PMID- 33440030 OWN - NLM STAT- MEDLINE DCOM- 20210428 LR - 20210428 IS - 1097-4598 (Electronic) IS - 0148-639X (Linking) VI - 63 IP - 4 DP - 2021 Apr TI - Chronic idiopathic axonal polyneuropathy: Electrophysiological progression and human leukocyte antigen associations. PG - 567-571 LID - 10.1002/mus.27164 [doi] AB - BACKGROUND: We aimed to describe the electrophysiological progression rate of chronic idiopathic axonal polyneuropathy (CIAP) and look into the potential role of human leukocyte antigen (HLA) genetic susceptibility in its development. METHODS: We recruited 57 patients with CIAP (mean age at diagnosis 67, mean follow-up 7 years). The assessments included clinical and electrophysiological data and HLA-DQ genotyping. RESULTS: The DQA1*05 allele was found more frequently in patients than in healthy controls (odds ratio, 1.96, P = .011). In patients with length-dependent CIAP, a linear effect of time on the electrophysiological findings was found in the superficial radial (3.2% mean annual decrement, P < .001), sural (4.7% mean annual decrement, P = .002) and tibial nerve (6.1% mean annual decrement, P = .007) amplitudes, independently from age or gender. CONCLUSIONS: Patients with length-dependent CIAP, show a linear progression over time. Interesting associations of HLA-DQA1*05 allele with length-dependent CIAP and non-DQ2/DQ8 with idiopathic sensory ganglionopathy were found. These merit further investigation in larger cohorts and may suggest a role of the immune system in the pathogenesis of CIAP. CI - (c) 2021 Wiley Periodicals LLC. FAU - Zis, Panagiotis AU - Zis P AUID- ORCID: 0000-0001-8567-3092 AD - Academic Directorate of Neurosciences, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK. AD - Medical School, University of Cyprus, Nicosia, Cyprus. FAU - Sarrigiannis, Ptolemaios G AU - Sarrigiannis PG AD - Academic Directorate of Neurosciences, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK. FAU - Artemiadis, Artemios AU - Artemiadis A AD - Medical School, University of Cyprus, Nicosia, Cyprus. FAU - Skarlatou, Vasiliki AU - Skarlatou V AD - Academic Directorate of Neurosciences, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK. AD - Department of Neurology, Evangelismos General Hospital, Athens, Greece. FAU - Hadjivassiliou, Marios AU - Hadjivassiliou M AD - Academic Directorate of Neurosciences, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK. LA - eng PT - Journal Article DEP - 20210116 PL - United States TA - Muscle Nerve JT - Muscle & nerve JID - 7803146 RN - 0 (HLA Antigens) SB - IM MH - Age Factors MH - Aged MH - Aged, 80 and over MH - Axons/*pathology MH - Female MH - HLA Antigens/*immunology MH - Humans MH - Male MH - Middle Aged MH - Polyneuropathies/diagnosis/*pathology MH - Sex Factors MH - Tibial Nerve/*pathology OTO - NOTNLM OT - CIAP OT - HLA genotyping OT - idiopathic OT - natural history OT - peripheral neuropathy EDAT- 2021/01/14 06:00 MHDA- 2021/04/29 06:00 CRDT- 2021/01/13 17:11 PHST- 2020/12/29 00:00 [revised] PHST- 2020/05/28 00:00 [received] PHST- 2020/12/31 00:00 [accepted] PHST- 2021/01/14 06:00 [pubmed] PHST- 2021/04/29 06:00 [medline] PHST- 2021/01/13 17:11 [entrez] AID - 10.1002/mus.27164 [doi] PST - ppublish SO - Muscle Nerve. 2021 Apr;63(4):567-571. doi: 10.1002/mus.27164. Epub 2021 Jan 16.