PMID- 25953150 OWN - NLM STAT- MEDLINE DCOM- 20160414 LR - 20221207 IS - 1590-3478 (Electronic) IS - 1590-1874 (Linking) VI - 36 IP - 7 DP - 2015 Jul TI - The HLA-B*4601-DRB1*0901 haplotype is positively correlated with juvenile ocular myasthenia gravis in a southern Chinese Han population. PG - 1135-40 LID - 10.1007/s10072-015-2235-9 [doi] AB - Myasthenia gravis (MG) is a sporadic disorder that has been increasingly linked to inherited genetic factors. Previous studies have demonstrated that human leukocyte antigen (HLA) plays an important role in the pathogenesis of MG. We determined the genotypes of the HLA-A, B, and DRB1 alleles in 257 southern Chinese Han MG patients using polymerase chain reaction sequence-based typing (PCR-SBT). The allele frequencies in the MG patients were compared to 292 healthy controls using the case-control method. HLA-A*0207, HLA-B*4601, HLA-DRB1*0403, HLA-DRB1*0901, and HLA-DRB1*1602 were more frequent in juvenile ocular MG patients than controls. HLA-DRB1*0701 was significantly reduced in the juvenile ocular MG group compared with controls. HLA-A*0207-B*4601, HLA-B*4601-DRB1*0403, HLA-B*4601-DRB1*0901, and HLA-B*4601-DRB1*1602 were found to be in strong linkage disequilibrium in juvenile ocular MG patients. Within the MG patients, there was a strong positive association between HLA-B*4601-DRB1*0901 and juvenile ocular MG patients, and the value of odds ratios (OR) decreased as the disease became more severe and the age of onset increased. We believe this could be the main heredity phenotype in juvenile ocular MG patients from southern China and may be a clinical marker to predict the severity of the disease. FAU - Feng, Hui-Yu AU - Feng HY AD - Department of Neurology, The First Affiliated Hospital, Sun Yat-sen University, 58 Zhongshan 2nd Road, Guangzhou, 510080, China. FAU - Yang, Li-Xuan AU - Yang LX FAU - Liu, Wei-Bin AU - Liu WB FAU - Huang, Xin AU - Huang X FAU - Qiu, Li AU - Qiu L FAU - Li, Yan AU - Li Y LA - eng PT - Journal Article DEP - 20150508 PL - Italy TA - Neurol Sci JT - Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology JID - 100959175 RN - 0 (HLA-B Antigens) RN - 0 (HLA-B*46:01 antigen) RN - 0 (HLA-DRB1 Chains) SB - IM MH - Adult MH - Age of Onset MH - Asian People/ethnology/genetics MH - Female MH - Gene Frequency MH - Genetic Predisposition to Disease/*genetics MH - Genotype MH - HLA-B Antigens/*genetics MH - HLA-DRB1 Chains/*genetics MH - Haplotypes MH - Humans MH - Linkage Disequilibrium MH - Male MH - Myasthenia Gravis/epidemiology/ethnology/*genetics MH - Severity of Illness Index MH - Young Adult EDAT- 2015/05/09 06:00 MHDA- 2016/04/15 06:00 CRDT- 2015/05/09 06:00 PHST- 2014/11/04 00:00 [received] PHST- 2015/04/28 00:00 [accepted] PHST- 2015/05/09 06:00 [entrez] PHST- 2015/05/09 06:00 [pubmed] PHST- 2016/04/15 06:00 [medline] AID - 10.1007/s10072-015-2235-9 [doi] PST - ppublish SO - Neurol Sci. 2015 Jul;36(7):1135-40. doi: 10.1007/s10072-015-2235-9. Epub 2015 May 8.