PMID- 31787121 OWN - NLM STAT- MEDLINE DCOM- 20210607 LR - 20210607 IS - 0317-1671 (Print) IS - 0317-1671 (Linking) VI - 47 IP - 2 DP - 2020 Mar TI - Human Leukocyte Antigen Genotype as a Marker of Multiple Sclerosis Prognosis. PG - 189-196 LID - 10.1017/cjn.2019.329 [doi] AB - OBJECTIVE: In a previous pilot monocentric study, we investigated the relation between human leukocyte antigen (HLA) genotype and multiple sclerosis (MS) disease progression over 2 years. HLA-A*02 allele was correlated with better outcomes, whereas HLA-B*07 and HLA-B*44 were correlated with worse outcomes. The objective of this extension study was to further investigate the possible association of HLA genotype with disease status and progression in MS as measured by sensitive and complex clinical and imaging parameters. METHODS: Hundred and forty-six MS patients underwent HLA typing. Over a 4-year period of follow-up, we performed three clinical and magnetic resonance imaging (MRI) assessments per patient, which respectively included Expanded Disability Status Scale, Multiple Sclerosis Severity Scale, Timed-25-Foot-Walk, 9-Hole Peg Test, Symbol Digit Modalities Test, Brief Visual Memory Test, California Verbal Learning Test-II, and whole-brain atrophy, fluid-attenuated inversion recovery (FLAIR) lesion volume change and number of new FLAIR lesions using icobrain. We then compared the clinical and MRI outcomes between predefined HLA patient groups. RESULTS: Results of this larger study with a longer follow-up are in line with what we have previously shown. HLA-A*02 allele is associated with potentially better MS outcomes, whereas HLA-B*07, HLA-B*44, HLA-B*08, and HLA-DQB1*06 with a potential negative effect. Results for HLA-DRB1*15 are inconclusive. CONCLUSION: In the era of MS treatment abundance, HLA genotype might serve as an early biomarker for MS outcomes to inform individualized treatment decisions. FAU - Lysandropoulos, Andreas P AU - Lysandropoulos AP AD - Department of Neurology, Erasme Hospital, Universite Libre de Bruxelles, Brussels, Belgium. FAU - Perrotta, Gaetano AU - Perrotta G AD - Department of Neurology, Erasme Hospital, Universite Libre de Bruxelles, Brussels, Belgium. FAU - Billiet, Thibo AU - Billiet T AD - Icometrix, Leuven, Belgium. FAU - Ribbens, Annemie AU - Ribbens A AD - Icometrix, Leuven, Belgium. FAU - Du Pasquier, Renaud AU - Du Pasquier R AD - Service of Neurology, Department of Clinical Neurosciences, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland. FAU - Pot Kreis, Caroline AU - Pot Kreis C AD - Service of Neurology, Department of Clinical Neurosciences, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland. FAU - Maggi, Pietro AU - Maggi P AD - Service of Neurology, Department of Clinical Neurosciences, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland. FAU - Theaudin, Marie AU - Theaudin M AD - Service of Neurology, Department of Clinical Neurosciences, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland. LA - eng PT - Journal Article PL - England TA - Can J Neurol Sci JT - The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques JID - 0415227 RN - 0 (HLA-A*02 antigen) RN - 0 (HLA-A2 Antigen) RN - 0 (HLA-B*07 antigen) RN - 0 (HLA-B44 Antigen) RN - 0 (HLA-B7 Antigen) RN - 0 (HLA-B8 Antigen) RN - 0 (HLA-DQ beta-Chains) RN - 0 (HLA-DQB1 antigen) RN - 0 (Histocompatibility Antigens Class I) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Disease Progression MH - Female MH - Genotype MH - HLA-A2 Antigen/genetics MH - HLA-B44 Antigen/genetics MH - HLA-B7 Antigen/genetics MH - HLA-B8 Antigen/genetics MH - HLA-DQ beta-Chains/*genetics MH - Histocompatibility Antigens Class I/*genetics MH - Humans MH - Magnetic Resonance Imaging MH - Male MH - Middle Aged MH - Multiple Sclerosis, Chronic Progressive/diagnostic imaging/drug therapy/*genetics/physiopathology MH - Multiple Sclerosis, Relapsing-Remitting/diagnostic imaging/drug therapy/*genetics/physiopathology MH - Prognosis MH - Young Adult OTO - NOTNLM OT - Clinical score OT - HLA genotype OT - Magnetic resonance imaging OT - Multiple sclerosis OT - Prognostic EDAT- 2019/12/04 06:00 MHDA- 2021/06/08 06:00 CRDT- 2019/12/03 06:00 PHST- 2019/12/04 06:00 [pubmed] PHST- 2021/06/08 06:00 [medline] PHST- 2019/12/03 06:00 [entrez] AID - S0317167119003299 [pii] AID - 10.1017/cjn.2019.329 [doi] PST - ppublish SO - Can J Neurol Sci. 2020 Mar;47(2):189-196. doi: 10.1017/cjn.2019.329.