PMID- 31944588 OWN - NLM STAT- MEDLINE DCOM- 20201216 LR - 20201216 IS - 1756-185X (Electronic) IS - 1756-1841 (Linking) VI - 23 IP - 2 DP - 2020 Feb TI - Contribution of HLA-B*51:01 and -A*26:01 to Behcet's disease and their clinical association in Thai patients. PG - 247-255 LID - 10.1111/1756-185X.13785 [doi] AB - AIMS: To investigate susceptible human leukocyte antigen (HLA) alleles and their associations with clinical features in Thai patients with Behcet's disease (BD). METHOD: Eighteen HLA-A and 36 HLA-B alleles were determined in 42 Thai BD patients and 99 healthy controls (HCs) by reverse line blot assay, and reconfirmed by MICRO SSP assay. RESULTS: The BD patients had significantly higher allele frequency (AF) of HLA-B*51 than the HCs (13.10% vs 5.05%, P = .025). The AF of HLA-A*26, -A*26:01 and -B*51:01 also was higher and almost reached statistical significance (5.59% vs 1.52%, P = .054, 5.95% vs 1.52%, P = .054 and 10.71% vs 4.04%, P = .051, respectively). However, the BD patients had significantly higher AF of either HLA-A*26:01 or -B*51:01 (16.67% vs 5.56%, P = .005), or -A*26:01 or -B*51X (19.05% vs 6.56%, P = .003). The AF of HLA-B*51:01 and -B*51X increased significantly in -A*26:01 non-carrier BD patients (12.16% vs 4.17%, P = .024 and 14.86% vs 5.21%, P = .019, respectively); and that of HLA-A*26:01 was significantly higher in -B*51X non-carrier BD patients (7.58% vs 1.67%, P = .034). HLA-B*51:01 associated significantly with the presence of posterior uveitis and visual impairment (18.18% vs 2.50%, P = .031 for both conditions). HLA-B*51:01 was not observed in BD patients with gastrointestinal involvement or arthritis. Furthermore, the AF of HLA-B*51:01 was significantly higher in HLA-A*26:01 non-carrier BD patients without arthritis (17.30% vs 0%, P = .050). CONCLUSION: HLA-B*51:01 was a susceptible allele for Thai BD patients, and associated with posterior uveitis and visual impairment. HLA-A*26:01 was another susceptible allele in HLA-B*51X non-carrier patients. The protective effect of HLA-B*51:01 on arthritis needs further investigation. CI - (c) 2020 Asia Pacific League of Associations for Rheumatology and John Wiley & Sons Australia, Ltd. FAU - Louthrenoo, Worawit AU - Louthrenoo W AUID- ORCID: 0000-0003-3105-6122 AD - Division of Rheumatology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand. FAU - Kasitanon, Nuntana AU - Kasitanon N AD - Division of Rheumatology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand. FAU - Pathanapitoon, Kessara AU - Pathanapitoon K AD - Department of Ophthalmology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand. FAU - Wangkaew, Suparaporn AU - Wangkaew S AD - Division of Rheumatology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand. FAU - Kuwata, Shoji AU - Kuwata S AD - Department of Internal Medicine, Faculty of Medicine, Teikyo University School of Medicine, Ichihara, Japan. FAU - Nishi, Ai AU - Nishi A AD - Department of Ophthalmology, The University of Tokyo Hospital, Tokyo, Japan. FAU - Kaburaki, Toshikatsu AU - Kaburaki T AD - Department of Ophthalmology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. FAU - Tanaka, Rie AU - Tanaka R AD - Department of Ophthalmology, The University of Tokyo Hospital, Tokyo, Japan. FAU - Takeuchi, Fujio AU - Takeuchi F AD - Department of Internal Medicine (Allergy and Rheumatology), Faculty of Medicine, University of Tokyo, Tokyo, Japan. LA - eng GR - No. 01-2004/Chiang Mai University Research Fund/ GR - No. 23406031, and No. 16H05840/Grants-in-Aid for Science Research from the Ministry of Education, Culture, Sport, Science and Technology of Japan/ PT - Journal Article DEP - 20200115 PL - England TA - Int J Rheum Dis JT - International journal of rheumatic diseases JID - 101474930 RN - 0 (HLA-A Antigens) RN - 0 (HLA-A*26 antigen) RN - 0 (HLA-B51 Antigen) SB - IM MH - Adult MH - Alleles MH - Behcet Syndrome/epidemiology/*immunology MH - Female MH - Follow-Up Studies MH - Gene Frequency MH - HLA-A Antigens/genetics/*immunology MH - HLA-B51 Antigen/genetics/*immunology MH - Humans MH - Immunoblotting MH - Incidence MH - Male MH - Prognosis MH - Retrospective Studies MH - Thailand/epidemiology OTO - NOTNLM OT - Behcet's disease OT - HLA OT - MHC class I OT - genetic susceptibility EDAT- 2020/01/17 06:00 MHDA- 2020/12/17 06:00 CRDT- 2020/01/17 06:00 PHST- 2019/10/23 00:00 [received] PHST- 2019/11/30 00:00 [revised] PHST- 2019/12/16 00:00 [accepted] PHST- 2020/01/17 06:00 [pubmed] PHST- 2020/12/17 06:00 [medline] PHST- 2020/01/17 06:00 [entrez] AID - 10.1111/1756-185X.13785 [doi] PST - ppublish SO - Int J Rheum Dis. 2020 Feb;23(2):247-255. doi: 10.1111/1756-185X.13785. Epub 2020 Jan 15.