PMID- 15935893 OWN - NLM STAT- MEDLINE DCOM- 20051212 LR - 20111117 IS - 0198-8859 (Print) IS - 0198-8859 (Linking) VI - 66 IP - 5 DP - 2005 May TI - Identification of HLA-DQalpha and -DRbeta residues associated with susceptibility and protection to epithelial ovarian cancer. PG - 554-62 AB - Substantial evidence has been accumulated suggesting that T cells in patients with epithelial ovarian carcinoma (EOC) exhibit an antigen-driven immune response directed against the tumor cells. In the context of human leukocyte antigen (HLA), this suggests its possible involvement in the disease. Therefore, we examined the distribution of the HLA-DRB1*, -DQA1*, and -DQB1* alleles in 47 patients with EOC and 67 healthy Caucasian women. The frequency of D(70) and E(71) polymorphic residues of the DRB1 alleles was significantly reduced in EOC patients versus controls (pD(70)E(71) = 0.009), suggesting a protective role against the disease. The DQalpha residues R(52) and Y(11)R(55) were increased in the patients (p = 0.008 and 0.012, respectively). Because residues 11 and 55 participate in the formation of pocket 1, they may be functionally important amino acid positions that influence disease susceptibility. The frequency of the DQalpha susceptibility epitope (R(52)Y(11)R(55)) among the DRbetaD(70)E(71)-positive EOC patients was increased when compared with DRbetaD(70)E(71)-positive controls (EOC, 100%; control, 52%; p = 0.028). Among individuals without the DQalpha susceptibility epitope, the distribution of DRbetaD(70)E(71)-positive cases was significantly different between EOC patients and controls (EOC, 0%; control, 60%; p = 0.039). Therefore, it appears that the presence of DQalpha susceptibility elements overrides the protective effect of the DRbetaD(70)E(71) epitope and suggests an interactive relationship between DRbeta and DQalpha epitopes that may be of importance for disease susceptibility. Because positions DRbeta 70,71 and DQalpha 52 have been implicated in immunologic diseases, it is likely that besides being critical for T-cell recognition, they may also play a role in T-cell development and acquisition of the T-cell repertoire. FAU - Monos, Dimitri S AU - Monos DS AD - Department of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia, PA, USA. FAU - Pappas, John AU - Pappas J FAU - Magira, Eleni E AU - Magira EE FAU - Gaughan, John AU - Gaughan J FAU - Aplenc, Richard AU - Aplenc R FAU - Sakkas, Lazaros AU - Sakkas L FAU - Freedman, Ralph AU - Freedman R FAU - Reveille, John D AU - Reveille JD FAU - Platsoucas, Chris D AU - Platsoucas CD LA - eng GR - CA57884/CA/NCI NIH HHS/United States GR - T32 AI07101/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. DEP - 20050303 PL - United States TA - Hum Immunol JT - Human immunology JID - 8010936 RN - 0 (Epitopes, T-Lymphocyte) RN - 0 (HLA-DQ Antigens) RN - 0 (HLA-DQ alpha-Chains) RN - 0 (HLA-DQA1 antigen) RN - 0 (HLA-DR Antigens) SB - IM MH - Amino Acid Sequence/genetics MH - Disease Susceptibility/immunology MH - Epitopes, T-Lymphocyte/genetics/immunology MH - Female MH - Gene Frequency/genetics/immunology MH - Genetic Predisposition to Disease/*genetics MH - HLA-DQ Antigens/*genetics/immunology MH - HLA-DQ alpha-Chains MH - HLA-DR Antigens/*genetics/immunology MH - Histocompatibility Testing MH - Humans MH - Molecular Sequence Data MH - Neoplasms, Glandular and Epithelial/*genetics/immunology MH - Ovarian Neoplasms/*genetics/immunology MH - Polymorphism, Genetic/genetics/immunology EDAT- 2005/06/07 09:00 MHDA- 2005/12/15 09:00 CRDT- 2005/06/07 09:00 PHST- 2004/12/13 00:00 [received] PHST- 2005/01/19 00:00 [accepted] PHST- 2005/06/07 09:00 [pubmed] PHST- 2005/12/15 09:00 [medline] PHST- 2005/06/07 09:00 [entrez] AID - S0198-8859(05)00032-7 [pii] AID - 10.1016/j.humimm.2005.01.019 [doi] PST - ppublish SO - Hum Immunol. 2005 May;66(5):554-62. doi: 10.1016/j.humimm.2005.01.019. Epub 2005 Mar 3.