PMID- 27268619 OWN - NLM STAT- MEDLINE DCOM- 20170131 LR - 20170308 IS - 2476-762X (Electronic) IS - 1513-7368 (Linking) VI - 17 IP - 5 DP - 2016 TI - Susceptible and Protective Associations of HLA Alleles and Haplotypes with Cervical Cancer in South India. PG - 2491-7 AB - BACKGROUND: Human leukocyte antigen (HLA) genes have been implicated in cervical cancer in several populations. OBJECTIVES: To study the predispositions of HLA alleles/haplotypes with cervical cancer. MATERIALS AND METHODS: Clinically diagnosed and PAP smear confirmed cervical cancer patients (n 48) and age matched controls (n 47) were genotyped for HLA-A,-B,-DRB1* and DQB1* alleles by PCR-SSP methods. RESULTS: The frequencies of alleles DRB1*04 (OR=2.57), DRB1*15 (OR=2.04), DQB1*0301 (OR=4.91), DQB1*0601 (OR=2.21), B*15 (OR=13.03) and B*07 (OR=6.23) were higher in cervical cancer patients than in the controls. The frequencies of alleles DRB1*10 (OR=0.22) and B*35 (OR=0.19) were decreased. Strong disease associations were observed for haplotypes DRB1*15-DQB1*0601 (OR=6.56; < 3.5.10-4), DRB1*14-DQB1*0501 (OR=6.51; <0.039) and A*11-B*07 (OR=3.95; <0.005). The reduced frequencies of haplotypes DRB1*10-DQB1*0501 (OR=0.45), A*03-B*35 (OR=0.25) and A*11-B*35 (OR= 0.06) among patients suggested a protective association. HLA-C* typing of 8 patients who possessed a unique three locus haplotype 'A*11-B*07-DRB1*04' (8/48; 16.66%; OR=6.51; <0.039) revealed the presence of a four locus haplotype 'A*11-B*07-C*01-DRB1*04' in patients (4/8; 50%). Amino acid variation analysis of susceptible allele DQB1*0601 suggested 'tyrosine' at positions beta9 and beta37 and tyrosine-non-tyrosine genotype combination increased the risk of cervical cancer. CONCLUSIONS: Strong susceptible associations were documented for HLA alleles B*15, B*07, DRB1*04, DRB1*15, DQB1*0301, DQB1*0601 and haplotypes DRB1*15-DQB1*0601 and DRB1*14-DQB1*0501. Further, protective associations were evidenced for alleles B*35 and DRB1*10 and haplotypes A*11-B*35 and DRB1*10-DQB1*0501 with cervical cancer in South India. FAU - Rathika, Chinniah AU - Rathika C AD - Department of Immunology, School of Biological Sciences, Madurai Kamaraj University, Madurai, India E-mail : immunobala@ mkuniversity.org. FAU - Murali, Vijayan AU - Murali V FAU - Dhivakar, Mani AU - Dhivakar M FAU - Kamaraj, Raju AU - Kamaraj R FAU - Malini, Ravi Padma AU - Malini RP FAU - Ramgopal, Sivanadham AU - Ramgopal S FAU - Balakrishnan, Karuppiah AU - Balakrishnan K LA - eng PT - Comparative Study PT - Journal Article PL - Thailand TA - Asian Pac J Cancer Prev JT - Asian Pacific journal of cancer prevention : APJCP JID - 101130625 RN - 0 (HLA-C Antigens) SB - IM MH - Alleles MH - Case-Control Studies MH - Female MH - Follow-Up Studies MH - *Genetic Predisposition to Disease MH - Genotype MH - HLA-C Antigens/*genetics MH - Haplotypes/*genetics MH - Humans MH - India/epidemiology MH - Middle Aged MH - Polymerase Chain Reaction MH - Polymorphism, Single-Stranded Conformational MH - Prevalence MH - Prognosis MH - Uterine Cervical Neoplasms/epidemiology/*genetics/prevention & control EDAT- 2016/06/09 06:00 MHDA- 2017/02/01 06:00 CRDT- 2016/06/09 06:00 PHST- 2016/06/09 06:00 [entrez] PHST- 2016/06/09 06:00 [pubmed] PHST- 2017/02/01 06:00 [medline] PST - ppublish SO - Asian Pac J Cancer Prev. 2016;17(5):2491-7.