PMID- 24142843 OWN - NLM STAT- MEDLINE DCOM- 20140828 LR - 20200930 IS - 1552-485X (Electronic) IS - 1552-4841 (Linking) VI - 165B IP - 1 DP - 2014 Jan TI - HLA associations in schizophrenia: are we re-discovering the wheel? PG - 19-27 LID - 10.1002/ajmg.b.32195 [doi] AB - Associations between human leukocyte antigen (HLA) polymorphisms on chromosome 6p and schizophrenia (SZ) risk have been evaluated for over five decades. Numerous case-control studies from the candidate gene era analyzed moderately sized samples and reported nominally significant associations with several loci in the HLA region (sample sizes, n = 100-400). The risk conferred by individual alleles was modest (odds ratios < 2.0). The basis for the associations could not be determined, though connections with known immune and auto-immune abnormalities in SZ were postulated. Interest in the HLA associations has re-emerged following several recent genome-wide association studies (GWAS); which utilized 10- to 100-fold larger samples and also identified associations on the short arm of chromosome 6. Unlike the earlier candidate gene studies, the associations are statistically significant following correction for multiple comparisons. Like the earlier studies; they have modest effect sizes, raising questions about their utility in risk prediction or pathogenesis research. In this review, we summarize the GWAS and reflect on possible bases for the associations. Suggestions for future research are discussed. We favor, in particular; efforts to evaluate local population sub-structure as well as further evaluation of immune-related variables in future studies. CI - (c) 2013 Wiley Periodicals, Inc. FAU - Kodavali, Chowdari V AU - Kodavali CV AD - Department of Psychiatry, University of Pittsburgh School of Medicine, Western Psychiatric Institute and Clinic, Pittsburgh, Pennsylvania. FAU - Watson, Annie M AU - Watson AM FAU - Prasad, Konasale M AU - Prasad KM FAU - Celik, Cemil AU - Celik C FAU - Mansour, Hader AU - Mansour H FAU - Yolken, Robert H AU - Yolken RH FAU - Nimgaonkar, Vishwajit L AU - Nimgaonkar VL LA - eng GR - D43 TW008302/TW/FIC NIH HHS/United States GR - MH083756/MH/NIMH NIH HHS/United States GR - MH085269/MH/NIMH NIH HHS/United States GR - MH63480/MH/NIMH NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20131019 PL - United States TA - Am J Med Genet B Neuropsychiatr Genet JT - American journal of medical genetics. Part B, Neuropsychiatric genetics : the official publication of the International Society of Psychiatric Genetics JID - 101235742 RN - 0 (HLA Antigens) SB - IM MH - Alleles MH - Chromosomes, Human, Pair 6/*genetics MH - Gene Frequency MH - Genetic Predisposition to Disease MH - Genetic Variation MH - HLA Antigens/*genetics/immunology MH - Humans MH - Polymorphism, Single Nucleotide MH - Risk MH - Schizophrenia/*genetics/immunology OTO - NOTNLM OT - GWAS OT - genetics OT - human leukocyte antigen (HLA) OT - immune-related OT - schizophrenia EDAT- 2013/10/22 06:00 MHDA- 2014/08/29 06:00 CRDT- 2013/10/22 06:00 PHST- 2013/02/15 00:00 [received] PHST- 2013/08/02 00:00 [accepted] PHST- 2013/10/22 06:00 [entrez] PHST- 2013/10/22 06:00 [pubmed] PHST- 2014/08/29 06:00 [medline] AID - 10.1002/ajmg.b.32195 [doi] PST - ppublish SO - Am J Med Genet B Neuropsychiatr Genet. 2014 Jan;165B(1):19-27. doi: 10.1002/ajmg.b.32195. Epub 2013 Oct 19.