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Arthritis research & therapy · 2012

Takayasu's arteritis is associated with HLA-B*52, but not with HLA-B*51, in Turkey.

СтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод пока не подготовлен
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Sahin Ziver, Bıcakcıgil Muge, Aksu Kenan, Kamali Sevil, Akar Servet, Onen Fatos, Karadag Omer, Ozbalkan Zeynep, Ates Askin, Ozer Huseyin Te, Yilmaz Vuslat, Seyahi Emire, Ozturk Mehmet A, Cefle Ayse, Cobankara Veli, Onat A Mesut, Tunc Ercan, Düzgün Nursen, Aydin Sibel Z, Yilmaz Neslihan, Fresko İzzet, Karaaslan Yasar, Kiraz Sedat, Akkoc Nurullah, Inanc Murat, Keser Gokhan, Uyar F Aytul, Direskeneli Haner, Saruhan-Direskeneli Güher, Turkish Takayasu Study Group

Аннотация

INTRODUCTION: HLA-B*51 and HLA-B*52 are two close human leukocyte antigen (HLA) allele groups with minor amino acid differences. However, they are associated with two different vasculitides (HLA-B*51 in Behçet's disease and HLA-B*52 in Takayasu's arteritis (TAK)) and with major clinical and immunological differences. In this study, we aimed to screen a large cohort of TAK patients from Turkey for the presence of HLA-B*51 and HLA-B*52 as susceptibility and severity factors.

METHODS: TAK patients (n = 330) followed at a total of 15 centers were included in the study. The mean age of the patients was 37.8 years, and 86% were women. DNA samples from the patients and healthy controls (HC; n = 210) were isolated, and the presence of HLA-B*51 or HLA-B*52 was screened for by using PCR with sequence-specific primers.

RESULTS: We found a significant association of HLA-B*52 with TAK (20.9% vs HC = 6.7%, P = 0.000, OR = 3.7, 95% CI = 2.02 to 6.77). The distribution of HLA-B*51 did not differ between TAK patients and HCs (22.7% vs 24.8%, OR = 0.9, 95% CI = 0.60 to 1.34). The presence of HLA-B*52 decreased in late-onset patients (> 40 years of age; 12.0%, P = 0.024, OR = 0.43, 95% CI = 0.20 to 0.91). Patients with angiographic type I disease with limited aortic involvement also had a lower presence of HLA-B*52 compared to those with all other disease subtypes (13.1% vs 26%, P = 0.005, OR = 0.43, 95% CI = 0.23 to 0.78).

CONCLUSIONS: In this study, the previously reported association of TAK with HLA-B*52 in other populations was confirmed in patients from Turkey. The functional relevance of HLA-B*52 in TAK pathogenesis needs to be explored further.

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