PMID- 33448675 OWN - NLM STAT- MEDLINE DCOM- 20211115 LR - 20211115 IS - 1756-185X (Electronic) IS - 1756-1841 (Linking) VI - 24 IP - 3 DP - 2021 Mar TI - HLA-B*27:04 associated with enthesitis and younger age of onset, and HLA-B allele profile in patients with ankylosing spondylitis in Thailand: A cross-sectional study. PG - 411-417 LID - 10.1111/1756-185X.14055 [doi] AB - AIM: The aims of this study were to estimate human leukocyte antigen (HLA)-B allele frequency, to identify alleles associated with ankylosing spondylitis (AS), and to explore manifestations in various HLA-B*27 in Thai AS patients. METHODS: This was a cross-sectional study. Thai patients older than 18 years with diagnosed AS according to modified New York criteria who visited Siriraj Hospital (Bangkok, Thailand) were consecutively enrolled. HLA-B alleles were determined by reverse sequence-specific oligonucleotide assays, and were assigned at a 4-digit resolution. HLA-B alleles of 334 unrelated healthy Thai donors who participated in a previous phase 2b dengue vaccine clinical trial were included as controls. Odds ratio (OR) and Fisher's exact test were used to estimate association between allele and AS. The P value significance threshold was calculated according to Bonferroni. RESULTS: Among the 88 patients who were recruited, 34 HLA-B alleles were identified, and all patients were heterozygous. The prevalence of HLA-B*27 was 89.8%, and 4 alleles of HLA-B*27 were identified. HLA-B*27:04 (OR: 39.4, P < .0001) and HLA-B*27:05 (OR: 13.8, P = .0011) were associated with AS. In contrast, HLA-B*27:06 was not found to be associated with AS (OR: 0.4, P = .241). AS patients carrying HLA-B*27:04 were more likely to have enthesitis and younger age at onset than those carrying HLA-B*27:05. CONCLUSIONS: HLA-B*27:04 and HLA-B*27:05 were both found to be strongly associated with Thai AS. HLA-B*27:06 showed a neutral allele for Thai AS. AS patients with HLA-B*27:04 had more enthesitis and younger age at onset than those with HLA-B*27:05. CI - (c) 2021 Asia Pacific League of Associations for Rheumatology and John Wiley & Sons Australia, Ltd. FAU - Chiowchanwisawakit, Praveena AU - Chiowchanwisawakit P AUID- ORCID: 0000-0002-4253-9229 AD - Division of Rheumatology, Department of Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand. FAU - Pithukpakorn, Manop AU - Pithukpakorn M AUID- ORCID: 0000-0003-3611-5718 AD - Division of Medical Genetics, Department of Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand. FAU - Luangtrakool, Komon AU - Luangtrakool K AD - Department of Transfusion Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand. FAU - Permpikul, Parichart AU - Permpikul P AD - Department of Transfusion Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand. LA - eng GR - WI 227851/Pfizer (Thailand), Ltd. (investigator-initiated research)/ GR - R016136002/the Siriraj Research Fund, Faculty of Medicine Siriraj Hospital, Mahidol University/ PT - Journal Article PT - Multicenter Study DEP - 20210115 PL - England TA - Int J Rheum Dis JT - International journal of rheumatic diseases JID - 101474930 RN - 0 (HLA-B27 Antigen) RN - 9007-49-2 (DNA) SB - IM MH - Adult MH - Age of Onset MH - Alleles MH - Cross-Sectional Studies MH - DNA/*genetics MH - Enthesopathy/epidemiology/*etiology/genetics MH - Female MH - Gene Frequency MH - Genetic Predisposition to Disease MH - Genotyping Techniques MH - HLA-B27 Antigen/*genetics/metabolism MH - Humans MH - Incidence MH - Male MH - *Polymorphism, Genetic MH - Spondylitis, Ankylosing/complications/epidemiology/*genetics MH - Thailand/epidemiology OTO - NOTNLM OT - HLA-B*27:04 OT - HLA-B subtype OT - HLA-B27 OT - Thai OT - ankylosing spondylitis EDAT- 2021/01/16 06:00 MHDA- 2021/11/16 06:00 CRDT- 2021/01/15 08:48 PHST- 2020/09/28 00:00 [received] PHST- 2020/11/19 00:00 [revised] PHST- 2020/12/17 00:00 [accepted] PHST- 2021/01/16 06:00 [pubmed] PHST- 2021/11/16 06:00 [medline] PHST- 2021/01/15 08:48 [entrez] AID - 10.1111/1756-185X.14055 [doi] PST - ppublish SO - Int J Rheum Dis. 2021 Mar;24(3):411-417. doi: 10.1111/1756-185X.14055. Epub 2021 Jan 15.