PMID- 19654877 OWN - NLM STAT- MEDLINE DCOM- 20100119 LR - 20211020 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 4 IP - 8 DP - 2009 Aug 5 TI - Association between protective and deleterious HLA alleles with multiple sclerosis in Central East Sardinia. PG - e6526 LID - 10.1371/journal.pone.0006526 [doi] LID - e6526 AB - The human leukocyte antigen (HLA) complex on chromosome 6p21 has been unambiguously associated with multiple sclerosis (MS). The complex features of the HLA region, especially its high genic content, extreme polymorphism, and extensive linkage disequilibrium, has prevented to resolve the nature of HLA association in MS. We performed a family based association study on the isolated population of the Nuoro province (Sardinia) to clarify the role of HLA genes in MS. The main stage of our study involved an analysis of the ancestral haplotypes A2Cw7B58DR2DQ1 and A30Cw5B18DR3DQ2. On the basis of a multiplicative model, the effect of the first haplotype is protective with an odds ratio (OR) = 0.27 (95% confidence interval CI 0.13-0.57), while that of the second is deleterious, OR 1.78 (95% CI 1.26-2.50). We found both class I (A, Cw, B) and class II (DR, DQ) loci to have an effect on MS susceptibility, but we saw that they act independently from each other. We also performed an exploratory analysis on a set of 796 SNPs in the same HLA region. Our study supports the claim that Class I and Class II loci act independently on MS susceptibility and this has a biological explanation. Also, the analysis of SNPs suggests that there are other HLA genes involved in MS, but replication is needed. This opens up new perspective on the study of MS. FAU - Pastorino, Roberta AU - Pastorino R AD - Dipartimento di Scienze Sanitarie Applicate e Psicocomportamentali, Universita di Pavia, Pavia, Italy. roberta.pastorino@unipv.it FAU - Menni, Cristina AU - Menni C FAU - Barca, Monserrata AU - Barca M FAU - Foco, Luisa AU - Foco L FAU - Saddi, Valeria AU - Saddi V FAU - Gazzaniga, Giovanna AU - Gazzaniga G FAU - Ferrai, Raffaela AU - Ferrai R FAU - Mascaretti, Luca AU - Mascaretti L FAU - Dudbridge, Frank AU - Dudbridge F FAU - Berzuini, Carlo AU - Berzuini C FAU - Murgia, Salvatore Bruno AU - Murgia SB FAU - Piras, Maria Luisa AU - Piras ML FAU - Ticca, Anna AU - Ticca A FAU - Bitti, Pier Paolo AU - Bitti PP FAU - Bernardinelli, Luisa AU - Bernardinelli L LA - eng GR - G0802320/MRC_/Medical Research Council/United Kingdom GR - MC_U105292688/MRC_/Medical Research Council/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20090805 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (HLA Antigens) SB - IM MH - *Alleles MH - Genotype MH - HLA Antigens/*genetics MH - Haplotypes MH - Humans MH - Italy MH - Multiple Sclerosis/*genetics MH - Polymorphism, Single Nucleotide MH - Regression Analysis PMC - PMC2716537 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2009/08/06 09:00 MHDA- 2010/01/20 06:00 PMCR- 2009/08/05 CRDT- 2009/08/06 09:00 PHST- 2008/11/20 00:00 [received] PHST- 2009/07/05 00:00 [accepted] PHST- 2009/08/06 09:00 [entrez] PHST- 2009/08/06 09:00 [pubmed] PHST- 2010/01/20 06:00 [medline] PHST- 2009/08/05 00:00 [pmc-release] AID - 08-PONE-RA-07423R2 [pii] AID - 10.1371/journal.pone.0006526 [doi] PST - epublish SO - PLoS One. 2009 Aug 5;4(8):e6526. doi: 10.1371/journal.pone.0006526.