PMID- 31473973 OWN - NLM STAT- MEDLINE DCOM- 20200512 LR - 20221207 IS - 1179-2000 (Electronic) IS - 1177-1062 (Linking) VI - 23 IP - 6 DP - 2019 Dec TI - HLA Correlations with Clinical Phenotypes and Risk of Metabolic Comorbidities in Singapore Chinese Psoriasis Patients. PG - 751-760 LID - 10.1007/s40291-019-00423-z [doi] AB - INTRODUCTION: Psoriasis is a systemic, chronic inflammatory disease that not only afflicts the skin but is also associated with cardiovascular disease and metabolic syndrome. The strongest susceptibility loci for the disease is within the human leukocyte antigen (HLA) complex, though specific HLA allelic associations vary between populations. OBJECTIVE: Our objective was to investigate HLA associations with clinical phenotypes of psoriasis and metabolic syndrome in Chinese psoriasis cases. METHODS: We conducted an observational case-control study in Singapore with a cohort of psoriasis cases consecutively recruited from an outpatient specialist dermatological center (n = 120) compared with 130 healthy controls. RESULTS: Significant HLA associations with psoriasis were observed with HLA-A*02:07, B*46:01, C*01:02, and C*06:02. The three-locus haplotype of A*02:07-C*01:02-B*46:01 was also significant (odds ratio [OR] 3.07; p = 9.47 x 10(-5)). We also observed an association between nail psoriasis and HLA-A*02:07 carriers (OR 4.50; p = 0.002), whereas C*06:02 carriers were less prone to have nail involvement (OR 0.16; p = 0.004). HLA-A*02:07 was also identified as a possible risk allele for hypertension (OR 2.90; p < 0.05), and C*01:02 was a possible risk allele for dyslipidemia (OR 3.36; p < 0.05), both known to be common comorbidities in patients with psoriasis. CONCLUSION: Our results demonstrate the growing importance of discerning population-specific clinical phenotypes and their association with certain HLA alleles in psoriasis. FAU - Shen, Meixin AU - Shen M AD - Singapore Immunology Network (SIgN), A*STAR, 8A Biomedical Grove, #03-06, Immunos Building, Singapore, 138648, Singapore. FAU - Lim, Soon Wei Daniel AU - Lim SWD AD - John A. Paulson School of Engineering and Applied Sciences, Harvard University, Cambridge, Massachusetts, USA. FAU - Tan, Eugene S AU - Tan ES AD - National Skin Centre (S) Pte Ltd, 1 Mandalay Rd, Singapore, 308205, Singapore. FAU - Oon, Hazel H AU - Oon HH AD - National Skin Centre (S) Pte Ltd, 1 Mandalay Rd, Singapore, 308205, Singapore. hazeloon@nsc.com.sg. FAU - Ren, Ee Chee AU - Ren EC AUID- ORCID: 0000-0001-5039-2207 AD - Singapore Immunology Network (SIgN), A*STAR, 8A Biomedical Grove, #03-06, Immunos Building, Singapore, 138648, Singapore. ren_ee_chee@immunol.a-star.edu.sg. AD - Department of Microbiology and Immunology, National University of Singapore, 5 Science Drive 2, MD4, Level 3, Singapore, 117545, Singapore. ren_ee_chee@immunol.a-star.edu.sg. LA - eng PT - Journal Article PT - Observational Study PT - Research Support, Non-U.S. Gov't PL - New Zealand TA - Mol Diagn Ther JT - Molecular diagnosis & therapy JID - 101264260 RN - 0 (HLA Antigens) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Asian People/*genetics MH - Case-Control Studies MH - Dyslipidemias/*genetics MH - Female MH - Genetic Association Studies MH - Genetic Predisposition to Disease MH - HLA Antigens/*genetics MH - Humans MH - Hypertension/*genetics MH - Male MH - Middle Aged MH - Psoriasis/*genetics MH - Singapore/ethnology MH - Young Adult EDAT- 2019/09/02 06:00 MHDA- 2020/05/19 06:00 CRDT- 2019/09/02 06:00 PHST- 2019/09/02 06:00 [pubmed] PHST- 2020/05/19 06:00 [medline] PHST- 2019/09/02 06:00 [entrez] AID - 10.1007/s40291-019-00423-z [pii] AID - 10.1007/s40291-019-00423-z [doi] PST - ppublish SO - Mol Diagn Ther. 2019 Dec;23(6):751-760. doi: 10.1007/s40291-019-00423-z.