PMID- 16267776 OWN - NLM STAT- MEDLINE DCOM- 20060119 LR - 20181113 IS - 0022-1899 (Print) IS - 1537-6613 (Electronic) IS - 0022-1899 (Linking) VI - 192 IP - 11 DP - 2005 Dec 1 TI - Association between human leukocyte antigen class II alleles and genotype of Borrelia burgdorferi in patients with early lyme disease. PG - 2020-6 AB - BACKGROUND: On the basis of a polymerase chain reaction-restriction fragment-length polymorphism analysis of the 16S-23S ribosomal DNA intergenic spacer, clinical isolates of Borrelia burgdorferi can be classified into 3 genotypes designated as RST1, RST2, and RST3. RST1 strains are the most pathogenic, and RST3 strains are the least pathogenic. METHODS: Human leukocyte antigen (HLA) class II alleles were determined for a group of culture-positive patients with Lyme disease-associated erythema migrans and were evaluated for an association with the genotype of the infecting B. burgdorferi strain. RESULTS: The DRB1*0101 allele carriage rate was higher in patients infected with RST3 strains (9/25 [36.0%]) than in patients infected with RST1 strains (2/28 [7.1%]) or RST2 strains (7/36 [19.4%]) (P=.010). The same relationship was found for carriage of the DRB1*0101-DQB1*0501 haplotype (P=.018), because of tight linkage disequilibrium. Similar associations could not be demonstrated for any of the other DRB1 and DQB1 alleles or haplotypes that were assessed. CONCLUSION: The DRB1*0101 allele and the DRB1*0101-DQB1*0501 haplotype may be relevant to the development of infection with strains from the least invasive genotypes of B. burgdorferi. FAU - Wormser, Gary P AU - Wormser GP AD - Department of Medicine, Division of Infectious Diseases, New York Medical College, Valhalla, NY 10595, USA. gary_wormser@nymc.edu FAU - Kaslow, Richard AU - Kaslow R FAU - Tang, Jianming AU - Tang J FAU - Wade, Karen AU - Wade K FAU - Liveris, Dionysios AU - Liveris D FAU - Schwartz, Ira AU - Schwartz I FAU - Klempner, Mark AU - Klempner M LA - eng GR - R01 AR041511-15/AR/NIAMS NIH HHS/United States GR - N01AI15441/AI/NIAID NIH HHS/United States GR - N01AI65308/AI/NIAID NIH HHS/United States GR - R01 AR041511/AR/NIAMS NIH HHS/United States GR - N01-AI65308/AI/NIAID NIH HHS/United States GR - R01-AR-41511/AR/NIAMS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20051028 PL - United States TA - J Infect Dis JT - The Journal of infectious diseases JID - 0413675 RN - 0 (Histocompatibility Antigens Class II) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Alleles MH - Borrelia burgdorferi/*classification/*genetics MH - Erythema Chronicum Migrans/*genetics/microbiology MH - Female MH - Genetic Predisposition to Disease MH - Genotype MH - Histocompatibility Antigens Class II/*genetics MH - Humans MH - Lyme Disease/*genetics/microbiology MH - Male MH - Middle Aged MH - Polymerase Chain Reaction MH - Polymorphism, Restriction Fragment Length PMC - PMC2776636 MID - NIHMS155827 COIS- Potential conflicts of interest: none reported. EDAT- 2005/11/04 09:00 MHDA- 2006/01/20 09:00 PMCR- 2009/11/12 CRDT- 2005/11/04 09:00 PHST- 2005/02/10 00:00 [received] PHST- 2005/06/30 00:00 [accepted] PHST- 2005/11/04 09:00 [pubmed] PHST- 2006/01/20 09:00 [medline] PHST- 2005/11/04 09:00 [entrez] PHST- 2009/11/12 00:00 [pmc-release] AID - JID34418 [pii] AID - 10.1086/497693 [doi] PST - ppublish SO - J Infect Dis. 2005 Dec 1;192(11):2020-6. doi: 10.1086/497693. Epub 2005 Oct 28.