PMID- 10191207 OWN - NLM STAT- MEDLINE DCOM- 19990607 LR - 20041117 IS - 0022-1899 (Print) IS - 0022-1899 (Linking) VI - 179 IP - 5 DP - 1999 May TI - Association of major histocompatibility complex determinants with the development of symptomatic and asymptomatic genital herpes simplex virus type 2 infections. PG - 1077-85 AB - The clinical spectrum of herpes simplex virus (HSV) infections, ranging from asymptomatic to frequently distressing outbreaks, suggests that there may be immunologic determinants of disease severity that are associated with human leukocyte antigen (HLA) expression. A controlled, prospective study identified several major histocompatibility complex (MHC) class I and II antigens whose frequencies are associated with HSV-2 infection or with frequent symptomatic genital recurrences. Previous studies were hampered by the inability to serologically identify patients with asymptomatic HSV-2 infection. Clinical evaluation and Western blot assay were used to identify 3 subject cohorts: 1 with no prior HSV infections, 1 with HSV-2 antibodies but no recognized symptoms, and 1 with HSV-2 antibodies and frequent genital recurrences. Statistical comparisons of HLA frequencies among these cohorts showed associations of HLA-B27 and -Cw2 with symptomatic disease. Also, HLA-Cw4 was significantly associated with HSV-2 infection. These associations indicate that immunologic factors linked to the MHC influence the risk of HSV-2 infection and disease expression. FAU - Lekstrom-Himes, J A AU - Lekstrom-Himes JA AD - Medical Virology Section, Laboratory of Clinical Investigation, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892, USA. juliel@nhgri.nih.gov FAU - Hohman, P AU - Hohman P FAU - Warren, T AU - Warren T FAU - Wald, A AU - Wald A FAU - Nam, J M AU - Nam JM FAU - Simonis, T AU - Simonis T FAU - Corey, L AU - Corey L FAU - Straus, S E AU - Straus SE LA - eng PT - Journal Article PL - United States TA - J Infect Dis JT - The Journal of infectious diseases JID - 0413675 RN - 0 (Antibodies, Viral) RN - 0 (HLA Antigens) RN - 0 (HLA-B27 Antigen) RN - 0 (HLA-C Antigens) SB - IM MH - Adult MH - Alleles MH - Antibodies, Viral/blood MH - Blotting, Western MH - Cohort Studies MH - Female MH - Gene Frequency MH - *Genes, MHC Class I MH - *Genes, MHC Class II MH - HLA Antigens/*genetics MH - HLA-B27 Antigen/genetics MH - HLA-C Antigens/genetics MH - Herpes Genitalis/*immunology/pathology/virology MH - Herpesvirus 2, Human/immunology MH - Humans MH - Male MH - Prospective Studies EDAT- 1999/04/07 02:00 MHDA- 2000/03/21 09:00 CRDT- 1999/04/07 02:00 PHST- 1999/04/07 02:00 [pubmed] PHST- 2000/03/21 09:00 [medline] PHST- 1999/04/07 02:00 [entrez] AID - JID981116 [pii] AID - 10.1086/314729 [doi] PST - ppublish SO - J Infect Dis. 1999 May;179(5):1077-85. doi: 10.1086/314729.