PMID- 15499525 OWN - NLM STAT- MEDLINE DCOM- 20041228 LR - 20211203 IS - 0022-1899 (Print) IS - 0022-1899 (Linking) VI - 190 IP - 10 DP - 2004 Nov 15 TI - Epidemiological and genetic correlates of incident Chlamydia trachomatis infection in North American adolescents. PG - 1723-9 AB - Epidemiological and genetic correlates of Chlamydia trachomatis infection were examined prospectively in 124 male and 361 female adolescents at high risk for human immunodeficiency virus type 1 (HIV-1) infection. Seventy percent of subjects were African American, and 68% had HIV-1 infection. As expected, younger age (<17 years), multiple sex partners (> or =2), and prior chlamydial infection predicted chlamydial infection during a 6-56-month follow-up period (P=.02, P=.02, and P=.03, respectively). Human leukocyte antigen (HLA) class II variant DQB1*06 (mostly *0602 and *0603) was associated with chlamydial infection (49% vs. 34%; adjusted relative odds [RO], 1.8; P=.005), as was HLA class I haplotype B*44-Cw*04 (10% vs. 4%; RO, 3.2; P=.009). DQB1*06 was found in 9 (75%) of 12 female adolescents with chlamydial pelvic inflammatory disease. In contrast, sex, ethnicity, and HIV-1 infection did not predict chlamydial infection. These findings suggest that antigen presentation in adaptive immune responses may serve as a major factor in effective control of C. trachomatis infection. The underlying mechanisms remain to be experimentally elucidated. FAU - Geisler, William M AU - Geisler WM AD - Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama 35294-0022, USA. FAU - Tang, Jianming AU - Tang J FAU - Wang, Chengbin AU - Wang C FAU - Wilson, Craig M AU - Wilson CM FAU - Kaslow, Richard A AU - Kaslow RA LA - eng GR - HD-32830/HD/NICHD NIH HHS/United States GR - R30 CCR421113/CC/ODCDC CDC HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. DEP - 20041007 PL - United States TA - J Infect Dis JT - The Journal of infectious diseases JID - 0413675 RN - 0 (HLA-B Antigens) RN - 0 (HLA-C Antigens) RN - 0 (HLA-DQ Antigens) SB - IM MH - Adolescent MH - Age Factors MH - Chlamydia Infections/*epidemiology/*genetics/immunology/microbiology MH - Chlamydia trachomatis/isolation & purification MH - Ethnicity MH - Female MH - Genes, MHC Class I MH - Genes, MHC Class II MH - *Genetic Predisposition to Disease MH - HIV Infections/complications MH - HLA-B Antigens/analysis/genetics MH - HLA-C Antigens/genetics MH - HLA-DQ Antigens/genetics MH - Haplotypes MH - Humans MH - Male MH - Prospective Studies MH - Risk Factors MH - Sex Factors MH - Sexual Behavior MH - United States/epidemiology EDAT- 2004/10/23 09:00 MHDA- 2004/12/29 09:00 CRDT- 2004/10/23 09:00 PHST- 2004/03/16 00:00 [received] PHST- 2004/06/02 00:00 [accepted] PHST- 2004/10/23 09:00 [pubmed] PHST- 2004/12/29 09:00 [medline] PHST- 2004/10/23 09:00 [entrez] AID - JID32708 [pii] AID - 10.1086/425077 [doi] PST - ppublish SO - J Infect Dis. 2004 Nov 15;190(10):1723-9. doi: 10.1086/425077. Epub 2004 Oct 7.