PMID- 34016546 OWN - NLM STAT- MEDLINE DCOM- 20220211 LR - 20221207 IS - 1878-3562 (Electronic) IS - 1590-8658 (Linking) VI - 54 IP - 2 DP - 2022 Feb TI - Novel HLA-DRB1 alleles contribute risk for disease susceptibility in primary biliary cholangitis. PG - 228-236 LID - S1590-8658(21)00196-1 [pii] LID - 10.1016/j.dld.2021.04.010 [doi] AB - BACKGROUND: Primary biliary cholangitis (PBC) is a complex disease with high heritability. We investigated the association between human leukocyte antigen (HLA)-DRB1 alleles and PBC in families and sporadic cases to evaluate the genetic components of the disease. METHODS: We performed whole exome sequencing in three PBC families. We genotyped HLA-DRB1 and calculated the association between HLA-DRB1 alleles and the encoding amino acid sequences with the clinical features. RESULTS: Ten variants harboured the HLA-DRB1 gene associated with PBC. DRB1x07:01, 14:01 and 14:05 were highly increased in PBC. Ten coding region polymorphisms were associated with PBC that encode the amino acid variants of HLA-DR beta54, beta59 and beta66 located in the peptide-binding site of the MHC molecule. Glutamine at position 54 was confirmed as a risk amino acid, verifying the results of familial aggregation analysis of PBC families. DISCUSSION: Familial aggregation analysis indicated that HLA-DRB1 is a candidate gene for the risk of disease course. Considering that amino acid variations are critical to peptide-binding properties, they underlie the major component of MHC association with PBC. CI - Copyright (c) 2021 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved. FAU - Li, Yanni AU - Li Y AD - Department of Gastroenterology and Hepatology, Tianjin Medical University General Hospital, Tianjin, China; Department of Gastroenterology and Hepatology, University of Groningen and University Medical Center Groningen, Groningen, the Netherlands. FAU - Liu, Xin AU - Liu X AD - Department of Gastroenterology and Hepatology, Tianjin Medical University General Hospital, Tianjin, China. FAU - Wang, Yi AU - Wang Y AD - Department of Gastroenterology and Hepatology, Tianjin Medical University General Hospital, Tianjin, China; Department of General Surgery, YouAn Hospital, Capital Medical University, Beijing, China. FAU - Zhou, Yi AU - Zhou Y AD - Department of Gastroenterology and Hepatology, Tianjin Medical University General Hospital, Tianjin, China. FAU - Hu, Shixian AU - Hu S AD - Department of Gastroenterology and Hepatology, University of Groningen and University Medical Center Groningen, Groningen, the Netherlands. FAU - Yang, Hui AU - Yang H AD - Department of Gastroenterology and Hepatology, Tianjin Medical University General Hospital, Tianjin, China. FAU - Zhong, Weilong AU - Zhong W AD - Department of Gastroenterology and Hepatology, Tianjin Medical University General Hospital, Tianjin, China. FAU - Zhao, Jingwen AU - Zhao J AD - Department of Gastroenterology and Hepatology, Tianjin Medical University General Hospital, Tianjin, China. FAU - Wang, Xiaoyi AU - Wang X AD - Department of Gastroenterology and Hepatology, Tianjin Medical University General Hospital, Tianjin, China. FAU - Chu, Hongyu AU - Chu H AD - Department of Gastroenterology and Hepatology, Tianjin Medical University General Hospital, Tianjin, China. FAU - Zheng, Yanping AU - Zheng Y AD - Department of Gastroenterology and Hepatology, Tianjin Medical University General Hospital, Tianjin, China. FAU - Zhang, Jie AU - Zhang J AD - Department of Gastroenterology and Hepatology, Tianjin Medical University General Hospital, Tianjin, China. FAU - Zhou, Lu AU - Zhou L AD - Department of Gastroenterology and Hepatology, Tianjin Medical University General Hospital, Tianjin, China; Department of Gastroenterology and Hepatology, People's Hospital of Hetian District, Xinjiang Uygur Autonomous Region, China. Electronic address: lzhou01@tmu.edu.cn. FAU - Wang, Bangmao AU - Wang B AD - Department of Gastroenterology and Hepatology, Tianjin Medical University General Hospital, Tianjin, China. Electronic address: gi.tmuh@yeah.net. LA - eng PT - Journal Article DEP - 20210517 PL - Netherlands TA - Dig Liver Dis JT - Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver JID - 100958385 RN - 0 (HLA-DRB1 Chains) SB - IM MH - Aged MH - Alleles MH - Female MH - Genetic Predisposition to Disease/*genetics MH - Genotype MH - HLA-DRB1 Chains/*genetics MH - Humans MH - Liver Cirrhosis, Biliary/*genetics MH - Male MH - Middle Aged MH - Mutation, Missense MH - Polymorphism, Genetic MH - Risk Factors MH - Exome Sequencing OTO - NOTNLM OT - Amino acid residues OT - HLA-DRB1 alleles OT - Pedigree OT - Primary biliary cholangitis EDAT- 2021/05/22 06:00 MHDA- 2022/02/12 06:00 CRDT- 2021/05/21 05:57 PHST- 2021/01/07 00:00 [received] PHST- 2021/04/07 00:00 [revised] PHST- 2021/04/08 00:00 [accepted] PHST- 2021/05/22 06:00 [pubmed] PHST- 2022/02/12 06:00 [medline] PHST- 2021/05/21 05:57 [entrez] AID - S1590-8658(21)00196-1 [pii] AID - 10.1016/j.dld.2021.04.010 [doi] PST - ppublish SO - Dig Liver Dis. 2022 Feb;54(2):228-236. doi: 10.1016/j.dld.2021.04.010. Epub 2021 May 17.