PMID- 27788190 OWN - NLM STAT- MEDLINE DCOM- 20170614 LR - 20181113 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 11 IP - 10 DP - 2016 TI - Influence of HLA-DRB1 Alleles on the Variations of Antibody Response to Tuberculosis Serodiagnostic Antigens in Active Tuberculosis Patients. PG - e0165291 LID - 10.1371/journal.pone.0165291 [doi] LID - e0165291 AB - Serology-based tests for tuberculosis (TB) diagnosis, though rapid, efficient and easily implemented, have so far shown unsatisfactory levels of sensitivity and specificity, probably due to variations of the antibody response in TB patients. The number and types of seropositive antigens vary from individual to individual. The person-to-person variations of antigen recognition may be linked to genetic polymorphisms of the human leukocyte antigen (HLA) class II alleles. In the present study, we find that there is a significant increase in the frequency of HLA-DRB1*14 (P = 2.5x10-4) among subjects with high antibody response levels compared to those with low antibody levels. HLA-DRB1*15, the most frequent allelic group in the studied active TB population, positively correlates with subjects with low antibody response levels rather than subjects with high antibody response levels (P = 0.005), which indicates the loss of relevant antigens for screening of patients with this allelic group. The potential association between HLA-DRB1 allelic group and individual antigens implies that TB diagnostic yield could be improved by the addition of antigens screened at the proteome scale in infected subjects from the HLA-DRB1*15 allelic group. FAU - Zhou, Fangbin AU - Zhou F AD - Institute for Infectious Diseases and Vaccine Development, Tongji University School of Medicine, Shanghai, China. FAU - Xu, Xindong AU - Xu X AD - Institute for Infectious Diseases and Vaccine Development, Tongji University School of Medicine, Shanghai, China. FAU - Wu, Sijia AU - Wu S AD - Institute for Infectious Diseases and Vaccine Development, Tongji University School of Medicine, Shanghai, China. FAU - Cui, Xiaobing AU - Cui X AD - Institute for Infectious Diseases and Vaccine Development, Tongji University School of Medicine, Shanghai, China. FAU - Fan, Lin AU - Fan L AD - Clinic and Research Center of Tuberculosis, Shanghai Key Lab of Tuberculosis, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China. FAU - Pan, Weiqing AU - Pan W AD - Institute for Infectious Diseases and Vaccine Development, Tongji University School of Medicine, Shanghai, China. AD - Department of Tropical Infectious Diseases, Second Military Medical University, Shanghai, China. LA - eng PT - Journal Article DEP - 20161027 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Antibodies, Bacterial) RN - 0 (HLA-DRB1 Chains) SB - IM MH - Adult MH - *Alleles MH - Antibodies, Bacterial/*immunology MH - Female MH - HLA-DRB1 Chains/*genetics/*immunology MH - Humans MH - Male MH - Middle Aged MH - Serologic Tests MH - Tuberculosis/*diagnosis/*genetics/immunology PMC - PMC5082874 COIS- The authors have declared that no competing interests exist. EDAT- 2016/10/28 06:00 MHDA- 2017/06/15 06:00 PMCR- 2016/10/27 CRDT- 2016/10/28 06:00 PHST- 2016/01/30 00:00 [received] PHST- 2016/10/10 00:00 [accepted] PHST- 2016/10/28 06:00 [pubmed] PHST- 2017/06/15 06:00 [medline] PHST- 2016/10/28 06:00 [entrez] PHST- 2016/10/27 00:00 [pmc-release] AID - PONE-D-16-04286 [pii] AID - 10.1371/journal.pone.0165291 [doi] PST - epublish SO - PLoS One. 2016 Oct 27;11(10):e0165291. doi: 10.1371/journal.pone.0165291. eCollection 2016.