title: Association between Human Leukocyte Antigens (HLA-A, -B, and -DR) and end-stage renal disease in Kuwaiti patients awaiting transplantation.
abstract: The number of patients with end stage renal disease (ESRD) is increasing considerably worldwide. Human Leukocyte Antigens (HLAs) are relevant for the expression of many immunological diseases and contribute to the development of different nephropathies. Therefore, we aimed from the present work to investigate the possible association between the frequency of HLA-A, -B, and -DR antigens and ESRD in Kuwaiti patients awaiting renal transplant. HLA-A, -B, and -DR typing was performed by complement-dependent cytotoxicity (CDC) method for 334 patients with ESRD awaiting renal transplantation and 191 healthy controls. The frequency of HLA-B8 antigen was significantly higher in ESRD patients (OR = 2.62, p = 0.001, pc = 0.038), and the frequency of HLA-A28, HLA-DR11 antigens was significantly higher in healthy controls (OR 0.42, p = 0.0001; pc = 0.0021, and OR = 0.44, p = 0.0007, pc = 0.01 respectively). While the HLA-B8 antigen may be a susceptibility risk factor for development of ESRD, the HLA-A28, and HLA-DR11 antigens may be protective against development of ESRD in Kuwaiti population.
authors.affiliation: Clinical Immunology Unit, Clinical Pathology Department, Mansoura Faculty of Medicine, Mansoura University , Mansoura , Egypt .
authors.forename: Youssef M
authors.initials: YM
authors.lastname: Mosaad
authors.forename: Merveet
authors.initials: M
authors.lastname: Mansour
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Al-Muzairai
authors.forename: Turky
authors.initials: T
authors.lastname: Al-Otabi
authors.forename: Mohamed
authors.initials: M
authors.lastname: Abdul-Moneam
authors.forename: Rajaa
authors.initials: R
authors.lastname: Al-Attiyah
authors.forename: Manal
authors.initials: M
authors.lastname: Shahin
mesh_terms: D000328:Adult; D005260:Female; D015234:HLA-A Antigens / Q000097:blood*; D015235:HLA-B Antigens / Q000097:blood*; D006684:HLA-DR Antigens / Q000097:blood*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000097:blood* / Q000276:immunology*; D016030:Kidney Transplantation; D007730:Kuwait; D008297:Male; D012189:Retrospective Studies
chemical_list: D015234:HLA-A Antigens; D015235:HLA-B Antigens; D006684:HLA-DR Antigens
keywords: ESRD; HLA; Kuwaiti; serology