ethnic group (p=0.031).
- Significant associations were observed between preeclampsia and HLA-DQB1*0602 allele frequencies (p<0.001).
- Specific genotypes (heterozygote +0102/-0602 and negative homozygote -0102/-0602) and HLA-DQB1*0602 allele were linked to preeclampsia in the Fars ethnic group.
Conclusions:
- Immune incompatibility appears to play a role in preeclampsia predisposition.
- The absence of the HLA-DQB1*0602 locus may represent a risk factor for developing preeclampsia.
- Genetic factors, specifically HLA polymorphisms, are implicated in preeclampsia pathogenesis.
Background:
Preeclampsia is a condition associated with systemic disorders in the mother and the fetus. However, the exact causes of preeclampsia are unknown, but several genetics and environmental factors play role in development of this disease. Major histocompatibility complex role is very important during pregnancy through which the fetus is not rejected by mother's immune system.
Objective:
In this study, we investigated the relationship of the human leukocyte antigen (HLA)-DQA1*0102/HLA-DQB1*0602 polymorphism with preeclampsia.
Materials And Methods:
Genomic DNA of 181 pregnant women with a history of preeclampsia as the case group and 228 pregnant women with no history of preeclampsia as the controls were extracted. The HLA-DQA1*0102/HLA-DQB1*0602 polymorphisms of all DNA samples were identified by the SSP-PCR method. Frequencies difference of variables between case and control groups were calculated by Chi-square test. The ethnic origin of the participants in this study was extracted from their medical records.
Results:
There was a significant association between preeclampsia and Sistani ethnic group (p=0.031). Moreover, there was a significant association between preeclampsia and frequencies of allele HLA-DQB1*0602 (p<0.001), and genotypes of heterozygote (+0102/-0602) (p<0.001) and negative homozygote (-0102/-0602) (p=0.005). There also was an association between allele HLA-DQB1*0602 and preeclampsia in Fars ethnic group (p=0.028).
Conclusion:
It seems that immune incompatibility may have an important role in preeclampsia predisposition. According to our results, the lack of locus HLA-DQB1*0602 may be a risk factor for preeclampsia.
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