PMID- 18257894 OWN - NLM STAT- MEDLINE DCOM- 20080502 LR - 20111117 IS - 0001-2815 (Print) IS - 0001-2815 (Linking) VI - 71 IP - 3 DP - 2008 Mar TI - Modifying effect of HLA haplotypes located trans to DQB1*02-DRB1*03 in celiac patients of Southern Europe. PG - 213-8 LID - 10.1111/j.1399-0039.2007.01003.x [doi] AB - The DQ2 heterodimer, encoded by the human leukocyte antigen (HLA)-DQA1*05-DQB1*02 alleles, is the major genetic susceptibility factor for celiac disease (CD). However, the risk associated to HLA alleles varies among populations. While DRB1*03 is almost the only CD susceptibility allele in Northern Europe with a homozygote frequency of around 30%, CD in south European countries is also associated with the DRB1*07, and DRB1*03 homozygotes patients are rare. Some authors have suggested that DQB1*02-DRB1*03/DQB1*02-DRB1*03 and DQB1*02-DRB1*03/DQB1*02-DRB1*07 may confer different risk susceptibility to CD. This hypothesis, however, has not been demonstrated in a recent family-based study carried out in Finland, suggesting that the proposed differences in risk may be secondary to stratification burdens of case-control studies. To assess this issue, we have investigated the effect of different haplotypes carried trans to DQB1*02-DRB1*03 as additional factors for CD in Spain, using two statistical approaches, a case-control study and a family-based study. We found that DQB1*02-DRB1*03/DQB1*02-DRB1*03 and DQB1*02-DRB1*03/DQB1*02-DRB1*07 were the only combinations that showed a strong and independent association to CD. We did not observe any difference in susceptibility risk conferred by DQB1*02-DRB1*03 and DQB1*02-DRB1*07 when carried trans to DQB1*02-DRB1*03, suggesting that variation in HLA haplotype frequencies among populations may not represent real differences in risk to CD development. We also confirmed a gene dosage effect of the DQB1*02-DRB1*03 haplotype estimating that DQB1*02 homozygotes are at fivefold increased risk for CD compared with DQB1*02 heterozygotes. This risk is conferred by the second copy of the DQB1*02 allele and it seems to be independent of the DQA1. FAU - Hernandez-Charro, B AU - Hernandez-Charro B AD - Department of Genetics, Hospital Virgen del Camino, Navarra, Spain. FAU - Donat, E AU - Donat E FAU - Miner, I AU - Miner I FAU - Aranburu, E AU - Aranburu E FAU - Sanchez-Valverde, F AU - Sanchez-Valverde F FAU - Ramos-Arroyo, M A AU - Ramos-Arroyo MA LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Tissue Antigens JT - Tissue antigens JID - 0331072 RN - 0 (HLA Antigens) RN - 0 (HLA-DQ Antigens) RN - 0 (HLA-DQ beta-Chains) RN - 0 (HLA-DQB1 antigen) RN - 0 (HLA-DR Antigens) RN - 0 (HLA-DRB1 Chains) SB - IM MH - Case-Control Studies MH - Celiac Disease/*genetics/*immunology MH - Female MH - Gene Dosage MH - Gene Frequency MH - Genetic Complementation Test MH - Genetic Predisposition to Disease MH - HLA Antigens/*genetics MH - HLA-DQ Antigens/*genetics MH - HLA-DQ beta-Chains MH - HLA-DR Antigens/*genetics MH - HLA-DRB1 Chains MH - Haplotypes MH - Heterozygote MH - Homozygote MH - Humans MH - Male MH - Risk Factors MH - Spain EDAT- 2008/02/09 09:00 MHDA- 2008/05/03 09:00 CRDT- 2008/02/09 09:00 PHST- 2008/02/09 09:00 [pubmed] PHST- 2008/05/03 09:00 [medline] PHST- 2008/02/09 09:00 [entrez] AID - TAN1003 [pii] AID - 10.1111/j.1399-0039.2007.01003.x [doi] PST - ppublish SO - Tissue Antigens. 2008 Mar;71(3):213-8. doi: 10.1111/j.1399-0039.2007.01003.x.