PMID- 25574827 OWN - NLM STAT- MEDLINE DCOM- 20150314 LR - 20221207 IS - 1537-6605 (Electronic) IS - 0002-9297 (Print) IS - 0002-9297 (Linking) VI - 96 IP - 1 DP - 2015 Jan 8 TI - HLA-DPB1 and HLA class I confer risk of and protection from narcolepsy. PG - 136-46 LID - S0002-9297(14)00516-3 [pii] LID - 10.1016/j.ajhg.2014.12.010 [doi] AB - Type 1 narcolepsy, a disorder caused by a lack of hypocretin (orexin), is so strongly associated with human leukocyte antigen (HLA) class II HLA-DQA1( *)01:02-DQB1( *)06:02 (DQ0602) that very few non-DQ0602 cases have been reported. A known triggering factor for narcolepsy is pandemic 2009 influenza H1N1, suggesting autoimmunity triggered by upper-airway infections. Additional effects of other HLA-DQ alleles have been reported consistently across multiple ethnic groups. Using over 3,000 case and 10,000 control individuals of European and Chinese background, we examined the effects of other HLA loci. After careful matching of HLA-DR and HLA-DQ in case and control individuals, we found strong protective effects of HLA-DPA1( *)01:03-DPB1( *)04:02 (DP0402; odds ratio [OR] = 0.51 [0.38-0.67], p = 1.01 x 10(-6)) and HLA-DPA1( *)01:03-DPB1( *)04:01 (DP0401; OR = 0.61 [0.47-0.80], p = 2.07 x 10(-4)) and predisposing effects of HLA-DPB1( *)05:01 in Asians (OR = 1.76 [1.34-2.31], p = 4.71 x 10(-05)). Similar effects were found by conditional analysis controlling for HLA-DR and HLA-DQ with DP0402 (OR = 0.45 [0.38-0.55] p = 8.99 x 10(-17)) and DP0501 (OR = 1.38 [1.18-1.61], p = 7.11 x 10(-5)). HLA-class-II-independent associations with HLA-A( *)11:01 (OR = 1.32 [1.13-1.54], p = 4.92 x 10(-4)), HLA-B( *)35:03 (OR = 1.96 [1.41-2.70], p = 5.14 x 10(-5)), and HLA-B( *)51:01 (OR = 1.49 [1.25-1.78], p = 1.09 x 10(-5)) were also seen across ethnic groups in the HLA class I region. These effects might reflect modulation of autoimmunity or indirect effects of HLA class I and HLA-DP alleles on response to viral infections such as that of influenza. CI - Copyright (c) 2015 The American Society of Human Genetics. Published by Elsevier Inc. All rights reserved. FAU - Ollila, Hanna M AU - Ollila HM AD - Stanford University Center for Sleep Sciences, Palo Alto, CA 94304, USA. FAU - Ravel, Jean-Marie AU - Ravel JM AD - Stanford University Center for Sleep Sciences, Palo Alto, CA 94304, USA. FAU - Han, Fang AU - Han F AD - Department of Pulmonary Medicine, Peking University People's Hospital, 100044 Beijing, China. FAU - Faraco, Juliette AU - Faraco J AD - Stanford University Center for Sleep Sciences, Palo Alto, CA 94304, USA. FAU - Lin, Ling AU - Lin L AD - Stanford University Center for Sleep Sciences, Palo Alto, CA 94304, USA. FAU - Zheng, Xiuwen AU - Zheng X AD - Department of Biostatistics, University of Washington, PO box 357232, Seattle, WA 98195, USA. FAU - Plazzi, Giuseppe AU - Plazzi G AD - Department of Biomedical and Neuromotor Sciences, University of Bologna, Via Ugo Foscolo 7, 40123 Bologna, Italy; IRCCS Institute of Neurological Sciences, 40139 Bologna, Italy. FAU - Dauvilliers, Yves AU - Dauvilliers Y AD - INSERM U1061, Reference Center for Narcolepsy, Sleep-Wake Disorders Center, Department of Neurology, Gui-de-Chauliac Hospital, Centre Hospitalier Regional Universitaire Montpellier, 34090 Montpellier, France. FAU - Pizza, Fabio AU - Pizza F AD - Department of Biomedical and Neuromotor Sciences, University of Bologna, Via Ugo Foscolo 7, 40123 Bologna, Italy; IRCCS Institute of Neurological Sciences, 40139 Bologna, Italy. FAU - Hong, Seung-Chul AU - Hong SC AD - Department of Psychiatry, St. Vincent's Hospital, The Catholic University of Korea, 442-723 Suwon, Korea. FAU - Jennum, Poul AU - Jennum P AD - Danish Center for Sleep Medicine, Department of Clinical Neurophysiology, University of Copenhagen, Glostrup Hospital, 2600 Glostrup, Denmark. FAU - Knudsen, Stine AU - Knudsen S AD - Norwegian Resource Center for ADHD, TS, and Narcolepsy, Oslo University Hospital, 0450 Ulleval, Norway. FAU - Kornum, Birgitte R AU - Kornum BR AD - Danish Center for Sleep Medicine, Department of Clinical Neurophysiology, University of Copenhagen, Glostrup Hospital, 2600 Glostrup, Denmark; Molecular Sleep Laboratory, Department of Diagnostics, Glostrup Hospital, 2600 Glostrup, Denmark. FAU - Dong, Xiao Song AU - Dong XS AD - Department of Pulmonary Medicine, Peking University People's Hospital, 100044 Beijing, China. FAU - Yan, Han AU - Yan H AD - Department of Pulmonary Medicine, Peking University People's Hospital, 100044 Beijing, China. FAU - Hong, Heeseung AU - Hong H AD - Stanford University Center for Sleep Sciences, Palo Alto, CA 94304, USA. FAU - Coquillard, Cristin AU - Coquillard C AD - Department of Pathology, Stanford University School of Medicine, Stanford, CA 94304, USA. FAU - Mahlios, Joshua AU - Mahlios J AD - Stanford University Center for Sleep Sciences, Palo Alto, CA 94304, USA. FAU - Jolanki, Otto AU - Jolanki O AD - Stanford University Center for Sleep Sciences, Palo Alto, CA 94304, USA. FAU - Einen, Mali AU - Einen M AD - Stanford University Center for Sleep Sciences, Palo Alto, CA 94304, USA. FAU - Arnulf, Isabelle AU - Arnulf I FAU - Hogl, Birgit AU - Hogl B AD - Department of Neurology, Medical University of Innsbruck, 6020 Innsbruck, Austria. FAU - Frauscher, Birgit AU - Frauscher B AD - Department of Neurology, Medical University of Innsbruck, 6020 Innsbruck, Austria. FAU - Crowe, Catherine AU - Crowe C AD - Mater Private Hospital, Dublin 7, Ireland. FAU - Partinen, Markku AU - Partinen M AD - Helsinki Sleep Clinic, Vitalmed Research Centre, 00420 Helsinki, Finland; Department of Clinical Neurosciences, University of Helsinki, 00100 Helsinki, Finland. FAU - Huang, Yu Shu AU - Huang YS AD - Chang Gung Memorial Hospital and University, Taipei 10591, Taiwan. FAU - Bourgin, Patrice AU - Bourgin P AD - Department of Sleep Medicine, Strasbourg University Hospital, Strasbourg University, 67084 Strasbourg, France. FAU - Vaarala, Outi AU - Vaarala O AD - Institute of Clinical Medicine, University of Helsinki, 00100 Helsinki, Finland. FAU - Desautels, Alex AU - Desautels A AD - Center for Advanced Research in Sleep Medicine, Hopital du Sacre-Coeur and Department of Neurosciences, University of Montreal, Montreal, QC H3T 1J4, Canada. FAU - Montplaisir, Jacques AU - Montplaisir J AD - Center for Advanced Research in Sleep Medicine, Hopital du Sacre-Coeur and Department of Psychiatry, University of Montreal, Montreal QC H3T 1J4, Canada. FAU - Mack, Steven J AU - Mack SJ AD - Children's Hospital Oakland Research Institute, 5700 Martin Luther King Junior Way, Oakland, CA 94609-1673, USA. FAU - Mindrinos, Michael AU - Mindrinos M AD - Stanford Genome Technology Center, Stanford University, Palo Alto, CA 94304, USA. FAU - Fernandez-Vina, Marcelo AU - Fernandez-Vina M AD - Department of Pathology, Stanford University School of Medicine, Stanford, CA 94304, USA. FAU - Mignot, Emmanuel AU - Mignot E AD - Stanford University Center for Sleep Sciences, Palo Alto, CA 94304, USA. Electronic address: mignot@stanford.edu. LA - eng GR - WT_/Wellcome Trust/United Kingdom GR - P50 NS023724/NS/NINDS NIH HHS/United States GR - NS23724/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United States TA - Am J Hum Genet JT - American journal of human genetics JID - 0370475 RN - 0 (HLA-B Antigens) RN - 0 (HLA-DP Antigens) RN - 0 (HLA-DP beta-Chains) RN - 0 (HLA-DPB1 antigen) RN - 0 (HLA-DQ alpha-Chains) RN - 0 (HLA-DQA1 antigen) RN - 0 (HLA-DR Antigens) RN - 0 (Histocompatibility Antigens Class I) RN - Narcolepsy 1 SB - IM EIN - Am J Hum Genet. 2015 May 7;96(5):852. Lavault, Sophie [removed]; Arnulf, Isabelle [added] MH - Alleles MH - Asian People MH - Case-Control Studies MH - Cohort Studies MH - Female MH - Genetic Loci MH - HLA-B Antigens/genetics/metabolism MH - HLA-DP Antigens/genetics/metabolism MH - HLA-DP beta-Chains/*genetics/metabolism MH - HLA-DQ alpha-Chains/genetics/metabolism MH - HLA-DR Antigens/genetics/metabolism MH - Haplotypes MH - Histocompatibility Antigens Class I/*genetics/metabolism MH - Humans MH - Influenza A Virus, H1N1 Subtype/genetics MH - Male MH - Narcolepsy/*genetics MH - Risk Factors MH - White People PMC - PMC4289679 EDAT- 2015/01/13 06:00 MHDA- 2015/03/15 06:00 PMCR- 2015/07/08 CRDT- 2015/01/10 06:00 PHST- 2014/09/23 00:00 [received] PHST- 2014/12/08 00:00 [accepted] PHST- 2015/01/10 06:00 [entrez] PHST- 2015/01/13 06:00 [pubmed] PHST- 2015/03/15 06:00 [medline] PHST- 2015/07/08 00:00 [pmc-release] AID - S0002-9297(14)00516-3 [pii] AID - 10.1016/j.ajhg.2014.12.010 [doi] PST - ppublish SO - Am J Hum Genet. 2015 Jan 8;96(1):136-46. doi: 10.1016/j.ajhg.2014.12.010.