PMID- 34752688 OWN - NLM STAT- MEDLINE DCOM- 20220721 LR - 20220722 IS - 1865-1682 (Electronic) IS - 1865-1674 (Linking) VI - 69 IP - 4 DP - 2022 Jul TI - Can presence of HLA type I and II alleles be associated with clinical spectrum of CHIKV infection? PG - e895-e905 LID - 10.1111/tbed.14387 [doi] AB - Host immune response and virulence factors are key to disease susceptibility. However, there are no known association studies of human leukocyte antigen (HLA) class I and II alleles with chikungunya virus (CHIKV) infection in the Latin American population. Here, we aimed to identify HLA alleles present in patients with CHIKV infection versus healthy controls as well as the allelic association with the clinical spectrum of the disease. We conducted a cross-sectional analysis of a community cohort and included patients aged 18 years and older with serologically confirmed CHIKV infection. HLA typing of HLA-A, HLA-B, and HLA-DRB1 alleles was performed. Two-by-two tables were used to establish associations between allele presence and clinical characteristics. Data from 65 patients with confirmed CHIKV infection were analyzed for HLA typing. CHIKV infection was significantly associated with the presence of HLA-A*68 [p = .005; odds ratio (OR): 8.90; 95% confidence interval (CI): 1.88-42.13], HLA-B*35 (p = .03; OR: 2.01; 95% CI: 1.06-3.86), HLA-DRB*01 (p <.001; OR: 5.70; 95% CI: 1.95-16.59), HLA-DRB1*04 (p <.001; OR: 7.37; 95% CI: 3.33-16.30), and HLA-DRB1*13 (p = .004; OR: 3.75; 95% CI: 1.50-9.39) alleles in patients versus healthy subjects. A statistically significant relationship was found between the presence of a rash on the face or abdomen and the presence of HLA-DRB1*04 (p = .028; OR: 3.2; 95% CI: 1.11-9.15 and p = .007; OR: 4.33; 95% CI: 1.45-12.88, respectively). Our study demonstrated that, in our cohort, HLA type I and type II alleles are associated with CHIKV infection, and an HLA type II allele is associated with dermatological symptoms. Further research is needed to establish a path for future investigation of genes outside the HLA system to improve knowledge of the pathophysiology of CHIKV infection and its host-pathogen interaction. CI - (c) 2021 Wiley-VCH GmbH. FAU - Rueda, Juan C AU - Rueda JC AUID- ORCID: 0000-0002-6263-2914 AD - Student, Biosciences Programme, Faculty of Medicine and Engineering, Universidad de La Sabana, Chia, Colombia. AD - Grupo de Espondiloartropatias, Rheumatology Department, Universidad de La Sabana, Chia, Colombia. FAU - Santos, Ana M AU - Santos AM AD - Grupo de Espondiloartropatias, Rheumatology Department, Universidad de La Sabana, Chia, Colombia. FAU - Angarita, Jose-Ignacio AU - Angarita JI AD - Grupo de Espondiloartropatias, Rheumatology Department, Universidad de La Sabana, Chia, Colombia. FAU - Saldarriaga, Eugenia-Lucia AU - Saldarriaga EL AD - Grupo de Espondiloartropatias, Rheumatology Department, Universidad de La Sabana, Chia, Colombia. FAU - Pelaez-Ballestas, Ingris AU - Pelaez-Ballestas I AD - Rheumatology Unit, Hospital General de Mexico "Doctor Eduardo Liceaga", Mexico City, Mexico. FAU - Espinosa, Alejandro Silva AU - Espinosa AS AD - Grupo de Genetica Humana, Universidad de La Sabana, Chia, Colombia. FAU - Briceno-Balcazar, Ignacio AU - Briceno-Balcazar I AD - Grupo de Genetica Humana, Universidad de La Sabana, Chia, Colombia. FAU - Arias-Correal, Sofia AU - Arias-Correal S AD - Grupo de Espondiloartropatias, Rheumatology Department, Universidad de La Sabana, Chia, Colombia. FAU - Arias-Correal, Jose AU - Arias-Correal J AUID- ORCID: 0000-0002-3314-4022 AD - Grupo de Espondiloartropatias, Rheumatology Department, Universidad de La Sabana, Chia, Colombia. FAU - Villota-Erazo, Catalina AU - Villota-Erazo C AD - Grupo de Espondiloartropatias, Rheumatology Department, Universidad de La Sabana, Chia, Colombia. AD - Rheumatology Department, Hospital Militar Central, Bogota, Colombia. FAU - Reyes, Viviana AU - Reyes V AD - Grupo de Espondiloartropatias, Rheumatology Department, Universidad de La Sabana, Chia, Colombia. AD - Rheumatology Department, Hospital Militar Central, Bogota, Colombia. FAU - Bernal-Macias, Santiago AU - Bernal-Macias S AD - Grupo de Espondiloartropatias, Rheumatology Department, Universidad de La Sabana, Chia, Colombia. AD - Rheumatology Department, Hospital Militar Central, Bogota, Colombia. FAU - Cardiel, Mario H AU - Cardiel MH AD - Centro de Investigacion Clinica de Morelia SC, Morelia, Mexico. FAU - Londono, John AU - Londono J AD - Grupo de Espondiloartropatias, Rheumatology Department, Universidad de La Sabana, Chia, Colombia. AD - Rheumatology Department, Hospital Militar Central, Bogota, Colombia. LA - eng GR - Colombian Rheumatology Association (ASOREUMA)/ GR - MED-197-2015/Universidad de La Sabana/ GR - 757-2016/COLCIENCIAS Doctoral Scholarship/ PT - Journal Article DEP - 20211125 PL - Germany TA - Transbound Emerg Dis JT - Transboundary and emerging diseases JID - 101319538 RN - 0 (HLA-A Antigens) RN - 0 (HLA-B Antigens) RN - 0 (HLA-DRB1 Chains) SB - IM MH - Alleles MH - *Chikungunya Fever/genetics MH - Cross-Sectional Studies MH - Gene Frequency MH - *Genetic Predisposition to Disease MH - *HLA-A Antigens/genetics MH - *HLA-B Antigens/genetics MH - *HLA-DRB1 Chains/genetics MH - Humans OTO - NOTNLM OT - Colombia OT - HLA OT - arbovirus OT - chikungunya OT - immunogenetics EDAT- 2021/11/10 06:00 MHDA- 2022/07/22 06:00 CRDT- 2021/11/09 17:39 PHST- 2021/10/18 00:00 [revised] PHST- 2021/04/30 00:00 [received] PHST- 2021/10/23 00:00 [accepted] PHST- 2021/11/10 06:00 [pubmed] PHST- 2022/07/22 06:00 [medline] PHST- 2021/11/09 17:39 [entrez] AID - 10.1111/tbed.14387 [doi] PST - ppublish SO - Transbound Emerg Dis. 2022 Jul;69(4):e895-e905. doi: 10.1111/tbed.14387. Epub 2021 Nov 25.