title: Multiple sclerosis: a modifying influence of HLA class I genes in an HLA class II associated autoimmune disease.
abstract: Multiple sclerosis (MS) is a presumed autoimmune disease of the central nervous system, shown to be associated with the HLA class II haplotype DRB1*15,DQB1*06. Carrying the HLA class II haplotype DRB1*15,DQB1*06 increases the risk of MS by 3.6. By adopting a polymerase chain reaction (PCR)-based typing technique for HLA class I and class II genes, 200 Swedish MS patients and 210 Swedish healthy controls were analysed for their HLA alleles. Additional HLA class I alleles that increase and decrease the genetic susceptibility to MS were identified. The HLA-A*0301 allele increases the risk of MS (odds ratio=2.1) independently of DRB1*15,DQB1*06. HLA-A*0201 decreases the overall risk (odds ratio= 0.52) and the presence of A*0201 reduces the risk of MS for DRB1*15,DQB1*06 carriers from 3.6 to 1.5. Our findings are the first to identify a major modulating effect of HLA class I alleles on the susceptibility to a human autoimmune disease; a phenomenon that has previously only been observed in animal models.
authors.affiliation: Karolinska Institute, Department of Biosciences at NOVUM, Huddinge, Sweden. Anna.Fogdell@cbt.ki.se
authors.forename: A
authors.initials: A
authors.lastname: Fogdell-Hahn
authors.forename: A
authors.initials: A
authors.lastname: Ligers
authors.forename: M
authors.initials: M
authors.lastname: Grønning
authors.forename: J
authors.initials: J
authors.lastname: Hillert
authors.forename: O
authors.initials: O
authors.lastname: Olerup
mesh_terms: D000483:Alleles; D001327:Autoimmune Diseases; D015234:HLA-A Antigens / Q000235:genetics*; D015235:HLA-B Antigens / Q000235:genetics*; D006683:HLA-DQ Antigens / Q000235:genetics*; D059866:HLA-DQ beta-Chains; D006684:HLA-DR Antigens / Q000235:genetics*; D059811:HLA-DRB1 Chains; D006801:Humans; D009103:Multiple Sclerosis / Q000235:genetics* / Q000276:immunology; D012307:Risk Factors
chemical_list: D015234:HLA-A Antigens; D015235:HLA-B Antigens; D006683:HLA-DQ Antigens; D059866:HLA-DQ beta-Chains; C069051:HLA-DQB1 antigen; D006684:HLA-DR Antigens; D059811:HLA-DRB1 Chains