title: HLAs and genes in Japanese patients with multiple sclerosis: evidence for increased frequencies of HLA-Cw3, HLA-DR2, and HLA-DQB1*0602.
abstract: The distribution of HLA-A, B, C, DR and DRB1, DQB1, DPB1 alleles was studied in 60 Japanese patients with clinically definite multiple sclerosis (MS) using serologic and genomic analysis. We found significant associations with HLA-Cw3 (p = 0.002, pc = 0.012, RR = 3.2), DR2 (p = 0.007, RR = 2.6), and DQB1*0602 (p = 0.04, RR = 4.0) in Japanese patients for the first time. The combined presence of Cw3 and DR2 gave a higher risk than each antigen alone. The reported increase in the frequency of DPw4 in Japanese MS patients [12] could not be confirmed by our genomic study. The frequencies of all of the residues in each variable region of the amino acid sequences of DQ beta and DP beta chains were not different between the MS patients and the controls. These results suggest that MS susceptibility may result from polygenic influences and from the presence of environmental factors.
authors.affiliation: Department of Neurology, Utano National Hospital, Kyoto, Japan.
authors.forename: Q
authors.initials: Q
authors.lastname: Hao
authors.forename: T
authors.initials: T
authors.lastname: Saida
authors.forename: H
authors.initials: H
authors.lastname: Kawakami
authors.forename: H
authors.initials: H
authors.lastname: Mine
authors.forename: E
authors.initials: E
authors.lastname: Maruya
authors.forename: H
authors.initials: H
authors.lastname: Inoko
authors.forename: H
authors.initials: H
authors.lastname: Saji
mesh_terms: D000483:Alleles; D001483:Base Sequence; D005500:Follow-Up Studies; D015870:Gene Expression; D005787:Gene Frequency; D005805:Genes, MHC Class I / Q000502:physiology*; D005802:Genes, MHC Class II / Q000502:physiology*; D006680:HLA Antigens / Q000096:biosynthesis*; D015234:HLA-A Antigens / Q000032:analysis; D015235:HLA-B Antigens / Q000032:analysis; D015236:HLA-C Antigens / Q000096:biosynthesis; D006683:HLA-DQ Antigens / Q000096:biosynthesis; D059866:HLA-DQ beta-Chains; D015802:HLA-DR2 Antigen / Q000096:biosynthesis; D006801:Humans; D016130:Immunophenotyping; D007564:Japan; D008969:Molecular Sequence Data; D009103:Multiple Sclerosis / Q000276:immunology*; D016133:Polymerase Chain Reaction
chemical_list: D006680:HLA Antigens; D015234:HLA-A Antigens; D015235:HLA-B Antigens; D015236:HLA-C Antigens; D006683:HLA-DQ Antigens; D059866:HLA-DQ beta-Chains; C069051:HLA-DQB1 antigen; D015802:HLA-DR2 Antigen