PMID- 22180175 OWN - NLM STAT- MEDLINE DCOM- 20120629 LR - 20171206 IS - 1724-6008 (Electronic) IS - 0393-6155 (Linking) VI - 26 IP - 4 DP - 2011 Oct-Dec TI - KIR/HLA combination associated with the risk of complications in celiac disease. PG - 221-8 LID - 10.5301/JBM.2011.8903 [doi] AB - The pathogenesis of celiac disease (CD) is associated with polymorphisms in human leukocyte antigen (HLA) genes; however, compelling evidence suggests that additional non-HLA genes are associated with CD and related complications. The present study investigated whether killer cell immunoglobulin-like receptor (KIR)/HLA gene combinations are associated with CD and its clinical complications in the population of northeast Italy. The study included 61 adults affected by CD: 48 patients were at first diagnosis and 13 patients had CD-related complications (8 with refractory CD and 5 with cancer). Controls were 69 blood donors genotyped for KIR and HLA. Several statistically significant differences emerged between CD patients and blood donors. The results herein presented show that susceptibility to CD with refractory disease or cancer is associated with various genotypes including the 2DS2/2DL2+C1, 2DS3, 3DL1, and 2DL5B genes. In addition, the absence of the Bw4 ligand may be a predisposing factor for cancer. These results suggest that a KIR haplotype and HLA ligands may be involved in the susceptibility to important clinical CD complications such as tumors or refractoriness as a result of a gluten-free diet. FAU - Caggiari, Laura AU - Caggiari L AD - Experimental and Clinical Pharmacology Unit, Centro di Riferimento Oncologico, IRCCS, National Cancer Institute, Aviano - Italy. FAU - Toffoli, Giuseppe AU - Toffoli G FAU - De Re, Valli AU - De Re V FAU - Orzes, Nicoletta AU - Orzes N FAU - Spina, Michele AU - Spina M FAU - De Zorzi, Mariangela AU - De Zorzi M FAU - Maiero, Stefania AU - Maiero S FAU - Cannizzaro, Renato AU - Cannizzaro R FAU - Canzonieri, Vincenzo AU - Canzonieri V LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Int J Biol Markers JT - The International journal of biological markers JID - 8712411 RN - 0 (HLA Antigens) RN - 0 (Receptors, KIR) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Celiac Disease/*genetics/immunology/pathology MH - Female MH - Gene Frequency MH - Genetic Predisposition to Disease MH - Genotype MH - HLA Antigens/*genetics/immunology MH - Humans MH - Male MH - Middle Aged MH - Polymorphism, Genetic MH - Receptors, KIR/*genetics/immunology MH - Young Adult EDAT- 2011/12/20 06:00 MHDA- 2012/06/30 06:00 CRDT- 2011/12/20 06:00 PHST- 2011/09/09 00:00 [accepted] PHST- 2011/12/20 06:00 [entrez] PHST- 2011/12/20 06:00 [pubmed] PHST- 2012/06/30 06:00 [medline] AID - 20BD90CB-5D66-485F-A7E9-D9F974CAE946 [pii] AID - 10.5301/JBM.2011.8903 [doi] PST - ppublish SO - Int J Biol Markers. 2011 Oct-Dec;26(4):221-8. doi: 10.5301/JBM.2011.8903.