HLA-linked susceptibility and resistance genes in Crohn's disease

A Nakajima1, N Matsuhashi, T Kodama

  • 1Third Department of Internal Medicine, Faculty of Medicine, University of Tokyo, Japan.

Gastroenterology
|November 1, 1995
PubMed

Insights

This study identifies specific Human Leukocyte Antigen (HLA) genes associated with Crohn's disease in Japan. The DQB1*04 allele is linked to susceptibility, while DQA1*0102 may confer resistance to this inflammatory bowel disease.

Area of Science:

  • Immunogenetics
  • Gastroenterology
  • Human Genetics

Background:

  • Previous research indicated a link between HLA-DR4-DQ4 and Crohn's disease (CD) in Japan.
  • The precise role of Human Leukocyte Antigen (HLA) genes in CD pathogenesis remains incompletely understood.

Purpose of the Study:

  • To investigate the association between specific HLA class II genes and Crohn's disease in the Japanese population.
  • To elucidate the genetic factors contributing to CD susceptibility and resistance.

Main Methods:

  • DNA typing using polymerase chain reaction-sequence-specific oligonucleotide probes was performed.
  • HLA class II genes, including DP, were analyzed in 90 unrelated CD patients and 336 healthy controls.

Main Results:

  • Specific alleles like DRB1*0405, DRB1*0410, DQA1*03, DQB1*0401, and DQB1*0402 showed positive associations with CD.
  • Alleles DRB1*1501, DRB1*1302, and DQB1*0602 were negatively associated with CD.
  • Haplotype analysis revealed significant positive and negative associations for several HLA gene combinations.

Conclusions:

  • The HLA-DQB1*04 allele, characterized by a unique leucine at position 56, is a primary susceptibility gene for Crohn's disease in Japanese individuals.
  • The HLA-DQA1*0102 allele is suggested to be a disease resistance allele in this population.
Abstract

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