PMID- 34949295 OWN - NLM STAT- MEDLINE DCOM- 20220221 LR - 20220221 IS - 2078-5135 (Electronic) VI - 111 IP - 10 DP - 2021 Oct 5 TI - The prevalence of coeliac disease-associated human leukocyte antigens in South African transplant donors and recipients. PG - 991-994 LID - 10.7196/SAMJ.2021.v111i10.15680 [doi] AB - BACKGROUND: Coeliac disease (CD) is an autoimmune condition occurring in genetically predisposed individuals exposed to an environmental trigger. The human leukocyte antigen (HLA) haplotypes HLA-DQ2.5 and HLA-DQ8 have the strongest association with CD, and 90 - 95% of CD patients bear these haplotypes. The susceptibility of the South African (SA) population to CD has not been studied previously. OBJECTIVES: To describe the genetic propensity of the SA population to CD. METHODS: The South African National Blood Service database was used to analyse the prevalence of HLA-DQ2.5 and HLA-DQ8 in potential donors and recipients of organ transplants. Self-reported ethnic group was used to estimate the prevalence among different population groups. RESULTS: The overall prevalence of HLA-DQ2.5 and HLA-DQ8 was 19.8%. The prevalence was lower in black participants (15.9%) than in whites (28.6%). Coloured (22.0%) and Indian (17.4%) participants had an intermediate prevalence. There was no significant difference between potential transplant donors and recipients. CONCLUSIONS: The prevalence of HLA-DQ2.5 and HLA-DQ8 differed among SA study participants of different ethnicities. However, the notion that CD does not occur in black South Africans owing to lack of a genetic predisposition is incorrect. FAU - Mrubata, K L AU - Mrubata KL AD - Department of Paediatrics, Rahima Moosa Mother and Child Hospital and Department of Paediatrics and Child Health, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa. mrbkit001@gmail.com. FAU - Barrow, P AU - Barrow P FAU - Mayne, E AU - Mayne E FAU - Nelson, D AU - Nelson D FAU - De Maayer, T AU - De Maayer T LA - eng PT - Journal Article DEP - 20211005 PL - South Africa TA - S Afr Med J JT - South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde JID - 0404520 RN - 0 (HLA-DQ Antigens) RN - 0 (HLA-DQ2 antigen) RN - 0 (HLA-DQ8 antigen) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Celiac Disease/epidemiology/ethnology/*genetics MH - Child MH - Child, Preschool MH - Female MH - Genetic Predisposition to Disease MH - HLA-DQ Antigens/*genetics MH - Haplotypes/genetics MH - Humans MH - Infant MH - Infant, Newborn MH - Male MH - Middle Aged MH - Prevalence MH - South Africa/epidemiology MH - *Tissue Donors MH - *Transplant Recipients EDAT- 2021/12/25 06:00 MHDA- 2022/02/22 06:00 CRDT- 2021/12/24 05:25 PHST- 2021/10/05 00:00 [received] PHST- 2021/12/24 05:25 [entrez] PHST- 2021/12/25 06:00 [pubmed] PHST- 2022/02/22 06:00 [medline] AID - 10.7196/SAMJ.2021.v111i10.15680 [doi] PST - epublish SO - S Afr Med J. 2021 Oct 5;111(10):991-994. doi: 10.7196/SAMJ.2021.v111i10.15680.