PMID- 17559577 OWN - NLM STAT- MEDLINE DCOM- 20070926 LR - 20161124 IS - 0001-2815 (Print) IS - 0001-2815 (Linking) VI - 70 IP - 1 DP - 2007 Jul TI - HLA class II amino acid epitopes as susceptibility markers of sarcoidosis. PG - 18-27 AB - Sarcoidosis is a multisystemic disorder of unknown etiology, affecting primarily the lung and characterized by epithelioid granulomas. Disease association studies showed human leukocyte antigen (HLA) class II to be related to sarcoidosis. Initially, we studied the association of sarcoidosis with DQB1, and in the present study, we evaluated all amino acid variants of the HLA-DPB1, -DQB1, -DRB1, -DRB3, -DRB4 and -DRB5 genes to identify possible polymorphisms associated with the disease. Patients and controls were typed for class II genes to the allele level by sequence-based typing. Multiple logistic regression models showed DRAla71 and DQPhe9 to be independently associated with the disease. Subdivision of patients according to their radiographic stage resulted in identification of DRArg74 as independent associated residue in the RS I group, whereas DRAla71 and DQTyr30 were associated with RS II-IV groups. Polymorphic residues specifically associated with sarcoidosis shed new light on the characteristics of sarcoidosis-triggered peptides. Overall, pocket 9 of DQ and pocket 4 of DR seem to be the most important areas involved in the association with sarcoidosis. FAU - Voorter, C E M AU - Voorter CE AD - Tissue Typing Laboratory, and Sarcoidosis Management Centre, University Hospital Maastricht, 6202 AZ Maastricht, The Netherlands. FAU - Amicosante, M AU - Amicosante M FAU - Berretta, F AU - Berretta F FAU - Groeneveld, L AU - Groeneveld L FAU - Drent, M AU - Drent M FAU - van den Berg-Loonen, E M AU - van den Berg-Loonen EM LA - eng PT - Comparative Study PT - Journal Article PL - England TA - Tissue Antigens JT - Tissue antigens JID - 0331072 RN - 0 (Epitopes) RN - 0 (Genetic Markers) RN - 0 (HLA-DR Antigens) RN - 0 (Histocompatibility Antigens Class II) SB - IM MH - Adult MH - Alleles MH - Amino Acid Sequence MH - *Epitopes MH - Female MH - Gene Frequency MH - Genetic Markers MH - Genetic Predisposition to Disease MH - HLA-DR Antigens/chemistry/*genetics MH - Histocompatibility Antigens Class II/*genetics MH - Humans MH - Male MH - Middle Aged MH - Polymorphism, Genetic MH - Radiography, Thoracic MH - Sarcoidosis/blood/classification/diagnostic imaging/*genetics/*immunology/pathology MH - Severity of Illness Index EDAT- 2007/06/15 09:00 MHDA- 2007/09/27 09:00 CRDT- 2007/06/15 09:00 PHST- 2007/06/15 09:00 [pubmed] PHST- 2007/09/27 09:00 [medline] PHST- 2007/06/15 09:00 [entrez] AID - TAN842 [pii] AID - 10.1111/j.1399-0039.2007.00842.x [doi] PST - ppublish SO - Tissue Antigens. 2007 Jul;70(1):18-27. doi: 10.1111/j.1399-0039.2007.00842.x.