PMID- 33639633 OWN - NLM STAT- MEDLINE DCOM- 20211015 LR - 20211015 IS - 1735-5249 (Electronic) IS - 1735-1502 (Linking) VI - 20 IP - 1 DP - 2021 Feb 11 TI - Clinical Relevance of HLA-DRB1 and -DQB1 Alleles in Iranian Systemic Lupus Erythematosus Patients. PG - 67-75 LID - 10.18502/ijaai.v20i1.5413 [doi] AB - Given the potential link between genetic risk factors and clinical features of systemic lupus erythematosus (SLE), this study aimed to explore the relationship between human leukocyte antigen (HLA)-DRB1/DQB1 alleles and haplotypes and clinical sub-phenotypes of the disease in a group of Iranian SLE patients. HLA-DRB1 and HLA-DQB1 alleles were determined by PCR-SSP in 127 SLE patients and 153 ethnically-matched healthy controls. The relationships between various clinical manifestations and HLA alleles/haplotypes were analyzed in the patients. We observed the positive associations of DRB1*07 and DRB1*07-DQB1*02 haplotypes with articular and pulmonary involvement (p=0.006 and p<0.001 respectively), DRB1*03 and DQB1*02 alleles, and DRB1*03-DQB1*02 haplotypes with cutaneous (p=0.03, p=0.004 and p=0.02 respectively) and renal involvement, and DRB1*13 as well as DRB1*13-DQB1*06 haplotypes with renal involvement. Conversely, negative associations of DRB1*13 with cutaneous and gastrointestinal disorders (p=0.004 and p=0.02 respectively) and DRB1*01 with renal involvement (p=0.03) were found in our patients. Patients carrying susceptible HLA-DRB1 alleles had a higher risk for expression of cutaneous involvement (p=0.03), anti-coagulant antibody development (p=0.01), and a lower risk for pulmonary disorders compared to patients' negatives for susceptible alleles (p=0.04). Our findings on associations between HLA risk allele (DRB1*03) as well as non-risk alleles with particular clinical manifestations and between the potentially protective allele (DRB1*01) and protection against renal involvement indicate the important role of HLA class II genes in predisposing of specific serological and clinical features of SLE disease which could be implicative for therapeutic applications and better management of SLE patients. FAU - Rasouli-Saravani, Ashkan AU - Rasouli-Saravani A AD - Department of Immunology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran. ashkan.rasouli90@gmail.com. FAU - Tahamoli-Roudsari, Ahmad AU - Tahamoli-Roudsari A AD - Department of Internal Diseases Medicine, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran. tahamol_roudsari@yahoo.com. FAU - Behzad, Mahdi AU - Behzad M AD - Department of Immunology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran. mhajibehzad@yahoo.com. FAU - Hajilooi, Mehrdad AU - Hajilooi M AD - Department of Immunology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran. mhajilooi@gmail.com. FAU - Solgi, Ghasem AU - Solgi G AD - Department of Immunology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran AND Department of Dermatology, Psoriasis Research Center, Farshchian Hospital, Hamadan University of Medical Sciences, Hamadan, Iran. gh.solgi@umsha.ac.ir. LA - eng PT - Journal Article DEP - 20210211 PL - Iran TA - Iran J Allergy Asthma Immunol JT - Iranian journal of allergy, asthma, and immunology JID - 101146178 RN - 0 (HLA-DQ beta-Chains) RN - 0 (HLA-DQB1 antigen) RN - 0 (HLA-DRB1 Chains) SB - IM MH - *Alleles MH - Case-Control Studies MH - *Genetic Predisposition to Disease MH - HLA-DQ beta-Chains/*genetics MH - HLA-DRB1 Chains/*genetics MH - Haplotypes MH - Humans MH - Iran/epidemiology MH - Lupus Erythematosus, Systemic/*epidemiology/*etiology MH - Public Health Surveillance OTO - NOTNLM OT - HLA-DQB1 OT - HLA-DRB1 chains OT - Systemic lupus erythematosus EDAT- 2021/02/28 06:00 MHDA- 2021/10/16 06:00 CRDT- 2021/02/27 21:15 PHST- 2020/09/03 00:00 [received] PHST- 2020/12/03 00:00 [accepted] PHST- 2021/02/27 21:15 [entrez] PHST- 2021/02/28 06:00 [pubmed] PHST- 2021/10/16 06:00 [medline] AID - 10.18502/ijaai.v20i1.5413 [doi] PST - epublish SO - Iran J Allergy Asthma Immunol. 2021 Feb 11;20(1):67-75. doi: 10.18502/ijaai.v20i1.5413.