PMID- 14976605 OWN - NLM STAT- MEDLINE DCOM- 20040423 LR - 20181130 IS - 0022-1899 (Print) IS - 0022-1899 (Linking) VI - 189 IP - 5 DP - 2004 Mar 1 TI - Polymorphism of transporter associated with antigen presentation 1 as a potential determinant for severity of disease in recurrent respiratory papillomatosis caused by human papillomavirus types 6 and 11. PG - 871-9 AB - Recurrent respiratory papillomatosis (RRP) is a rare disease caused by human papillomaviruses (HPVs). It is characterized by multiple recurrences of benign neoplasms and has a variable clinical course, ranging from infrequent recurrence to acute airway obstruction. One way in which HPV subverts the immune system in RRP is by interfering with TAP1 (transporter associated with antigen presentation 1). We examined whether a known TAP1 polymorphism in the ATPase domain altered the severity of disease in patients with RRP. The presence of this polymorphism was significantly correlated with severity of disease (P=.015). Because of the proximity of the TAP1 gene to human leukocyte antigen (HLA) class II genes on chromosome 6, we postulated that a linkage disequilibrium may exist. Of the patients with polymorphic TAP1, 36% were positive for HLA-DRB1*0102 (P=.021; P=.147 with Bonferroni's correction). However, this association appeared to mitigate the severity of disease (P=.04). Therefore, severity of disease in a patient with RRP might be determined by sequencing TAP1, in conjunction with HLA class II genes. FAU - Vambutas, Andrea AU - Vambutas A AD - North Shore-Long Island Jewish Research Institute, and Department of Otolaryngology, Long Island Jewish Medical Center, New Hyde Park, New York 11040, USA. vambutas@lij.edu. FAU - Bonagura, Vincent R AU - Bonagura VR FAU - Reed, Elaine F AU - Reed EF FAU - Abramson, Allan L AU - Abramson AL FAU - Mullooly, Virginia AU - Mullooly V FAU - DeVoti, James AU - DeVoti J FAU - Gjertson, David W AU - Gjertson DW FAU - Steinberg, Bettie M AU - Steinberg BM LA - eng GR - P50 DC000203/DC/NIDCD NIH HHS/United States GR - K23 DC00155/DC/NIDCD NIH HHS/United States GR - P50 DC00203/DC/NIDCD NIH HHS/United States GR - R03 DC05150/DC/NIDCD NIH HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. DEP - 20040216 PL - United States TA - J Infect Dis JT - The Journal of infectious diseases JID - 0413675 RN - 0 (ATP Binding Cassette Transporter, Subfamily B, Member 2) RN - 0 (ATP-Binding Cassette Transporters) RN - 0 (HLA-D Antigens) RN - 0 (HLA-DR Antigens) RN - 0 (HLA-DRB1 Chains) RN - 0 (TAP1 protein, human) SB - IM MH - ATP Binding Cassette Transporter, Subfamily B, Member 2 MH - ATP-Binding Cassette Transporters/*genetics/immunology MH - Chromosomes, Human, Pair 6/genetics MH - HLA-D Antigens/genetics MH - HLA-DR Antigens/*genetics MH - HLA-DRB1 Chains MH - Humans MH - Major Histocompatibility Complex MH - *Papillomaviridae MH - Papillomavirus Infections/*genetics/immunology/physiopathology MH - *Polymorphism, Genetic MH - Recurrence MH - Severity of Illness Index MH - Time Factors EDAT- 2004/02/21 05:00 MHDA- 2004/04/24 05:00 CRDT- 2004/02/21 05:00 PHST- 2003/03/24 00:00 [received] PHST- 2003/09/07 00:00 [accepted] PHST- 2004/02/21 05:00 [pubmed] PHST- 2004/04/24 05:00 [medline] PHST- 2004/02/21 05:00 [entrez] AID - JID30862 [pii] AID - 10.1086/381764 [doi] PST - ppublish SO - J Infect Dis. 2004 Mar 1;189(5):871-9. doi: 10.1086/381764. Epub 2004 Feb 16.