PMID- 17002906 OWN - NLM STAT- MEDLINE DCOM- 20061114 LR - 20061115 IS - 0198-8859 (Print) IS - 0198-8859 (Linking) VI - 67 IP - 9 DP - 2006 Sep TI - Association of HLA-DR and -DQ genes with narcolepsy in Koreans: comparison with two control groups, randomly selected subjects and DRB1*1501-DQB1*0602--positive subjects. PG - 749-55 AB - The purpose of this study was to investigate the association of human leukocyte antigen (HLA) class II alleles with narcolepsy-cataplexy susceptibility in Koreans. The distribution of HLA-DRB1 and -DQB1 alleles and presence or absence of DRB3/4/5 alleles were examined in 60 narcoleptic patients with clear-cut cataplexy, and the results were compared with two groups of healthy controls: 200 randomly selected controls and 144 DRB1*1501-DQB1*0602 positive controls. All of the narcoleptic patients were DRB1*1501 and DQB1*0602 positive, and their frequencies were significantly higher in patients than in random controls (100% vs 17.0%, p(c) = 2.3 x 10(-30), OR = 583.96; 100% vs 16.5%, p(c) = 3.9 x 10(-31), OR = 605.00). The HLA association in Koreans was as tight as that reported in Japanese. Several DRB1 (*0101, *0405, *0901) and DQB1 alleles (*0303, *0401, *0501, *0601, *0604) were found to have weak protective effects against narcolepsy. DRB4 showed strong protective effect, and this was also significant when compared with DRB1*1501-DQB1*0602 positive controls (18.3% vs 44.4%, p(c) = 0.001, OR = 0.28). DRB3 (OR = 1.86) and DQB1*0301 (OR = 2.45) were found to have weak predisposing effect, when compared with DRB1*1501-DQB1*0602 positive controls. The protective effect of DRB4 has to be further studied in other populations. FAU - Roh, Eun Youn AU - Roh EY AD - Department of Laboratory Medicine, Seoul National University College of Medicine, Seoul, Korea. FAU - Park, Myoung Hee AU - Park MH FAU - Park, Hyejin AU - Park H FAU - Park, Doo-Heum AU - Park DH FAU - Choi, Jong-Bae AU - Choi JB FAU - Kim, Seog Ju AU - Kim SJ FAU - Jeong, Do-Un AU - Jeong DU LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20060630 PL - United States TA - Hum Immunol JT - Human immunology JID - 8010936 RN - 0 (HLA-DQ Antigens) RN - 0 (HLA-DR Antigens) SB - IM MH - Adolescent MH - Adult MH - Cataplexy/*genetics MH - Child MH - Female MH - Gene Frequency MH - *Genetic Predisposition to Disease MH - HLA-DQ Antigens/*genetics MH - HLA-DR Antigens/*genetics MH - Humans MH - Korea/epidemiology MH - Male MH - Middle Aged MH - Narcolepsy/*genetics MH - Phenotype MH - Polymerase Chain Reaction EDAT- 2006/09/28 09:00 MHDA- 2006/11/15 09:00 CRDT- 2006/09/28 09:00 PHST- 2005/09/29 00:00 [received] PHST- 2006/03/20 00:00 [revised] PHST- 2006/03/23 00:00 [accepted] PHST- 2006/09/28 09:00 [pubmed] PHST- 2006/11/15 09:00 [medline] PHST- 2006/09/28 09:00 [entrez] AID - S0198-8859(06)00153-4 [pii] AID - 10.1016/j.humimm.2006.03.024 [doi] PST - ppublish SO - Hum Immunol. 2006 Sep;67(9):749-55. doi: 10.1016/j.humimm.2006.03.024. Epub 2006 Jun 30.