PMID- 17578051 OWN - NLM STAT- MEDLINE DCOM- 20070719 LR - 20140729 IS - 0966-8519 (Print) IS - 0966-8519 (Linking) VI - 16 IP - 3 DP - 2007 May TI - Human leukocyte antigen (HLA) class I and II alleles in Turkish patients with rheumatic heart disease. PG - 293-9 AB - BACKGROUND AND AIM OF THE STUDY: Rheumatic heart disease (RHD) is often preceded by rheumatic fever (RF). The disease is a multisystem inflammatory condition that develops as a sequel to untreated throat infection by group A beta-hemolytic streptococci. Several studies have suggested that genetic susceptibility to RHD may be linked to human leukocyte antigen (HLA) class II alleles. The study aim was to investigate the association between RHD and the antigens HLA-A, -B, -C, -DR and -DQ profile in RHD patients in eastern Turkey. METHODS: A case-control study was conducted which included 85 unrelated patients with RHD, and 85 control subjects. The diagnosis was supported by echocardiography and histories of RHD of those patients who underwent valve replacement. The association of class I and class II HLA antigens was examined in RHD and control subjects using a sequence-specific primer (SSP) method. RESULTS: The phenotypes HLA-B51, -Cw*4 and -DRB1*01 were encountered in significantly lower frequencies in patients with RHD compared to the control population (p <0.05, p <0.05, p <0.05, respectively). There was also a significant increase in antigen frequency of HLA-DQB1*08 in RHD patients compared to controls (p <0.005). CONCLUSION: Among the studied population, the results suggested that susceptibility to RHD was HLA-related, with HLA-DQB1*08 most likely influencing the occurrence of the condition. HLA-B51, -Cw*4 and -DRB1*01 appeared to be more common in control subjects. FAU - Gundogdu, Fuat AU - Gundogdu F AD - Department of Cardiology , Aziziye Hospital Faculty of Medicine, Ataturk University, Erzurum, Turkey. gundogdudr@gmail.com FAU - Islamoglu, Yahya AU - Islamoglu Y FAU - Pirim, Ibrahim AU - Pirim I FAU - Gurlertop, Yekta AU - Gurlertop Y FAU - Dogan, Hasan AU - Dogan H FAU - Arslan, Sakir AU - Arslan S FAU - Sevimli, Serdar AU - Sevimli S FAU - Aksakal, Enbiya AU - Aksakal E FAU - Senocak, Huseyin AU - Senocak H LA - eng PT - Journal Article PL - England TA - J Heart Valve Dis JT - The Journal of heart valve disease JID - 9312096 RN - 0 (Histocompatibility Antigens Class I) RN - 0 (Histocompatibility Antigens Class II) SB - IM MH - Adult MH - Aged MH - Case-Control Studies MH - Female MH - Gene Frequency MH - Genotype MH - Histocompatibility Antigens Class I/*blood/*genetics MH - Histocompatibility Antigens Class II/*blood/*genetics MH - Humans MH - Male MH - Middle Aged MH - Phenotype MH - Polymerase Chain Reaction MH - Rheumatic Heart Disease/*genetics MH - Turkey EDAT- 2007/06/21 09:00 MHDA- 2007/07/20 09:00 CRDT- 2007/06/21 09:00 PHST- 2007/06/21 09:00 [pubmed] PHST- 2007/07/20 09:00 [medline] PHST- 2007/06/21 09:00 [entrez] PST - ppublish SO - J Heart Valve Dis. 2007 May;16(3):293-9.