PMID- 26668647 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 1792-0981 (Print) IS - 1792-1015 (Electronic) IS - 1792-0981 (Linking) VI - 10 IP - 6 DP - 2015 Dec TI - Correlation analysis of severe aplastic anemia immunosuppressive therapy and human leukocyte antigen alleles in pediatric patients. PG - 2396-2402 AB - The aim of the present study was to investigate the correlation between the efficacy of immunosuppressive therapy (IST) in children with severe aplastic anemia (SAA) and human leukocyte antigen (HLA) alleles. The polymerase chain reaction-sequence based typing high-resolution genotyping method was used to profile the HLA alleles of 115 SAA cases that were treated with rabbit-antithymocyte globulin (r-ATG) + cyclosporine (CsA) immunosuppressive therapy and 222 normal control subjects. The aim was to compare the frequency distribution of HLA alleles among the IST-effective group, the IST-ineffective group and the healthy control group. The results showed that the gene frequencies (GFs) of HLA-B*15:02, B*40:02, B*48:01, DRB1*09:01, C*01:02, C*03:04, DQB1*03:03 and DQB1*06:02 in the IST-effective group were significantly higher compared with those in the healthy control group, with a statistically significant difference. The GFs of HLA-B*15:11, B*38:01, B*39:05, DRB1*15:01, C*01:02 and C*08:22 in the IST-ineffective group were significantly increased compared with those in the healthy control group, with a statistically significant difference. The gene frequency of HLA-A*29:01 in the IST-effective group was significantly reduced compared with that in the IST-ineffective group, and the difference was statistically significant. In summary, IST efficacy in children with SAA that express the HLA-B*15:02, B*40:02, B*48:01, DRB1*09:01, C*01:02, C*03:04, DQB1*03:03 and DQB1*06:02 alleles may be superior, while the efficacy may be mitigated in children with SAA who express HLA-A*29:01, B*15:11, B*38:01, B*39:05, DRB1*15:01, C*01:02, C*08:22 alleles. FAU - Fu, Ru-Ting AU - Fu RT AD - Department of Pediatrics, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, Guangdong 510000, P.R. China. FAU - Xue, Hong-Man AU - Xue HM AD - Department of Pediatrics, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, Guangdong 510000, P.R. China. FAU - Zhang, Bi-Hong AU - Zhang BH AD - Department of Pediatrics, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, Guangdong 510000, P.R. China. FAU - Wang, Jian AU - Wang J AD - Department of Pediatrics, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, Guangdong 510000, P.R. China. FAU - Lin, Shao-Fen AU - Lin SF AD - Department of Pediatrics, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, Guangdong 510000, P.R. China. FAU - Chen, Chun AU - Chen C AD - Department of Pediatrics, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, Guangdong 510000, P.R. China. LA - eng PT - Journal Article DEP - 20151015 PL - Greece TA - Exp Ther Med JT - Experimental and therapeutic medicine JID - 101531947 PMC - PMC4665386 OTO - NOTNLM OT - high-resolution OT - human leukocyte antigen alleles OT - immunosuppressive therapy OT - severe aplastic anemia EDAT- 2015/12/17 06:00 MHDA- 2015/12/17 06:01 PMCR- 2015/10/15 CRDT- 2015/12/16 06:00 PHST- 2014/08/25 00:00 [received] PHST- 2015/08/20 00:00 [accepted] PHST- 2015/12/16 06:00 [entrez] PHST- 2015/12/17 06:00 [pubmed] PHST- 2015/12/17 06:01 [medline] PHST- 2015/10/15 00:00 [pmc-release] AID - ETM-0-0-2807 [pii] AID - 10.3892/etm.2015.2807 [doi] PST - ppublish SO - Exp Ther Med. 2015 Dec;10(6):2396-2402. doi: 10.3892/etm.2015.2807. Epub 2015 Oct 15.