PMID- 30119146 OWN - NLM STAT- MEDLINE DCOM- 20181126 LR - 20181126 IS - 1303-6165 (Electronic) IS - 1300-0144 (Linking) VI - 48 IP - 4 DP - 2018 Aug 16 TI - Relationship of serum HLA-B alleles and TNF-alpha with rheumatic heart disease. PG - 724-729 LID - 10.3906/sag-1707-58 [doi] AB - BACKGROUND/AIM: Acute rheumatic fever and rheumatic heart disease are major causes of morbidity and mortality in developing countries. Genetic studies have determined that the immune response in rheumatic heart disease is genetically controlled and that there is a close relationship between the gene of concern and the class II human leukocyte antigen (HLA) gene. The aim of this study was to evaluate the relationship of serum HLA-B alleles and tumor necrosis factor alpha (TNF-alpha) with rheumatic heart disease. MATERIALS AND METHODS: A total of 50 consecutive patients with rheumatic heart disease and 50 controls were enrolled in the study. HLA alleles were analyzed using sequence-specific primer-polymerase chain reaction and nucleotide sequencing. RESULTS: The HLA-B35 allele was significantly more common in patients with rheumatic heart disease than the control group (P = 0.043). The HLA-B44 allele was significantly more common in control patients than in patients with rheumatic heart disease (P = 0.014). There was a significant inverse correlation between high-sensitivity C-reactive protein and mitral valve area (P = 0.001). There was no correlation between TNF-alpha levels and mitral valve area (P = 0.066). CONCLUSION: Our findings confirmed the association between HLA-B alleles and rheumatic heart disease. FAU - Eyiol, Azmi AU - Eyiol A AUID- ORCID: 0000-0003-2740-1966 FAU - Yayla, Cagri AU - Yayla C AUID- ORCID: 0000-0002-5302-4052 FAU - Unlu, Serkan AU - Unlu S AUID- ORCID: 0000-0001-6179-8579 FAU - Tufan, Abdurrahman AU - Tufan A AUID- ORCID: 0000-0001-6244-9362 FAU - Cemri, Mustafa AU - Cemri M AUID- ORCID: 0000-0002-8259-5970 FAU - Yalcin, Ridvan AU - Yalcin R AUID- ORCID: 0000-0001-5585-1505 FAU - Boyaci, Bulent AU - Boyaci B AUID- ORCID: 0000-0002-3807-2021 LA - eng PT - Journal Article DEP - 20180816 PL - Turkey TA - Turk J Med Sci JT - Turkish journal of medical sciences JID - 9441758 RN - 0 (HLA-B Antigens) RN - 0 (Tumor Necrosis Factor-alpha) RN - 9007-41-4 (C-Reactive Protein) SB - IM MH - Adult MH - *Alleles MH - Base Sequence MH - C-Reactive Protein/metabolism MH - Female MH - *Gene Frequency MH - Genetic Predisposition to Disease MH - *Genotype MH - HLA-B Antigens/blood/*genetics MH - Humans MH - Male MH - Mitral Valve MH - Polymerase Chain Reaction MH - Rheumatic Heart Disease/blood/*genetics MH - Tumor Necrosis Factor-alpha/*blood OTO - NOTNLM OT - *Rheumatic heart disease OT - *human leukocyte antigen B subgroups OT - *tumor necrosis factor alpha EDAT- 2018/08/18 06:00 MHDA- 2018/11/27 06:00 CRDT- 2018/08/18 06:00 PHST- 2018/08/18 06:00 [entrez] PHST- 2018/08/18 06:00 [pubmed] PHST- 2018/11/27 06:00 [medline] AID - 10.3906/sag-1707-58 [doi] PST - epublish SO - Turk J Med Sci. 2018 Aug 16;48(4):724-729. doi: 10.3906/sag-1707-58.