PMID- 19165231 OWN - NLM STAT- MEDLINE DCOM- 20100203 LR - 20201209 IS - 1435-232X (Electronic) IS - 1434-5161 (Linking) VI - 54 IP - 2 DP - 2009 Feb TI - HLA-DPB1 and NFKBIL1 may confer the susceptibility to chronic thromboembolic pulmonary hypertension in the absence of deep vein thrombosis. PG - 108-14 LID - 10.1038/jhg.2008.15 [doi] AB - Chronic thromboembolic pulmonary hypertension (CTEPH) is characterized by pulmonary hypertension caused by thromboembolism of the pulmonary artery. Etiology of CTEPH may be heterogeneous and is largely unknown, but genetic factors are considered to be involved in the etiology. It has been reported that deep vein thrombosis (DVT) and/or coagulation factor variants are predisposing factors to CTEPH. However, more than half of the CTEPH patients, especially the Japanese, do not have prior DVT or coagulation abnormality, suggesting that there should be other risk factors for CTEPH. Moreover, there are several reports on the association between CTEPH and human leukocyte antigen (HLA). To further clarify the HLA-linked gene(s) controlling the susceptibility to CTEPH, 160 patients (99 without DVT and 61 with DVT) and 380 healthy controls were analyzed for polymorphisms in 15 microsatellite markers and 5 genes in the HLA region. We found a strong association of HLA markers with the DVT-negative CTEPH, DPB1(*)0202 (odds ratio (OR)=5.07, 95% confidence interval (CI)=2.52-10.19, P=0.00000075, corrected P-value (Pc)=0.00014), IKBL-p(*)03 (OR=2.33, 95% CI=1.49-3.66, P=0.00017, Pc=0.033) and B(*)5201 (OR=2.47, 95% CI=1.56-3.90, P=0.000086, Pc=0.016), whereas no significant association was observed for the DVT-positive CTEPH. The comparison of clinical characteristics of patients stratified by the presence of susceptibility genes implied that the DPB1 gene controlled the severity of the vascular lesion, whereas the IKBL gene (NFKBIL1) was associated with a relatively mild phenotype. FAU - Kominami, Satoshi AU - Kominami S AD - Department of Respiratology, Graduate School of Medicine, Chiba University, Chiba, Japan. FAU - Tanabe, Nobuhiro AU - Tanabe N FAU - Ota, Masao AU - Ota M FAU - Naruse, Taeko K AU - Naruse TK FAU - Katsuyama, Yoshihiko AU - Katsuyama Y FAU - Nakanishi, Norifumu AU - Nakanishi N FAU - Tomoike, Hitonobu AU - Tomoike H FAU - Sakuma, Masahito AU - Sakuma M FAU - Shirato, Kunio AU - Shirato K FAU - Takahashi, Megumi AU - Takahashi M FAU - Shibata, Hiroki AU - Shibata H FAU - Yasunami, Michio AU - Yasunami M FAU - Chen, Zhiyong AU - Chen Z FAU - Kasahara, Yasunori AU - Kasahara Y FAU - Tatsumi, Koichiro AU - Tatsumi K FAU - Kuriyama, Takayuki AU - Kuriyama T FAU - Kimura, Akinori AU - Kimura A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20090123 PL - England TA - J Hum Genet JT - Journal of human genetics JID - 9808008 RN - 0 (Adaptor Proteins, Signal Transducing) RN - 0 (HLA-DP Antigens) RN - 0 (HLA-DP beta-Chains) RN - 0 (HLA-DPB1 antigen) RN - 0 (Histocompatibility Antigens Class II) RN - 0 (NFKBIL1 protein, human) SB - IM MH - Adaptor Proteins, Signal Transducing MH - Adult MH - Alleles MH - Demography MH - Female MH - *Genetic Predisposition to Disease MH - HLA-DP Antigens/*genetics MH - HLA-DP beta-Chains MH - Histocompatibility Antigens Class II/*genetics MH - Humans MH - Hypertension, Pulmonary/*complications/*genetics MH - Linkage Disequilibrium/genetics MH - Male MH - Microsatellite Repeats/genetics MH - Middle Aged MH - Thromboembolism/*complications/genetics MH - Venous Thrombosis/complications/*genetics EDAT- 2009/01/24 09:00 MHDA- 2010/02/04 06:00 CRDT- 2009/01/24 09:00 PHST- 2009/01/24 09:00 [entrez] PHST- 2009/01/24 09:00 [pubmed] PHST- 2010/02/04 06:00 [medline] AID - jhg200815 [pii] AID - 10.1038/jhg.2008.15 [doi] PST - ppublish SO - J Hum Genet. 2009 Feb;54(2):108-14. doi: 10.1038/jhg.2008.15. Epub 2009 Jan 23.