PMID- 32212153 OWN - NLM STAT- MEDLINE DCOM- 20210402 LR - 20210402 IS - 1097-0215 (Electronic) IS - 0020-7136 (Linking) VI - 147 IP - 5 DP - 2020 Sep 1 TI - Multiple low-frequency and rare HLA-B allelic variants are associated with reduced risk in 1,105 nasopharyngeal carcinoma patients in Hunan province, southern China. PG - 1397-1404 LID - 10.1002/ijc.32992 [doi] AB - In our study, 1,105 cases of nasopharyngeal carcinoma (NPC) and 1,430 normal controls recruited from Hunan province, southern China were typed for human leukocyte antigen (HLA)-B locus by Sanger sequencing exons 2-4. Besides confirming the NPC association with HLA-B*46:01 allele, HLA-A*02:07-B*46:01 and HLA-A*33:03-B*58:01 haplotypes (all positive), and HLA-B*13 lineage (negative), all of which were relatively common, strong negative associations were observed for five low-frequency and rare alleles or lineages, including HLA-B*07, -B*27:04, -B*39, -B*51:02 and -B*55:02, with odds ratio (OR) ranging from 0.16 to 0.3 (all p(corrected) < 0.05). These strong protective associations were independent of linkage disequilibrium (LD) between HLA-A and HLA-B loci. Further analysis indicated a single amino acid change from histidine to tyrosine at residue 171 is probably crucial for the mutant allele, HLA-B*51:02, to mediate resistance to NPC. A subset of NPC cases (n = 821) and normal controls (n = 1,035) were tested for antivirus capsid antigen immunoglobulin A (anti-VCA IgA), which differed drastically between the two groups [67.7% vs. 5.5%, OR (95% confidence interval) = 36 (26.55-48.81), p < 0.0001]. HLA-B allelic variation did not associate with seropositivity for anti-VCA IgA in either group. Results from our study show, more clearly than previously, the existence of a cluster of low-frequency and rare HLA-B variants conferring low, or very low risk to NPC, a phenomenon not observed in other ethnic groups. Our data shed new insights into genetic susceptibility to NPC in southern Chinese populations. Future independent studies are warranted to replicate the findings reported in our study. CI - (c) 2020 UICC. FAU - Tian, Wei AU - Tian W AUID- ORCID: 0000-0002-8109-9924 AD - Immunogenetics Research Group, Department of Immunology, College of Basic Medical Sciences, Central South University, Changsha, Hunan, China. AD - Laboratory of Cellular and Molecular Biology, College of Basic Medical Sciences, Central South University, Changsha, Hunan, China. FAU - Zhu, FaMing AU - Zhu F AD - HLA typing laboratory, Blood Center of Zhejiang Province, Hangzhou, Zhejiang, China. AD - Key Laboratory of Blood Safety Research, Zhejiang Province, Hangzhou, Zhejiang, China. FAU - Cai, JinHong AU - Cai J AD - Immunogenetics Research Group, Department of Immunology, College of Basic Medical Sciences, Central South University, Changsha, Hunan, China. FAU - Li, LiXin AU - Li L AD - Laboratory of Cellular and Molecular Biology, College of Basic Medical Sciences, Central South University, Changsha, Hunan, China. FAU - Jin, HeKun AU - Jin H AD - Department of Radiotherapy, Hunan Cancer Hospital (the affiliated Cancer Hospital of XiangYa School of Medicine of Central South University), Changsha, Hunan, China. FAU - Wang, WenYi AU - Wang W AD - Immunogenetics Research Group, Department of Immunology, College of Basic Medical Sciences, Central South University, Changsha, Hunan, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20200409 PL - United States TA - Int J Cancer JT - International journal of cancer JID - 0042124 RN - 0 (HLA-A Antigens) RN - 0 (HLA-B Antigens) SB - IM MH - Adult MH - Alleles MH - China/epidemiology MH - Female MH - Gene Frequency MH - Genetic Predisposition to Disease/*genetics MH - HLA-A Antigens/genetics MH - HLA-B Antigens/*genetics MH - Haplotypes MH - Humans MH - Male MH - Middle Aged MH - Mutation MH - Nasopharyngeal Carcinoma/epidemiology/*genetics MH - Nasopharyngeal Neoplasms/epidemiology/*genetics MH - Odds Ratio OTO - NOTNLM OT - HLA-B OT - nasopharyngeal carcinoma OT - rare allele OT - sequencing OT - southern Chinese population EDAT- 2020/03/27 06:00 MHDA- 2021/04/07 06:00 CRDT- 2020/03/27 06:00 PHST- 2019/12/04 00:00 [received] PHST- 2020/03/05 00:00 [revised] PHST- 2020/03/10 00:00 [accepted] PHST- 2020/03/27 06:00 [pubmed] PHST- 2021/04/07 06:00 [medline] PHST- 2020/03/27 06:00 [entrez] AID - 10.1002/ijc.32992 [doi] PST - ppublish SO - Int J Cancer. 2020 Sep 1;147(5):1397-1404. doi: 10.1002/ijc.32992. Epub 2020 Apr 9.