title: HLA class II homozygosity confers susceptibility to common variable immunodeficiency (CVID).
abstract: Most cases of CVID occur sporadically, but familial cases do also occur and 15% of the patients with the disease have first degree relatives with IgA deficiency (IgAD). Our purpose was to study CVID association with HLA class II alleles and to ascertain whether this disease shares a common genetic background with IgAD in our population. Patients with CVID (n = 42), were typed using gene amplification and sequence-specific oligonucleotide probing for HLA-DRB1, DRB3, DQA1 and DQB1 loci and their typing compared with that of 96 IgAD and 334 healthy controls. We observed a positive association between non-Asp residues at position 57 of the HLA-DQbeta chain and CVID, although much weaker than in IgAD. Further, we found an association between CVID and homozygosity for genes encoding HLA class II molecules, especially HLA-DQ, not seen in IgAD. The data support the hypothesis that a restricted diversity of HLA class II molecules may contribute to susceptibility to CVID.
authors.affiliation: Department of Immunology, San Carlos University Hospital, Madrid, Spain.
authors.forename: E G
authors.initials: EG
authors.lastname: De La Concha
authors.forename: M
authors.initials: M
authors.lastname: Fernandez-Arquero
authors.forename: A
authors.initials: A
authors.lastname: Martinez
authors.forename: F
authors.initials: F
authors.lastname: Vidal
authors.forename: P
authors.initials: P
authors.lastname: Vigil
authors.forename: L
authors.initials: L
authors.lastname: Conejero
authors.forename: M C
authors.initials: MC
authors.lastname: Garcia-Rodriguez
authors.forename: G
authors.initials: G
authors.lastname: Fontan
mesh_terms: D000483:Alleles; D000940:Antigenic Variation; D016022:Case-Control Studies; D017074:Common Variable Immunodeficiency / Q000235:genetics* / Q000276:immunology*; D005802:Genes, MHC Class II; D006680:HLA Antigens / Q000235:genetics*; D006683:HLA-DQ Antigens / Q000235:genetics; D059848:HLA-DQ alpha-Chains; D059866:HLA-DQ beta-Chains; D006684:HLA-DR Antigens / Q000235:genetics; D006720:Homozygote; D006801:Humans; D017098:IgA Deficiency / Q000235:genetics / Q000276:immunology; D018895:Microsatellite Repeats; D014409:Tumor Necrosis Factor-alpha / Q000235:genetics
chemical_list: D006680:HLA Antigens; D006683:HLA-DQ Antigens; D059848:HLA-DQ alpha-Chains; D059866:HLA-DQ beta-Chains; C069050:HLA-DQA1 antigen; C069051:HLA-DQB1 antigen; D006684:HLA-DR Antigens; D014409:Tumor Necrosis Factor-alpha