PMID- 25382027 OWN - NLM STAT- MEDLINE DCOM- 20151021 LR - 20220318 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 4 DP - 2014 Nov 10 TI - Association of HLA-DR4/HLA-DRB1*04 with Vogt-Koyanagi-Harada disease: a systematic review and meta-analysis. PG - 6887 LID - 10.1038/srep06887 [doi] LID - 6887 AB - Human leukocyte antigen (HLA)-DR4/HLA-DRB1*04 has been reported to be a risk factor for Vogt-Koyanagi-Harada disease (VKH) with various strength of association. Its sub-alleles were also found to be associated with VKH. However the results were inconsistent. In this study, we systematically searched the related literature, pooled the odds ratios (ORs) and 95% confidence interval (CI) of association of HLA-DR4/HLA-DRB1*04 or its sub-alleles with VKH from individual studies, and explored the potential source of heterogeneity. A total of 1853 VKH patients and 4164 controls from 21 articles were included in this meta-analysis. The pooled OR of association of HLA-DR4/HLA-DRB1*04 and VKH was 8.42 (95% CI: 5.69-12.45). There were significant heterogeneity (I(2) = 71%). Subgroup analysis indicated that ethnicity was the source of heterogeneity (all I(2) = 0, ORs ranged from 2.09-13.69 in subgroups). The sub-alleles, HLA-DRB1*0404 (OR = 2.57), 0405 (OR = 10.31) and 0410 (OR = 6.52) increased the risk of VKH; 0401 (OR = 0.21) protected VKH; while other sub-alleles were not associated with VKH. Our meta-analysis confirmed the association between VKH and HLA-DR4/DRB1*04, found the strength of association is different in different ethnic groups, and identified HLA-DRB1*0404, 0405 and 0410 as risk sub-alleles while 0401 as protective sub-allele. FAU - Shi, Tingkun AU - Shi T AD - Joint Shantou International Eye Center, Shantou University &the Chinese University of Hong Kong. FAU - Lv, Wenjuan AU - Lv W AD - Joint Shantou International Eye Center, Shantou University &the Chinese University of Hong Kong. FAU - Zhang, Li AU - Zhang L AD - Joint Shantou International Eye Center, Shantou University &the Chinese University of Hong Kong. FAU - Chen, Jianhuan AU - Chen J AD - Joint Shantou International Eye Center, Shantou University &the Chinese University of Hong Kong. FAU - Chen, Haoyu AU - Chen H AD - Joint Shantou International Eye Center, Shantou University &the Chinese University of Hong Kong. LA - eng PT - Journal Article PT - Meta-Analysis PT - Research Support, Non-U.S. Gov't PT - Review PT - Systematic Review DEP - 20141110 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 RN - 0 (HLA-DR4 Antigen) SB - IM MH - Alleles MH - Case-Control Studies MH - *Genetic Association Studies MH - *Genetic Predisposition to Disease MH - HLA-DR4 Antigen/*genetics/immunology MH - Humans MH - Odds Ratio MH - Uveomeningoencephalitic Syndrome/*genetics/immunology PMC - PMC4225552 EDAT- 2014/11/11 06:00 MHDA- 2015/10/22 06:00 PMCR- 2014/11/10 CRDT- 2014/11/11 06:00 PHST- 2014/07/31 00:00 [received] PHST- 2014/10/14 00:00 [accepted] PHST- 2014/11/11 06:00 [entrez] PHST- 2014/11/11 06:00 [pubmed] PHST- 2015/10/22 06:00 [medline] PHST- 2014/11/10 00:00 [pmc-release] AID - srep06887 [pii] AID - 10.1038/srep06887 [doi] PST - epublish SO - Sci Rep. 2014 Nov 10;4:6887. doi: 10.1038/srep06887.