PMID- 23674852 OWN - NLM STAT- MEDLINE DCOM- 20131231 LR - 20220408 IS - 2219-2840 (Electronic) IS - 1007-9327 (Print) IS - 1007-9327 (Linking) VI - 19 IP - 16 DP - 2013 Apr 28 TI - Human leukocyte antigen DQ2/8 prevalence in non-celiac patients with gastrointestinal diseases. PG - 2507-13 LID - 10.3748/wjg.v19.i16.2507 [doi] AB - AIM: To investigate the prevalence of human leukocyte antigen (HLA) DQ2/8 alleles in Southern Italians with liver and gastrointestinal (GI) diseases outside of celiac disease. METHODS: HLA DQ2/8 status was assessed in 443 patients from three ambulatory gastroenterology clinics in Southern Italy (University of Federico II, Naples, Loreto Crispi Hospital, Ruggi D'Aragona Hospital, Salerno). Patients were grouped based on disease status [pre-post transplant liver disease, esophageal/gastric organic and functional diseases, irritable bowel syndrome (IBS) and inflammatory bowel disease (IBD)] and DQ2/8 alleles, which correspond to a celiac disease genetic risk gradient. Subject allele frequencies were compared to healthy Italian controls. RESULTS: One hundred and ninety-six out of four hundred and forty-three (44.2%) subjects, median age 56 years and 42.6% female, were DQ2/8 positive. When stratifying by disease we found that 86/188 (45.7%) patients with liver disease were HLA DQ2/8 positive, 39/73 (53.4%) with functional upper GI diseases and 19/41 (46.3%) with organic upper GI diseases were positive. Furthermore, 38/105 (36.2%) patients with IBS and 14/36 (38.9%) with IBD were HLA DQ2/8 positive (P = 0.21). Compared to healthy controls those with functional upper GI diseases disorders had a 1.8 times higher odds of DQ2/8 positivity. Those with liver disease had 1.3 times the odds, albeit not statistically significant, of DQ2/8 positivity. Both those with IBS and IBD had a lower odds of DQ2/8 positivity compared to healthy controls. CONCLUSION: The proportion of individuals HLA DQ2/8 positive is higher in those with liver/upper functional GI disease and lower in IBS/IBD as compared to general population estimates. FAU - DiGiacomo, Daniel AU - DiGiacomo D AD - Gastrointestinal Unit, University Federico II Naples, 80131 Naples, Italy. FAU - Santonicola, Antonella AU - Santonicola A FAU - Zingone, Fabiana AU - Zingone F FAU - Troncone, Edoardo AU - Troncone E FAU - Caria, Maria Cristina AU - Caria MC FAU - Borgheresi, Patrizia AU - Borgheresi P FAU - Parrilli, Gianpaolo AU - Parrilli G FAU - Ciacci, Carolina AU - Ciacci C LA - eng PT - Journal Article PT - Multicenter Study PL - United States TA - World J Gastroenterol JT - World journal of gastroenterology JID - 100883448 RN - 0 (HLA-DQ Antigens) RN - 0 (HLA-DQ2 antigen) RN - 0 (HLA-DQ8 antigen) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Case-Control Studies MH - Chi-Square Distribution MH - Cross-Sectional Studies MH - Female MH - Gastrointestinal Diseases/*genetics/immunology MH - Gene Frequency MH - Genetic Predisposition to Disease MH - HLA-DQ Antigens/*genetics MH - Humans MH - Italy MH - Liver Diseases/*genetics/immunology MH - Male MH - Middle Aged MH - Odds Ratio MH - Phenotype MH - Risk Factors MH - Young Adult PMC - PMC3646141 OTO - NOTNLM OT - Celiac disease OT - Gastro-intestinal and liver disease OT - Human leukocyte antigen DQ2/8 EDAT- 2013/05/16 06:00 MHDA- 2014/01/01 06:00 PMCR- 2013/04/28 CRDT- 2013/05/16 06:00 PHST- 2012/08/06 00:00 [received] PHST- 2013/02/05 00:00 [revised] PHST- 2013/02/07 00:00 [accepted] PHST- 2013/05/16 06:00 [entrez] PHST- 2013/05/16 06:00 [pubmed] PHST- 2014/01/01 06:00 [medline] PHST- 2013/04/28 00:00 [pmc-release] AID - 10.3748/wjg.v19.i16.2507 [doi] PST - ppublish SO - World J Gastroenterol. 2013 Apr 28;19(16):2507-13. doi: 10.3748/wjg.v19.i16.2507.