PMID- 30715139 OWN - NLM STAT- MEDLINE DCOM- 20200831 LR - 20200831 IS - 1527-330X (Electronic) IS - 1090-820X (Linking) VI - 39 IP - 10 DP - 2019 Sep 13 TI - Differences in Human Leukocyte Antigen Expression Between Breast Implant-Associated Anaplastic Large Cell Lymphoma Patients and the General Population. PG - 1065-1070 LID - 10.1093/asj/sjz021 [doi] AB - BACKGROUND: Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is an uncommon T-cell lymphoma associated with textured-surface breast implants. Human leukocyte antigen (HLA) polymorphisms have been described with other forms of lymphoma, but have not been described for BIA-ALCL. OBJECTIVES: The aim of this study was to evaluate HLA polymorphisms in BIA-ALCL patients. METHODS: We prospectively evaluated HLA alleles in patients with BIA-ALCL. HLA was analyzed by probe-based sequence-specific testing and sequence-based typing. The frequencies of HLA-A, HLA-B, HLA-C, HLA-DRB1, and HLA-DQB1 alleles were evaluated. Allele frequencies in the Caucasian European general population were obtained from the National Marrow Donor Program to serve as normative controls. We estimated the relative risk of BIA-ALCL with 95% confidence intervals from a t test. RESULTS: Thirteen patients who had undergone BIA-ALCL and HLA testing were identified from 2017 to 2018. Patients carried 10, 11, and 9 HLA-A, HLA-B, and HLA-C alleles, respectively. There were 8 DRB1 alleles and 5 DQB1 alleles in the BIA-ALCL patients. The A*26 allele occurred significantly more frequently in the general population compared with BIA-ALCL patients (0.2992 vs 0.07692, P < 0.001). CONCLUSIONS: Our results identify a difference between HLA A*26 in patients who develop BIA-ALCL and the general population, and may signify genetic susceptibility factors responsible for germline genetic variation in HLA in patients with BIA-ALCL. Further work is needed to elucidate if these alleles are predictive for BIA-ALCL in women with textured-surface breast implants.Level of Evidence: 4. CI - (c) 2019 The American Society for Aesthetic Plastic Surgery, Inc. Reprints and permission: journals.permissions@oup.com. FAU - Tevis, Sarah E AU - Tevis SE AD - Department of Surgery, University of Colorado, Aurora, CO. FAU - Hunt, Kelly K AU - Hunt KK AD - Department of Breast Surgical Oncology, MD Anderson Cancer Center, Houston, TX. FAU - Miranda, Roberto N AU - Miranda RN AD - Department of Hematopathology, MD Anderson Cancer Center, Houston, TX. FAU - Lange, Caitlin AU - Lange C AD - Department of Plastic Surgery, MD Anderson Cancer Center, Houston, TX. FAU - Butler, Charles E AU - Butler CE AD - Department of Plastic Surgery, MD Anderson Cancer Center, Houston, TX. FAU - Clemens, Mark W AU - Clemens MW AD - Department of Plastic Surgery, MD Anderson Cancer Center, Houston, TX. AD - Breast Surgery Section Co-editor for Aesthetic Surgery Journal. LA - eng PT - Journal Article PL - England TA - Aesthet Surg J JT - Aesthetic surgery journal JID - 9707469 RN - 0 (HLA Antigens) SB - IM MH - Adult MH - Aged MH - Alleles MH - Bone Marrow/pathology MH - Breast/pathology/surgery MH - Breast Implantation/*adverse effects/instrumentation MH - Breast Implants/*adverse effects MH - Breast Neoplasms/surgery MH - Case-Control Studies MH - Female MH - Gene Frequency MH - Genetic Predisposition to Disease MH - Genotyping Techniques MH - HLA Antigens/*genetics MH - Humans MH - Lymphoma, Large-Cell, Anaplastic/diagnosis/etiology/*genetics/pathology MH - Mastectomy/adverse effects MH - Middle Aged MH - Prospective Studies MH - Surface Properties EDAT- 2019/02/05 06:00 MHDA- 2020/09/01 06:00 CRDT- 2019/02/05 06:00 PHST- 2019/02/05 06:00 [pubmed] PHST- 2020/09/01 06:00 [medline] PHST- 2019/02/05 06:00 [entrez] AID - 5306130 [pii] AID - 10.1093/asj/sjz021 [doi] PST - ppublish SO - Aesthet Surg J. 2019 Sep 13;39(10):1065-1070. doi: 10.1093/asj/sjz021.