PMID- 32484314 OWN - NLM STAT- MEDLINE DCOM- 20210419 LR - 20210419 IS - 2328-9503 (Electronic) IS - 2328-9503 (Linking) VI - 7 IP - 6 DP - 2020 Jun TI - Fc-gamma IIIa-V158F receptor polymorphism contributes to the severity of Guillain-Barre syndrome. PG - 1040-1049 LID - 10.1002/acn3.51072 [doi] AB - OBJECTIVE: Guillain-Barre syndrome (GBS) is a rare, life-threatening disorder of the peripheral nervous system. Immunoglobulin G Fc-gamma receptors (FcgammaRs) mediate and regulate diverse effector functions and are involved in the pathogenesis of GBS. We investigated whether the FcgammaR polymorphisms FcgammaRIIa H/R131 (rs1801274), FcgammaRIIIa V/F158 (rs396991), and FcgammaRIIIb NA1/NA2, and their haplotype patterns affect the affinity of IgG-FcgammaR interactivity and influence GBS susceptibility and severity. METHODS: We determined FcgammaR polymorphisms in 303 patients with GBS and 302 ethnically matched healthy individuals from Bangladesh by allele-specific polymerase chain reaction. Pairwise linkage disequilibrium and haplotype patterns were analyzed based on D ́statistics and the genotype package of R statistics, respectively. Logistic regression analysis and Fisher's exact test with corrected P (Pc) values were employed for statistical comparisons. RESULTS: FcgammaRIIIa-V158F was associated with the severe form of GBS compared to the mild form (P = 0.005, OR = 2.24, 95% CI = 1.28-3.91; Pc = 0.015); however, FcgammaR genotypes and haplotype patterns did not show any association with GBS susceptibility compared to healthy controls. FcgammaRIIIa-V/V158 and FcgammaRIIIb-NA2/2 were associated with recent Campylobacter jejuni infection (P