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Published on: April 1, 2019
HLA-DRB1 gene polymorphisms in Iranian children with Henoch-Schönlein purpura
Saadyeh Rashidi1, Reza Shiari2, Shirin Farivar1
1Department of Biology, Faculty of Biological Sciences and Technology, Shahid Beheshti University, Tehran, Iran.
Insights
This study found that specific human leukocyte antigen (HLA) gene variations, HLA-DRB1*01 and HLA-DRB1*11, are associated with Henoch-Schönlein purpura (HSP) in Iranian children, suggesting a genetic link to the condition.
Area of Science:
- Immunogenetics
- Pediatric Vasculitis
Background:
- Henoch-Schönlein purpura (HSP) is the most common childhood vasculitis.
- The human leukocyte antigen (HLA) region on chromosome 6p21.3 is implicated in HSP pathogenesis.
- HLA-DRB1 alleles are suspected due to high polymorphism and potential association with HSP.
Purpose of the Study:
- To investigate the association between HLA-DRB1 alleles and Henoch-Schönlein purpura (HSP) in Iranian children.
- To identify specific HLA-DRB1 genetic markers linked to HSP susceptibility in this population.
Main Methods:
- A case-control study involving 30 Iranian children with HSP and 35 healthy controls.
- Genomic DNA extraction and human leukocyte antigen (HLA) typing using polymerase chain reaction with sequence-specific primers (PCR-SSP).
Main Results:
- HLA-DRB1*01 and HLA-DRB1*11 alleles showed a significant association with HSP in Iranian children (P=0.002, OR=7.579; P=0.039, OR=3.333, respectively).
- No significant difference in other HLA-DRB1 allele frequencies was observed between cases and controls.
- No correlation was found between HLA types and clinical manifestations of HSP.
Conclusions:
- The study concludes a significant association between HLA-DRB1*01 and HLA-DRB1*11 gene polymorphisms and susceptibility to Henoch-Schönlein purpura (HSP) in the studied Iranian children.
- These findings highlight the role of specific HLA-DRB1 alleles in the genetic predisposition to HSP.
Background:
People of all ages can suffer from Henoch-Schönlein purpura (HSP), but it is the most common vasculitis in childhood. The most important involving gene is located on chromosome 6p21.3, a region coding for human leukocyte antigens (HLAs). Among HLA genes, because of the high rate of polymorphisms, HLA-DRB1 is estimated to have a strong association with HSP. In this study, we aimed to assess the association of HLA-DRB1 alleles with HSP in Iranian children.
Materials And Methods:
This study consisted of thirty Iranian children with HSP and 35 healthy controls. Genomic DNA was extracted, and HLA typing was performed by polymerase chain reaction with sequence-specific primers technique.
Results:
The results have shown that HLA-DRB1*01 and HLA-DRB1*11 (P = 0.002, odds ratio [OR] = 7.579, confidence interval [CI] = 1.934-29.697 and P = 0.039, OR = 3.333, CI = 1.030-10.788), respectively, are the most frequent alleles associated with HSP in Iranian children population. The frequency of other alleles was not significantly different in both groups. The results also show no correlation between HLA types and disease manifestations.
Conclusion:
According to these results, there is an association between HLA-DRB1*01 and HLA-DRB1*11 gene polymorphisms and susceptibility to HSP in our study group.
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