PMID- 22244918 OWN - NLM STAT- MEDLINE DCOM- 20120611 LR - 20120220 IS - 1879-1166 (Electronic) IS - 0198-8859 (Linking) VI - 73 IP - 3 DP - 2012 Mar TI - High frequency of human leukocyte antigen class II DRB1*1602 haplotype in Greek patients with myelodysplastic syndrome and of DRB1*1501 in the low-risk subgroup. PG - 278-81 LID - 10.1016/j.humimm.2011.12.013 [doi] AB - Myelodysplastic syndromes (MDS) comprise a heterogenous group of clonal hematopoietic disorders in which the immune-mediated pathogenetic mechanisms are under investigation. Overrepresentation of human leukocyte antigen (HLA)-DR2 and its serologic split HLA-DR15 has been associated with low-risk MDS in certain ethnic groups and has been proposed as a predictive factor for a favorable response to immunomodulatory treatment. Because the HLA-DRB1*15 haplotype does not predominate in the Greek population, we investigated the frequency of HLA-DRB1 alleles among 114 patients of Greek origin suffering from various types of MDS: 36 refractory anemia (RA), 24 refractory anemia with ringed sideroblasts (RARS), 19 refractory anemia with excess of blasts (RAEB), 14 refractory anemia with excess of blasts in transformation (RAEB-t), 14 chronic myelomonocytic leukemia, and 7 hypoplastic MDS patients. HLA-DRB1 molecular typing was performed with polymerase chain reaction-sequence specific oligonucleotides and results were compared with that from a previously reported control Greek population. HLA-DRB1*1602 was the only allele that was significantly overrepresented in Greek MDS patients as a whole, whereas HLA-DRB1*1501 allele frequency was significantly higher in Greek patients with low-risk myelodysplasia. Our results suggest the possible value of HLA-DR15 and HLA-DR16 as determinants for immunomodulatory interventions, at least for Greek patients with low-risk MDS. CI - Copyright A(c) 2012 American Society for Histocompatibility and Immunogenetics. Published by Elsevier Inc. All rights reserved. FAU - Kritikou-Griva, Elpiniki AU - Kritikou-Griva E AD - Department of Laboratory Hematology, Athens Regional General Hospital G. Gennimatas, Athens 11527, Greece. FAU - Spyropoulou-Vlachou, Maria AU - Spyropoulou-Vlachou M FAU - Tsagarakis, Nikolaos J AU - Tsagarakis NJ FAU - Goumakou, Eleni AU - Goumakou E FAU - Vrani, Vasiliki AU - Vrani V FAU - Galanopoulos, Athanasios AU - Galanopoulos A FAU - Papadhimitriou, Stefanos I AU - Papadhimitriou SI FAU - Androutsos, George AU - Androutsos G FAU - Paterakis, George AU - Paterakis G FAU - Stavropoulos-Giokas, Catherine AU - Stavropoulos-Giokas C LA - eng PT - Journal Article DEP - 20111227 PL - United States TA - Hum Immunol JT - Human immunology JID - 8010936 RN - 0 (HLA-DRB1 Chains) RN - 0 (HLA-DRB1*15:01 antigen) SB - IM MH - Aged MH - Female MH - Gene Frequency MH - Genetic Association Studies MH - Greece MH - HLA-DRB1 Chains/*genetics/metabolism MH - Histocompatibility Testing MH - Humans MH - Male MH - Middle Aged MH - Myelodysplastic Syndromes/*diagnosis/epidemiology/*genetics/physiopathology MH - Pathology, Molecular MH - Prognosis MH - Risk EDAT- 2012/01/17 06:00 MHDA- 2012/06/12 06:00 CRDT- 2012/01/17 06:00 PHST- 2011/08/03 00:00 [received] PHST- 2011/12/15 00:00 [revised] PHST- 2011/12/21 00:00 [accepted] PHST- 2012/01/17 06:00 [entrez] PHST- 2012/01/17 06:00 [pubmed] PHST- 2012/06/12 06:00 [medline] AID - S0198-8859(11)00604-5 [pii] AID - 10.1016/j.humimm.2011.12.013 [doi] PST - ppublish SO - Hum Immunol. 2012 Mar;73(3):278-81. doi: 10.1016/j.humimm.2011.12.013. Epub 2011 Dec 27.