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.
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.
Background & Aims:
Previous studies have shown a positive association of HLA-DR4-DQ4 with Crohn's disease in the Japanese population, but the association between Crohn's disease and HLA genes has yet to be fully elucidated. The aim of this study was to determine the Crohn's disease/HLA association using a DNA typing method.
Methods:
A total of 90 unrelated patients with Crohn's disease and 336 healthy controls were typed for HLA class II genes including DP using DNA typing with the polymerase chain reaction-sequence-specific oligonucleotide probes method.
Results:
Allelic analysis showed that DRB1*0405, DRB1*0410, DQA1*03, DQB1*0401, and DQB1*0402 are positively associated and DRB1*1501, DRB1*1302, and DQB1*0602 negatively associated with Crohn's disease. DP genes showed no significant association with Crohn's disease. Haplotype analysis showed positive associations with DRB1*0405-DQA1*03-DQB1*0401, DRB1*0410-DQA1*03-DQB1* 0402, and DRB1*0802-DQA1*03-BQB1-0402 haplotypes and negative associations with DRB1*1501-DQA1*0102-DQB1*0602 and DRB1*1302-DQA1*0102-DQB1*0604 haplotypes.
Conclusions:
In Crohn's disease in the Japanese population, the HLA-linked disease susceptibility gene is primarily associated with DQB1*04, in which leucine at the 56th position is a unique amino acid, and the disease resistance allele is suggested to be DQA1*0102.
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