PMID- 18367833 OWN - NLM STAT- MEDLINE DCOM- 20080728 LR - 20221207 IS - 1421-9670 (Electronic) IS - 0250-8095 (Print) IS - 0250-8095 (Linking) VI - 28 IP - 4 DP - 2008 TI - Human leukocyte antigen DRB1 alleles predict risk and disease progression of immunoglobulin A nephropathy in Han Chinese. PG - 684-91 LID - 10.1159/000122111 [doi] AB - The role of human leukocyte antigen (HLA) class II polymorphisms in the pathogenesis and progression of primary immunoglobulin A nephropathy (pIgAN) is unclear. This study aimed to explore the relationship of HLA-DRB1 alleles with the susceptibility and disease progression of pIgAN in Han Chinese. A PCR-based genotyping technique was used to detect HLA-DRB1 alleles in 139 patients with pIgAN and 143 healthy subjects. A total of 37 HLA-DRB1 alleles were detected, of which 30 were found in pIgAN patients and 29 in healthy subjects. In pIgAN patients, the frequencies of HLA-DRB1*140501 (belonging to DR*14) were significantly increased, while the frequencies of HLA-DRB1*070101 (belonging to DR*7) were significantly reduced compared with the healthy individuals. Further stratification analysis revealed that the frequencies of HLA-DRB1*030101 in pIgAN patients with normal renal function were significantly higher than those in patients with renal dysfunction. These findings suggest that HLA-DRB1 polymorphisms are related to the occurrence and disease progression of pIgAN patients in Han Chinese, with HLA-DRB1*140501 being a susceptible allele and HLA-DRB1*070101 a resistant allele. HLA-DRB1*030101 may serve as a predictor of disease progression and renal damage of pIgAN in Han Chinese. Further studies are warranted to explore the immunological mechanisms for the genotype-disease phenotype relationship. CI - Copyright 2008 S. Karger AG, Basel. FAU - Cao, Hui-Xia AU - Cao HX AD - Department of Nephropathy, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China. FAU - Li, Ming AU - Li M FAU - Nie, Jing AU - Nie J FAU - Wang, Wie AU - Wang W FAU - Zhou, Shu-Feng AU - Zhou SF FAU - Yu, Xue-Qing AU - Yu XQ LA - eng PT - Journal Article DEP - 20080326 PL - Switzerland TA - Am J Nephrol JT - American journal of nephrology JID - 8109361 RN - 0 (HLA-DR Antigens) RN - 0 (HLA-DRB1 Chains) RN - 12629-01-5 (Human Growth Hormone) SB - IM MH - Adult MH - Alleles MH - Asian People/genetics MH - China MH - Disease Progression MH - Disease Susceptibility MH - Female MH - Glomerulonephritis, IGA/*genetics MH - HLA-DR Antigens/*genetics MH - HLA-DRB1 Chains MH - Human Growth Hormone MH - Humans MH - Male PMC - PMC2786014 EDAT- 2008/03/28 09:00 MHDA- 2008/07/29 09:00 PMCR- 2008/03/26 CRDT- 2008/03/28 09:00 PHST- 2007/11/06 00:00 [received] PHST- 2008/02/18 00:00 [accepted] PHST- 2008/03/28 09:00 [pubmed] PHST- 2008/07/29 09:00 [medline] PHST- 2008/03/28 09:00 [entrez] PHST- 2008/03/26 00:00 [pmc-release] AID - 000122111 [pii] AID - ajn0028-0684 [pii] AID - 10.1159/000122111 [doi] PST - ppublish SO - Am J Nephrol. 2008;28(4):684-91. doi: 10.1159/000122111. Epub 2008 Mar 26.