PMID- 27522736 OWN - NLM STAT- MEDLINE DCOM- 20160901 LR - 20191113 IS - 0250-636X (Print) IS - 0250-636X (Linking) VI - 36 IP - 3 DP - 2015 Jul-Sep TI - HLA - DQ genotyping in celiac disease in western India. PG - 174-8 AB - BACKGROUND AND AIMS: Very few human leukocyte antigen (HLA) studies have been carried out in celiac disease patients in India. The aim was to study the HLA DQ antigens in diagnosed celiac disease patients. METHODS: The cross sectional study analysed non-consecutive 34 celiac patients diagnosed as per modified ESPGHAN criteria at tertiary centre and compared with 25 controls. The HLA-DQ typing was carried out using Histo Spot SSO HLA DQ celiac disease kit by tissue typing department. RESULTS: Out of 34 celiac disease patients (26 females, age +/- SD 38.79 +/- 15.84 years), 59% presented with typical diarrheal disease. Anemia (76%) was most common extra intestinal manifestation followed by bone pain (53%), neurological (12%) and infertility (3%). All 34 patients were IgA antiendomysial antibody positive out of which 32 patients (94%) were HLA-DQ positive (31 patients were HLA-DQ 2 and 1 was HLA-DQ 8 positive).Among HLA positive patients 13, 9 and 10 patients had modified Marsh stage 1, 2 and 3 respectively. HLA DQ 2 and DQ8 positivity among celiac patients (94%) was statistically significant as compared to controls (12%) (P< 0.0001). HLA DQ 2.5 (DQA1*0501 :DQB1*0201 haplotype) and DQ 2 (DQB1*02) haplotypes were common accounting for 70% of patients followed by DQ X.5, DQ8 and DQ 2.2. CONCLUSION: Celiac disease in Indian patients is predominantly associated with HLA DQ 2 and DQ 8 genotype and has high positive predictive value for diagnosis when combined with serology in symptomatic patients. FAU - Amarapurkar, Deepak N AU - Amarapurkar DN FAU - Somani, Vaibhav S AU - Somani VS FAU - Shah, Apurva S AU - Shah AS FAU - Kankonkar, Sharada R AU - Kankonkar SR LA - eng PT - Journal Article PL - India TA - Trop Gastroenterol JT - Tropical gastroenterology : official journal of the Digestive Diseases Foundation JID - 8107122 RN - 0 (HLA-DQ Antigens) SB - IM MH - Adult MH - Celiac Disease/*genetics MH - Cross-Sectional Studies MH - Female MH - Genetic Predisposition to Disease MH - Genotype MH - HLA-DQ Antigens/*genetics MH - Humans MH - India MH - Male MH - Retrospective Studies EDAT- 2016/08/16 06:00 MHDA- 2016/09/02 06:00 CRDT- 2016/08/16 06:00 PHST- 2016/08/16 06:00 [entrez] PHST- 2016/08/16 06:00 [pubmed] PHST- 2016/09/02 06:00 [medline] AID - 10.7869/tg.279 [doi] PST - ppublish SO - Trop Gastroenterol. 2015 Jul-Sep;36(3):174-8. doi: 10.7869/tg.279.