PMID- 31469245 OWN - NLM STAT- MEDLINE DCOM- 20200512 LR - 20200518 IS - 2328-9503 (Electronic) IS - 2328-9503 (Linking) VI - 6 IP - 9 DP - 2019 Sep TI - Human leukocyte antigen-DQB1 polymorphisms and haplotype patterns in Guillain-Barre syndrome. PG - 1849-1857 LID - 10.1002/acn3.50884 [doi] AB - OBJECTIVE: The etiology of Guillain-Barre syndrome (GBS) remains enigmatic, although genetic and environmental factors are speculated to be associated with this autoimmune condition. We investigated whether polymorphisms and the haplotype structures of the human leukocyte antigen (HLA)-DQB1 gene relate to the autoimmune response to infection and affect the development of GBS. METHODS: HLA-DQB1 polymorphic alleles (*0201, *030x, *0401, *050x, *060x) were determined for 151 Bangladeshi patients with GBS and 151 ethnically matched healthy controls using sequence-specific polymerase chain reaction. Pairwise linkage disequilibrium (LD) and haplotype patterns were analyzed based on D ́statistics and the genotype package in R statistics, respectively. Association studies were conducted using Fisher's exact test and logistic regression analysis. The Bonferroni method was applied to correct for multiple comparisons, whereby the P-value was multiplied with the number of comparisons and denoted as Pc (Pc, P corrected). RESULTS: No associations were observed between HLA-DQB1 alleles and susceptibility to disease in the comparison between GBS patients and healthy subjects. Haplotype 9 (DQB1*0303-*0601) tended to be less frequent among patients with GBS than healthy controls (P = 0.006, OR = 0.49, 95% CI = 0.30-0.82; Pc = 0.06). Haplotype 5 (DQB1*0501-*0602) and the DQB1*0201 alleles were more frequent in the Campylobacter jejuni-triggered axonal variant of GBS (P = 0.024, OR = 4.06, 95% CI = 1.25-13.18; Pc = 0.24) and demyelinating subtype (P = 0.027, OR = 2.68, 95% CI = 1.17-6.17; Pc = 0.35), though these associations were not significant after Bonferroni correction. INTERPRETATION: This study indicates that HLA-DQB1 polymorphisms are not associated with susceptibility to GBS. In addition, these genetic markers did not influence the clinical features or serological subgroup in patients with C. jejuni-triggered axonal variant of GBS. CI - (c) 2019 The Authors. Annals of Clinical and Translational Neurology published by Wiley Periodicals, Inc on behalf of American Neurological Association. FAU - Hayat, Shoma AU - Hayat S AD - Laboratory Sciences and Services Division (LSSD), icddr,b, Dhaka, 1212, Bangladesh. AD - Department of Biochemistry and Molecular Biology, University of Dhaka, Dhaka, 1000, Bangladesh. FAU - Jahan, Israt AU - Jahan I AD - Laboratory Sciences and Services Division (LSSD), icddr,b, Dhaka, 1212, Bangladesh. FAU - Das, Avizit AU - Das A AD - Laboratory Sciences and Services Division (LSSD), icddr,b, Dhaka, 1212, Bangladesh. FAU - Hassan, Zahid AU - Hassan Z AD - Department of Physiology and Molecular Biology, Bangladesh, University of Health Sciences (BUHS), Dhaka, 1216, Bangladesh. FAU - Howlader, Zakir Hossain AU - Howlader ZH AD - Department of Biochemistry and Molecular Biology, University of Dhaka, Dhaka, 1000, Bangladesh. FAU - Mahmud, Ishtiaq AU - Mahmud I AD - Department of Biochemistry and Molecular Biology, University of Dhaka, Dhaka, 1000, Bangladesh. FAU - Deen Mohammad, Quazi AU - Deen Mohammad Q AD - National Institute of Neurosciences and Hospital, Dhaka, 1207, Bangladesh. FAU - Islam, Zhahirul AU - Islam Z AUID- ORCID: 0000-0003-0935-8079 AD - Laboratory Sciences and Services Division (LSSD), icddr,b, Dhaka, 1212, Bangladesh. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20190830 PL - United States TA - Ann Clin Transl Neurol JT - Annals of clinical and translational neurology JID - 101623278 RN - 0 (HLA-DQ beta-Chains) RN - 0 (HLA-DQB1 antigen) SB - IM MH - Adolescent MH - Adult MH - Alleles MH - Case-Control Studies MH - Female MH - Genetic Association Studies MH - Genetic Predisposition to Disease MH - Genotype MH - Guillain-Barre Syndrome/*genetics/immunology MH - HLA-DQ beta-Chains/*genetics MH - *Haplotypes MH - Humans MH - Male MH - *Polymorphism, Single Nucleotide MH - Young Adult PMC - PMC6764492 COIS- The authors do not have any conflict of interest to report. EDAT- 2019/08/31 06:00 MHDA- 2020/05/19 06:00 PMCR- 2019/08/30 CRDT- 2019/08/31 06:00 PHST- 2019/06/16 00:00 [received] PHST- 2019/07/29 00:00 [revised] PHST- 2019/08/11 00:00 [accepted] PHST- 2019/08/31 06:00 [pubmed] PHST- 2020/05/19 06:00 [medline] PHST- 2019/08/31 06:00 [entrez] PHST- 2019/08/30 00:00 [pmc-release] AID - ACN350884 [pii] AID - 10.1002/acn3.50884 [doi] PST - ppublish SO - Ann Clin Transl Neurol. 2019 Sep;6(9):1849-1857. doi: 10.1002/acn3.50884. Epub 2019 Aug 30.