The Involvement of HLA Class II Alleles in Multiple Sclerosis: A Systematic Review with Meta-analysis

A De Silvestri1, C Capittini1,2, G Mallucci3

  • 1Clinical Epidemiology and Biometric Unit, IRCCS Policlinico S. Matteo Foundation, Viale Golgi 19, 27100 Pavia, Italy.

Disease Markers
|November 30, 2019
PubMed

Insights

Human leukocyte antigen (HLA) class II genes, specifically DRB1 and DQB1 alleles, are significantly associated with Multiple Sclerosis (MS) susceptibility and protection across diverse ethnic groups. The DQB1*06:02 allele is a key risk factor, implicated in MS-like disease development in mice.

Area of Science:

  • Immunogenetics
  • Neuroimmunology
  • Human Genetics

Background:

  • Multiple Sclerosis (MS) is a CNS demyelinating disease with unpredictable progression.
  • Genetic factors, particularly Human Leukocyte Antigen (HLA) alleles, confer the highest risk for MS.
  • Ethnic variability in HLA alleles necessitates a global analysis of their association with MS.

Purpose of the Study:

  • To systematically review and meta-analyze existing literature on the association between MS and HLA class II genes across all ethnicities.
  • To summarize the transethnic risk and protective roles of specific HLA class II alleles in MS susceptibility.

Main Methods:

  • Systematic search of meta-analyses and systematic reviews concerning MS and HLA associations.
  • Inclusion of 5 articles with data from 15,232 MS patients and 24,194 ethnically matched controls.
  • Analysis of Human Leukocyte Antigen (HLA) class II gene variants, including DRB1 and DQB1 alleles.

Main Results:

  • DRB1*15 and DQB1*06:02 alleles significantly increase MS risk across various ethnic groups (e.g., Caucasians, Chinese, South Americans).
  • DRB1*01, DRB1*09, DRB1*11, DRB1*12, and DRB1*16 alleles demonstrate a protective effect against MS.
  • The DQB1*06:02 risk allele is implicated in MS-like disease in humanized mice, mediated by autoimmune responses to myelin peptides.

Conclusions:

  • Both DQB1 and DRB1 gene variants play crucial, and potentially equal, roles in MS susceptibility and protection globally.
  • Understanding HLA class II associations provides insights into MS pathogenesis and potential therapeutic targets.
  • The specific amino acid residues within HLA molecules influence peptide binding and autoimmune responses in MS.

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