title: Extensive HLA class II studies in 58 non-DRB1*15 (DR2) narcoleptic patients with cataplexy.
abstract: Narcolepsy is a sleep disorder that has been shown to be tightly associated with HLA DR15 (DR2). In this study, 58 non-DR15 patients with narcolepsy-cataplexy were typed at the HLA DRB1, DQA1 and DQB1 loci. Subjects included both sporadic cases and narcoleptic probands from multiplex families. Additional markers studied in the class II region were the promoters of the DQA1 and DQB1 genes, two CA repeat polymorphisms (DQCAR and DQCARII) located between the DQA1 and DQB1 genes, three CA repeat markers (G51152, T16CAR and G411624R) located between DQB1 and DQB3 and polymorphisms at the DQB2 locus. Twenty-one (36%) of these 58 non-DR15 narcoleptic patients were DQA1*0102 and DQB1*0602, a DQ1 subtype normally associated with DRB1*15 in DR2-positive narcoleptic subjects. Additional microsatellite and DQA1 promoter diversity was found in some of these non-DR15 but DQB1*0602-positive haplotypes but the known allele specific codons of DQA1*0102 and DQB1*0602 were maintained in all 21 cases. The 37 non-DQA1*0102/DQB1*0602 subjects did not share any particular HLA DR or DQ alleles. We conclude that HLA DQA1*0102 and DQB1*0602 are the most likely primary candidate susceptibility genes for narcolepsy in the HLA class II region.
authors.affiliation: Department of Psychiatry, Stanford University Medical Center, Palo Alto, California, USA.
authors.forename: E
authors.initials: E
authors.lastname: Mignot
authors.forename: A
authors.initials: A
authors.lastname: Kimura
authors.forename: A
authors.initials: A
authors.lastname: Lattermann
authors.forename: X
authors.initials: X
authors.lastname: Lin
authors.forename: S
authors.initials: S
authors.lastname: Yasunaga
authors.forename: G
authors.initials: G
authors.lastname: Mueller-Eckhardt
authors.forename: C
authors.initials: C
authors.lastname: Rattazzi
authors.forename: L
authors.initials: L
authors.lastname: Lin
authors.forename: C
authors.initials: C
authors.lastname: Guilleminault
authors.forename: F C
authors.initials: FC
authors.lastname: Grumet
authors.forename: G
authors.initials: G
authors.lastname: Mayer
authors.forename: W C
authors.initials: WC
authors.lastname: Dement
authors.forename: P
authors.initials: P
authors.lastname: Underhill
mesh_terms: D002385:Cataplexy / Q000235:genetics* / Q000276:immunology; D015802:HLA-DR2 Antigen / Q000235:genetics*; D000949:Histocompatibility Antigens Class II / Q000235:genetics* / Q000276:immunology; D006801:Humans; D009290:Narcolepsy / Q000235:genetics* / Q000276:immunology / Q000503:physiopathology; D011110:Polymorphism, Genetic
chemical_list: D015802:HLA-DR2 Antigen; D000949:Histocompatibility Antigens Class II