PMID- 20105104 OWN - NLM STAT- MEDLINE DCOM- 20100601 LR - 20221207 IS - 1538-2443 (Electronic) IS - 1355-0284 (Print) IS - 1355-0284 (Linking) VI - 16 IP - 1 DP - 2010 Feb TI - Role of human leukocyte antigen class I alleles in progressive multifocal leukoencephalopathy. PG - 41-7 LID - 10.3109/13550280903552438 [doi] AB - Because human leukocyte antigen (HLA) associations with various infectious diseases have recently been reported, we examined the role of HLA class I alleles in the development of progressive multifocal leukoencephalopathy (PML) or its outcome in 152 patients, including 123 Caucasians and 29 African Americans. Compared to a human immunodeficiency virus positive (HIV+) control population, we observed decreased frequency of HLA-A3 (P = 0.03) in the Caucasian PML group, whereas B18 (P = 0.02), was more frequent. No such difference was found among African American PML patients. We then sought to characterize differences in HLA between PML progressors, whose survival doesn't exceed 1 year, and survivors. Caucasian survivors were less likely to harbor A68 (P = 0.01), whereas African American survivors less frequently displayed Cw4 (P = .01). However, none of these differences reached statistical significance after Bonferroni correction for multiple testing. Further investigations are needed to assess the role of genetics in the incidence of PML or its outcome. Physicians may exercise caution in the use of immunomodulatory medications in patients whose genetic background is associated with an increased risk of PML. FAU - Gheuens, Sarah AU - Gheuens S AD - Division of Viral Pathogenesis, Beth Israel Deaconess Medical Center, E/CLS-1005, 330 Brookline Avenue, Boston, MA 02215, USA. FAU - Fellay, Jacques AU - Fellay J FAU - Goldstein, David B AU - Goldstein DB FAU - Koralnik, Igor J AU - Koralnik IJ LA - eng GR - U01-AI-35043/AI/NIAID NIH HHS/United States GR - R01 CA047006/CA/NCI NIH HHS/United States GR - U01-AI-35041/AI/NIAID NIH HHS/United States GR - T32 CA09031-32/CA/NCI NIH HHS/United States GR - R01 NS041198-09/NS/NINDS NIH HHS/United States GR - R01 NS047029-06/NS/NINDS NIH HHS/United States GR - U01 AI035043/AI/NIAID NIH HHS/United States GR - U01 AI035040/AI/NIAID NIH HHS/United States GR - U01 AI035039/AI/NIAID NIH HHS/United States GR - T32 CA009031-32/CA/NCI NIH HHS/United States GR - T32 AI007387/AI/NIAID NIH HHS/United States GR - U01 AI035042/AI/NIAID NIH HHS/United States GR - K24 NS 060950/NS/NINDS NIH HHS/United States GR - U01 AI067854/AI/NIAID NIH HHS/United States GR - U19 AI067854-02/AI/NIAID NIH HHS/United States GR - U01-AI-35042/AI/NIAID NIH HHS/United States GR - K24 NS060950-02/NS/NINDS NIH HHS/United States GR - 5-M01-RR-00052/RR/NCRR NIH HHS/United States GR - U01 AI035041/AI/NIAID NIH HHS/United States GR - AI067854/AI/NIAID NIH HHS/United States GR - U19 AI067854/AI/NIAID NIH HHS/United States GR - M01 RR000052/RR/NCRR NIH HHS/United States GR - NS 047029/NS/NINDS NIH HHS/United States GR - U01-AI-35040/AI/NIAID NIH HHS/United States GR - R01 NS 041198/NS/NINDS NIH HHS/United States GR - R01 NS041198/NS/NINDS NIH HHS/United States GR - T32 CA009031/CA/NCI NIH HHS/United States GR - U01-AI-35039/AI/NIAID NIH HHS/United States GR - R01 NS047029/NS/NINDS NIH HHS/United States GR - K24 NS060950/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PL - United States TA - J Neurovirol JT - Journal of neurovirology JID - 9508123 RN - 0 (HLA-A Antigens) RN - 0 (HLA-A*68 antigen) RN - 0 (HLA-A3 Antigen) RN - 0 (HLA-B Antigens) RN - 0 (HLA-B18 Antigen) RN - 0 (HLA-C Antigens) RN - 0 (HLA-C*04 antigen) RN - 0 (Histocompatibility Antigens Class I) SB - IM MH - AIDS-Related Opportunistic Infections/*genetics/*immunology/pathology MH - Black or African American MH - Disease Progression MH - Gene Frequency MH - Genetic Predisposition to Disease MH - HIV MH - HLA-A Antigens/classification/genetics MH - HLA-A3 Antigen/classification/genetics MH - HLA-B Antigens/classification/genetics MH - HLA-B18 Antigen MH - HLA-C Antigens/classification/genetics MH - Histocompatibility Antigens Class I/*genetics/*immunology MH - Humans MH - JC Virus MH - Leukoencephalopathy, Progressive Multifocal/*genetics/*immunology/pathology MH - Serotyping MH - White People PMC - PMC2854537 MID - NIHMS185094 EDAT- 2010/01/29 06:00 MHDA- 2010/06/02 06:00 PMCR- 2011/02/01 CRDT- 2010/01/29 06:00 PHST- 2010/01/29 06:00 [entrez] PHST- 2010/01/29 06:00 [pubmed] PHST- 2010/06/02 06:00 [medline] PHST- 2011/02/01 00:00 [pmc-release] AID - 10.3109/13550280903552438 [doi] PST - ppublish SO - J Neurovirol. 2010 Feb;16(1):41-7. doi: 10.3109/13550280903552438.