PMID- 12556395 OWN - NLM STAT- MEDLINE DCOM- 20030210 LR - 20220317 IS - 0146-0404 (Print) IS - 0146-0404 (Linking) VI - 44 IP - 2 DP - 2003 Feb TI - Strong associations between specific HLA-DQ and HLA-DR alleles and the tubulointerstitial nephritis and uveitis syndrome. PG - 653-7 AB - PURPOSE: To identify genetic markers for the tubulointerstitial nephritis and uveitis (TINU) syndrome by using human leukocyte antigen (HLA) genotyping. METHODS: Eighteen patients who had TINU syndrome were evaluated at three institutions. Typing of class I and II genes was performed by using DNA-based techniques. RESULTS: Significant associations were found with HLA-B14 (6/18 patients, 33.3%; control subjects, 5.5%; P = 0.0003; relative risk [RR] = 8.5), HLA-DQA1*01 (17/18 patients, 94.4%; control subjects, 46.6%, P = 0.0001; RR = 19.5), HLA-DQA1*0101 (14/18 patients, 77.8%; control subjects 22.2%; P < 0.0001; RR = 12.2), HLA-DQB1*05 (14/18 patients, 77.8%; control subjects 17.7%; P < 0.0001; RR = 16.3), HLA-DQB1*0501 (13/18 patients, 72.2%; control subjects 12.9%; P < 0.0001; RR = 17.6), HLA-DRB1*01 (14/18 patients, 77.8%; control subjects, 12.1%; P < 0.0001; RR = 25.5), and HLA-DRB1*0102 (13/18 patients, 72.2%; control subjects, 1.6%; P < 0.0001, RR = 167.1). The HLA haplotype most frequently identified in the study patients was HLA-DQA1*01/DQB1*05/DRB1*01 (13/18 patients, 72.2%). CONCLUSIONS: TINU syndrome is strongly associated with HLA-DQA1*01, HLA-DQB1*05, and HLA-DRB1*01. The association with HLA-DRB1*0102 is one of the highest reported for any disease. Because these genes are in linkage disequilibrium, the role of the individual alleles is difficult to assess. Based on the results of the present study and on previously reported HLA associations in patients with TINU syndrome, the alphabeta dimer encoded by HLA-DQA1*01/DQB1*05 may be particularly important in conferring risk for development of this disease. FAU - Levinson, Ralph D AU - Levinson RD AD - Ocular Inflammatory Disease Center, Jules Stein Eye Institute, UCLA Immunogenetics Center, University of California Los Angeles School of Medicine, Los Angeles, California 90095, USA. levinson@jsei.ucla.edu FAU - Park, Min S AU - Park MS FAU - Rikkers, Sarah M AU - Rikkers SM FAU - Reed, Elaine F AU - Reed EF FAU - Smith, Justine R AU - Smith JR FAU - Martin, Tammy M AU - Martin TM FAU - Rosenbaum, James T AU - Rosenbaum JT FAU - Foster, C Stephen AU - Foster CS FAU - Sherman, Mark D AU - Sherman MD FAU - Holland, Gary N AU - Holland GN LA - eng PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't PL - United States TA - Invest Ophthalmol Vis Sci JT - Investigative ophthalmology & visual science JID - 7703701 RN - 0 (HLA-DQ Antigens) RN - 0 (HLA-DQ alpha-Chains) RN - 0 (HLA-DQ beta-Chains) RN - 0 (HLA-DQA1 antigen) RN - 0 (HLA-DQB1 antigen) RN - 0 (HLA-DR Antigens) RN - 0 (HLA-DRB1 Chains) RN - 9007-49-2 (DNA) SB - IM MH - Adolescent MH - Adult MH - Child MH - DNA/analysis MH - Female MH - Gene Frequency MH - Genetic Linkage MH - Genotype MH - HLA-DQ Antigens/*genetics MH - HLA-DQ alpha-Chains MH - HLA-DQ beta-Chains MH - HLA-DR Antigens/*genetics MH - HLA-DRB1 Chains MH - Humans MH - Male MH - Middle Aged MH - Nephritis, Interstitial/*genetics MH - Syndrome MH - Uveitis/*genetics EDAT- 2003/01/31 04:00 MHDA- 2003/02/11 04:00 CRDT- 2003/01/31 04:00 PHST- 2003/01/31 04:00 [pubmed] PHST- 2003/02/11 04:00 [medline] PHST- 2003/01/31 04:00 [entrez] AID - 10.1167/iovs.02-0376 [doi] PST - ppublish SO - Invest Ophthalmol Vis Sci. 2003 Feb;44(2):653-7. doi: 10.1167/iovs.02-0376.