PMID- 35654912 OWN - NLM STAT- MEDLINE DCOM- 20220606 LR - 20231115 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 12 IP - 1 DP - 2022 Jun 2 TI - A systematic review and meta-analysis of HLA class II associations in patients with IgG4 autoimmunity. PG - 9229 LID - 10.1038/s41598-022-13042-2 [doi] LID - 9229 AB - Autoimmune diseases caused by pathogenic IgG4 subclass autoantibodies (IgG4-AID) include diseases like MuSK myasthenia gravis, pemphigus vulgaris or thrombotic thrombocytopenic purpura. Their etiology is still unknown. Polymorphisms in the human leukocyte antigen (HLA) gene locus, particularly in HLA-DRB1, are known genetic susceptibility factors for autoimmune diseases. We hypothesized a similar role for HLA polymorphisms in IgG4-AID and conducted a systematic review and meta-analysis with case-control studies on IgG4-AID based on MOOSE/ HuGENet guidelines. Genotype (G) and allele (A) frequencies of HLA-DQB1*05 (G: OR 3.8; 95% CI 2.44-5.9; p < 0.00001; A: OR 2.54; 95% CI 1.82-3.55; p < 0.00001) and HLA-DRB1*14 (G: OR 4.31; 95% CI 2.82-6.59; p < 0.00001; A: OR 4.78; 95% CI 3.52-6.49; p < 0.00001) and the HLA-DRB1*14-DQB1*05 haplotype (OR 6.3; 95% CI 3.28-12.09; p < 0.00001/OR 4.98; 95% CI 3.8-6.53; p < 0.00001) were increased while HLA-DRB1*13 (G: OR 0.48; 95% CI 0.34-0.68; p < 0.0001; A: OR 0.46; 95% CI 0.34-0.62; p < 0.00001) was decreased in IgG4-AID patients. In conclusion, the HLA-DQB1*05, HLA-DRB1*14 alleles and the HLA-DQB1*05-DRB1*14 haplotype could be genetic risk factors that predispose for the production of pathogenic IgG4 autoantibodies and the HLA-DRB1*13 allele may protect from IgG4 autoimmunity. CI - (c) 2022. The Author(s). FAU - Panhuber, Anja AU - Panhuber A AD - Division of Neuropathology and Neurochemistry, Department of Neurology, Medical University of Vienna, Vienna, Austria. FAU - Lamorte, Giovanni AU - Lamorte G AD - Division of Neuropathology and Neurochemistry, Department of Neurology, Medical University of Vienna, Vienna, Austria. FAU - Bruno, Veronica AU - Bruno V AD - Division of Neuropathology and Neurochemistry, Department of Neurology, Medical University of Vienna, Vienna, Austria. FAU - Cetin, Hakan AU - Cetin H AD - Department of Neurology, Medical University of Vienna, Vienna, Austria. FAU - Bauer, Wolfgang AU - Bauer W AD - Department of Dermatology, Medical University of Vienna, Vienna, Austria. FAU - Hoftberger, Romana AU - Hoftberger R AD - Division of Neuropathology and Neurochemistry, Department of Neurology, Medical University of Vienna, Vienna, Austria. FAU - Erber, Astrid C AU - Erber AC AD - Department of Epidemiology, Center for Public Health, Medical University of Vienna, Vienna, Austria. AD - Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK. FAU - Frommlet, Florian AU - Frommlet F AD - Center for Medical Statistics Informatics and Intelligent Systems, Section for Medical Statistics, Medical University of Vienna, Vienna, Austria. FAU - Koneczny, Inga AU - Koneczny I AUID- ORCID: 0000-0002-0567-021X AD - Division of Neuropathology and Neurochemistry, Department of Neurology, Medical University of Vienna, Vienna, Austria. inga.koneczny@meduniwien.ac.at. LA - eng GR - I 4685/FWF_/Austrian Science Fund FWF/Austria GR - T996-B30/FWF_/Austrian Science Fund FWF/Austria PT - Journal Article PT - Meta-Analysis PT - Research Support, Non-U.S. Gov't PT - Systematic Review DEP - 20220602 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 RN - 0 (Autoantibodies) RN - 0 (HLA-DRB1 Chains) RN - 0 (Immunoglobulin G) SB - IM MH - Autoantibodies/genetics MH - *Autoimmunity/genetics MH - Gene Frequency MH - HLA-DRB1 Chains/genetics MH - Humans MH - Immunoglobulin G/genetics MH - *Pemphigus/genetics PMC - PMC9163138 COIS- The authors declare no competing interests. EDAT- 2022/06/03 06:00 MHDA- 2022/06/07 06:00 PMCR- 2022/06/02 CRDT- 2022/06/02 23:26 PHST- 2021/10/28 00:00 [received] PHST- 2022/05/13 00:00 [accepted] PHST- 2022/06/02 23:26 [entrez] PHST- 2022/06/03 06:00 [pubmed] PHST- 2022/06/07 06:00 [medline] PHST- 2022/06/02 00:00 [pmc-release] AID - 10.1038/s41598-022-13042-2 [pii] AID - 13042 [pii] AID - 10.1038/s41598-022-13042-2 [doi] PST - epublish SO - Sci Rep. 2022 Jun 2;12(1):9229. doi: 10.1038/s41598-022-13042-2.