Academic Journal

HLA-DR genotypes in patients with systemic lupus erythematosus in Taiwan.

التفاصيل البيبلوغرافية
العنوان: HLA-DR genotypes in patients with systemic lupus erythematosus in Taiwan.
المؤلفون: Chang-Yi Yen, Pin-Yi Wang, Kuan-Yu Chen, Chia-Chun Tseng, Cheng-Chin Wu, Tsan-Teng Ou, Jeng-Hsien Yen
المصدر: Journal of the Chinese Medical Association; Dec2023, Vol. 86 Issue 12, p1060-1065, 6p
مصطلحات موضوعية: SYSTEMIC lupus erythematosus, HLA-DR antigens, HLA histocompatibility antigens, LUPUS nephritis, GENOTYPES, TAIWANESE people, OSTEONECROSIS
مصطلحات جغرافية: TAIWAN
مستخلص: Background: Different human leukocyte antigen (HLA)-DR genotypes have been known to be associated with the risk of development of systemic lupus erythematosus (SLE) in different populations, although Lu et al. have reported previously that no correlation exists between the HLA-DR genotype and disease manifestation in SLE patients in Taiwan. We investigated the effects different HLA-DR genotypes had on SLE incidence in Taiwanese patients as to whether risk alleles were associated with different clinical manifestations, and the effects risk alleles had on the age of disease onset. Methods: Two hundred thirty-four SLE patients and 346 healthy controls were enrolled. HLA-DR genotyping was performed with the HLA FluoGene DRDQ kit for each subject. Chi-square tests and t tests were performed for statistical analysis. Results: HLA-DR2 was significantly more frequently found in SLE patients than in controls (odds ratio [OR] = 2.05, 95% CI, 1.44- 2.92, p < 0.001). Notably, HLA-DR6 appeared to trend toward negative correlation with SLE, whereas HLA-DR8 appeared to trend toward positive correlation. HLA-DR2 patients had an earlier onset of disease as well as a higher prevalence of oral ulcer, avascular necrosis of bone, and renal involvement (lupus nephritis). Conclusion: HLA-DR2 was associated with SLE susceptibility in this Taiwanese population as well as lower age of disease onset and more severe clinical manifestations. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Supplemental Index
الوصف
تدمد:17264901
DOI:10.1097/JCMA.0000000000001009