PMID- 12195370 OWN - NLM STAT- MEDLINE DCOM- 20020917 LR - 20220316 IS - 0022-1899 (Print) IS - 0022-1899 (Linking) VI - 186 IP - 4 DP - 2002 Aug 15 TI - Association of symptomatic acute human parvovirus B19 infection with human leukocyte antigen class I and II alleles. PG - 447-52 AB - To determine the effect of the major histocompatibility complex on the development of symptoms during acute human parvovirus B19 infection, we compared human leukocyte antigen (HLA) class I and II alleles in 36 patients with symptomatic acute B19 infection with those in >900 control subjects from northwestern England. The frequency of each of HLA-DRB1*01 (P=.016), DRB1*04 (P=.007), and DRB1*07 (P<.0001) alleles was significantly higher in parvovirus B19 patients than in control subjects. In the parvovirus group, 63.9% carried the rheumatoid arthritis-associated shared epitope sequence, compared with 45% of control subjects (odds ratio [OR], 2.2; 95% confidence interval [CI], 0.97-4.8; P=.04), and carriage was associated with fatigue during the acute phase (OR, 4.2; 95% CI, 0.8-23.9; P=.047). All symptomatic parvovirus-associated HLA-DRB1 molecules carry a neutrally charged glutamine at position 10 and a positively charged lysine at position 12 of the first hypervariable region. HLA-B49 was associated with parvovirus infection independently of HLA-DRB1*01, DRB1*04, and DRB1*07. FAU - Kerr, Jonathan R AU - Kerr JR AD - Department of Microbiology, Royal Brompton Hospital, National Heart and Lung Institute, Imperial College of Science, Technology, and Medicine, SW3 6NP London, United Kingdom. j.kerr@ic.ac.uk FAU - Mattey, Derek L AU - Mattey DL FAU - Thomson, Wendy AU - Thomson W FAU - Poulton, Kay V AU - Poulton KV FAU - Ollier, William E R AU - Ollier WE LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20020724 PL - United States TA - J Infect Dis JT - The Journal of infectious diseases JID - 0413675 RN - 0 (HLA-B Antigens) RN - 0 (HLA-DR Antigens) RN - 0 (HLA-DRB1 Chains) SB - IM MH - Acute Disease MH - Adolescent MH - Adult MH - Aged MH - Alleles MH - Amino Acid Sequence MH - Child MH - Female MH - Gene Frequency MH - *Genes, MHC Class I MH - *Genes, MHC Class II MH - HLA-B Antigens/genetics MH - HLA-DR Antigens/genetics MH - HLA-DRB1 Chains MH - Humans MH - Male MH - Middle Aged MH - Molecular Sequence Data MH - Parvoviridae Infections/*genetics/immunology/*physiopathology MH - *Parvovirus B19, Human EDAT- 2002/08/27 10:00 MHDA- 2002/09/18 10:01 CRDT- 2002/08/27 10:00 PHST- 2002/03/05 00:00 [received] PHST- 2002/04/23 00:00 [revised] PHST- 2002/08/27 10:00 [pubmed] PHST- 2002/09/18 10:01 [medline] PHST- 2002/08/27 10:00 [entrez] AID - JID020254 [pii] AID - 10.1086/341947 [doi] PST - ppublish SO - J Infect Dis. 2002 Aug 15;186(4):447-52. doi: 10.1086/341947. Epub 2002 Jul 24.