PMID- 10626741 OWN - NLM STAT- MEDLINE DCOM- 20000420 LR - 20201208 IS - 0198-8859 (Print) IS - 0198-8859 (Linking) VI - 60 IP - 12 DP - 1999 Dec TI - Susceptibility to multiple sclerosis mediated by HLA-DRB1 is influenced by a second gene telomeric of the TNF cluster. PG - 1266-73 AB - Susceptibility to multiple sclerosis (MS) is clearly associated with human leukocyte antigen (HLA)-DRB1*1501, but some studies show associations with HLA-B7 and -B18. These are often co-expressed with DRB1*1501 in the ancestral haplotypes (AH) denoted 7.1 (HLA-A3, B7, tumor necrosis factor [TNF]a11b4, DRB1*1501) and 18.1 (HLA-A25, B18, TNFa10b4, DRB 1*1501). Here we present a systematic study of 218 patients and 274 controls typed at all standard class II and TNF microsatellite loci, and a novel non-synonymous polymorphism in the central major histocompatibility complex gene, inhibitor of kappa B-like protein (IKBL). The C allele at IKBL+738 is only found on the 7.1 haplotype. HLA-DRB1*1501 was associated with disease, as expected. When subjects expressing DRB 1*501 were analyzed separately, TNFa11b4 and IKBL+738C were less common in the patients and, hence, mark an allele that mediates resistance which lies telomeric of IKBL. TNFa10b4 and TNFa1b5 were more common in DRB1*1501 patients than in controls. These alleles have been associated with the 18.1 and 18.2 AH, respectively. Since no component of these haplotypes was an independent risk factor in this study, it appears likely that a gene linked to TNFa10b4 and TNFa1b5 modifies the effect of the susceptibility locus marked by HLA-DRB1*1501. Potential candidate genes telomeric of the TNF cluster are discussed. FAU - Allcock, R J AU - Allcock RJ AD - Department of Biochemistry, University of Western Australia, Nedlands. rallock@dci.uwa.edu.au FAU - de la Concha, E G AU - de la Concha EG FAU - Fernandez-Arquero, M AU - Fernandez-Arquero M FAU - Vigil, P AU - Vigil P FAU - Conejero, L AU - Conejero L FAU - Arroyo, R AU - Arroyo R FAU - Price, P AU - Price P LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Hum Immunol JT - Human immunology JID - 8010936 RN - 0 (Adaptor Proteins, Signal Transducing) RN - 0 (HLA-DR Antigens) RN - 0 (HLA-DRB1 Chains) RN - 0 (Histocompatibility Antigens Class II) RN - 0 (NFKBIL1 protein, human) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Adaptor Proteins, Signal Transducing MH - Adult MH - Alleles MH - Cohort Studies MH - Female MH - Gene Frequency MH - Genetic Predisposition to Disease MH - HLA-DR Antigens/*genetics MH - HLA-DRB1 Chains MH - Histocompatibility Antigens Class II/genetics MH - Humans MH - Male MH - Middle Aged MH - *Multigene Family MH - Multiple Sclerosis/*genetics/immunology MH - *Telomere MH - Tumor Necrosis Factor-alpha/*genetics EDAT- 2000/01/08 09:00 MHDA- 2000/04/25 09:00 CRDT- 2000/01/08 09:00 PHST- 2000/01/08 09:00 [pubmed] PHST- 2000/04/25 09:00 [medline] PHST- 2000/01/08 09:00 [entrez] AID - S0198-8859(99)00127-5 [pii] AID - 10.1016/s0198-8859(99)00127-5 [doi] PST - ppublish SO - Hum Immunol. 1999 Dec;60(12):1266-73. doi: 10.1016/s0198-8859(99)00127-5.