PMID- 33138008 OWN - NLM STAT- MEDLINE DCOM- 20210719 LR - 20210719 IS - 2073-4425 (Electronic) IS - 2073-4425 (Linking) VI - 11 IP - 11 DP - 2020 Oct 29 TI - Strong Correlation between HLA and Clinical Course of Subacute Thyroiditis-A Report of the Three Siblings. LID - 10.3390/genes11111282 [doi] LID - 1282 AB - Subacute thyroiditis (SAT) is a thyroid inflammatory disease with susceptibility associated with the presence of human leukocyte antigen (HLA)-B*35, -B*18:01, -DRB1*01 and -C*04:01. Previous viral infection is considered as a triggering factor in genetically predisposed individuals. The influence of HLA on the SAT course was previously suggested. We aim to present the three siblings-female twins and their brother-with very close onset but different clinical courses of SAT, which appeared to be HLA-dependent. The HLA profile in the reported three siblings is strongly correlated with both SAT and Graves' disease (GD), however the coexistence of particular sets of high risk and protective alleles seems to be crucial for the GD development and the SAT course. The co-occurrence of HLA-DRB1*15:01 and/or -B*07:02, possibly together with the lack of HLA-A*01:01 and -B*41:01 seems to be key factors protecting against the development of GD with high TRAb levels, as well as against the recurrent SAT course and steroid dependence. FAU - Stasiak, Magdalena AU - Stasiak M AUID- ORCID: 0000-0002-2910-7691 AD - Department of Endocrinology and Metabolic Diseases, Polish Mother's Memorial Hospital-Research Institute, 93-338 Lodz, Poland. FAU - Lewinski, Andrzej AU - Lewinski A AUID- ORCID: 0000-0002-8748-3337 AD - Department of Endocrinology and Metabolic Diseases, Polish Mother's Memorial Hospital-Research Institute, 93-338 Lodz, Poland. AD - Department of Endocrinology and Metabolic Diseases, Medical University of Lodz, 93-338 Lodz, Poland. LA - eng PT - Case Reports PT - Research Support, Non-U.S. Gov't DEP - 20201029 PL - Switzerland TA - Genes (Basel) JT - Genes JID - 101551097 RN - 0 (Autoantibodies) RN - 0 (HLA Antigens) RN - 0 (HLA-B*07 antigen) RN - 0 (HLA-B7 Antigen) RN - 0 (HLA-DRB1 Chains) RN - 0 (HLA-DRB1*15:01 antigen) RN - 0 (Receptors, Thyrotropin) SB - IM MH - Adult MH - Alleles MH - Autoantibodies/blood MH - Diseases in Twins/genetics/immunology MH - Female MH - Genetic Predisposition to Disease MH - Graves Disease/genetics/immunology MH - HLA Antigens/*genetics MH - HLA-B7 Antigen/genetics MH - HLA-DRB1 Chains/genetics MH - Histocompatibility Testing MH - Humans MH - Male MH - Receptors, Thyrotropin/immunology MH - Thyroiditis, Subacute/*genetics/*immunology PMC - PMC7693567 OTO - NOTNLM OT - Graves' disease OT - human leukocyte antigen (HLA) OT - recurrence OT - subacute thyroiditis COIS- The authors declare no conflict of interest. EDAT- 2020/11/04 06:00 MHDA- 2021/07/20 06:00 PMCR- 2020/11/01 CRDT- 2020/11/03 01:02 PHST- 2020/10/03 00:00 [received] PHST- 2020/10/17 00:00 [revised] PHST- 2020/10/26 00:00 [accepted] PHST- 2020/11/03 01:02 [entrez] PHST- 2020/11/04 06:00 [pubmed] PHST- 2021/07/20 06:00 [medline] PHST- 2020/11/01 00:00 [pmc-release] AID - genes11111282 [pii] AID - genes-11-01282 [pii] AID - 10.3390/genes11111282 [doi] PST - epublish SO - Genes (Basel). 2020 Oct 29;11(11):1282. doi: 10.3390/genes11111282.