PMID- 31393374 OWN - NLM STAT- MEDLINE DCOM- 20190820 LR - 20221005 IS - 1536-5964 (Electronic) IS - 0025-7974 (Print) IS - 0025-7974 (Linking) VI - 98 IP - 32 DP - 2019 Aug TI - Analysis of human leukocyte antigen allele polymorphism in patients with non alcoholic fatty liver disease. PG - e16704 LID - 10.1097/MD.0000000000016704 [doi] LID - e16704 AB - The human leukocyte antigen (HLA) genes may play a role in the pathogenesis of non-alcoholic fatty liver disease (NAFLD) and its progressive form, non-alcoholic steatohepatitis (NASH). The aim of this study was to assess the association of HLA class I and II alleles with NASH and its histological features.Deoxyribonucleic acid (DNA) was extracted from 140 subjects (85 biopsy-proven NAFLD and 55 controls) and genotyped for HLA (-A, -B, -C, -DR1, -DR3, -DQ, and -DP). Liver biopsies were assessed for presence of NASH, degree of fibrosis and inflammation. Multivariate analysis was performed to assess associations between HLA genes and different histologic features of NAFLD.Our data for HLA class I showed that HLA-C*4 was associated with lower risk for histologic NASH and HLA-C*6 was protective against portal fibrosis. Conversely, HLA-B*27 was associated with high-grade hepatic steatosis, while HLA-A*31 was associated with increased risk for advanced fibrosis. Among HLA class II alleles, HLA-DQA1*01 was associated with lower risk for NASH while HLA-DRB1*03 was associated with increased risk for NASH.Our findings indicate that HLA class I and II gene polymorphism may be associated with susceptibility to NASH, fibrosis and other pathologic features and may be involved in the pathogenesis of NAFLD. FAU - Karrar, Azza AU - Karrar A AD - Betty and Guy Beatty Center for Integrated Research, Inova Health System. FAU - Hariharan, Siddharth AU - Hariharan S AD - Betty and Guy Beatty Center for Integrated Research, Inova Health System. FAU - Fazel, Yousef AU - Fazel Y AD - Betty and Guy Beatty Center for Integrated Research, Inova Health System. FAU - Moosvi, Ali AU - Moosvi A AD - Betty and Guy Beatty Center for Integrated Research, Inova Health System. FAU - Houry, Mohamad AU - Houry M AD - Betty and Guy Beatty Center for Integrated Research, Inova Health System. FAU - Younoszai, Zahra AU - Younoszai Z AD - Betty and Guy Beatty Center for Integrated Research, Inova Health System. FAU - Jeffers, Thomas AU - Jeffers T AD - Betty and Guy Beatty Center for Integrated Research, Inova Health System. FAU - Zheng, Li AU - Zheng L AD - Betty and Guy Beatty Center for Integrated Research, Inova Health System. FAU - Munkhzul, Otgonsuren AU - Munkhzul O AD - Betty and Guy Beatty Center for Integrated Research, Inova Health System. FAU - Hunt, Sharon AU - Hunt S AD - Betty and Guy Beatty Center for Integrated Research, Inova Health System. FAU - Monge, Fanny AU - Monge F AD - Center for Liver Diseases, Department of Medicine, Inova Fairfax Hospital, Falls Church, VA. FAU - Goodman, Zachary AU - Goodman Z AD - Center for Liver Diseases, Department of Medicine, Inova Fairfax Hospital, Falls Church, VA. FAU - Younossi, Zobair M AU - Younossi ZM AD - Betty and Guy Beatty Center for Integrated Research, Inova Health System. AD - Center for Liver Diseases, Department of Medicine, Inova Fairfax Hospital, Falls Church, VA. LA - eng PT - Journal Article PT - Observational Study PL - United States TA - Medicine (Baltimore) JT - Medicine JID - 2985248R RN - 0 (Histocompatibility Antigens Class I) RN - 0 (Histocompatibility Antigens Class II) SB - IM MH - Adult MH - Alleles MH - Female MH - Histocompatibility Antigens Class I/*genetics MH - Histocompatibility Antigens Class II/*genetics MH - Humans MH - Male MH - Middle Aged MH - Non-alcoholic Fatty Liver Disease/*genetics/immunology/pathology MH - Polymorphism, Genetic MH - Prospective Studies PMC - PMC6708789 COIS- The authors have no conflicts of interest to disclose. EDAT- 2019/08/09 06:00 MHDA- 2019/08/21 06:00 PMCR- 2019/08/09 CRDT- 2019/08/09 06:00 PHST- 2019/08/09 06:00 [entrez] PHST- 2019/08/09 06:00 [pubmed] PHST- 2019/08/21 06:00 [medline] PHST- 2019/08/09 00:00 [pmc-release] AID - 00005792-201908090-00034 [pii] AID - MD-D-19-01802 [pii] AID - 10.1097/MD.0000000000016704 [doi] PST - ppublish SO - Medicine (Baltimore). 2019 Aug;98(32):e16704. doi: 10.1097/MD.0000000000016704.