PMID- 35759244 OWN - NLM STAT- MEDLINE DCOM- 20220629 LR - 20220716 IS - 2050-4527 (Electronic) IS - 2050-4527 (Linking) VI - 10 IP - 7 DP - 2022 Jul TI - EBV protection- and susceptibility-related HLA alleles and EBV status in the Chinese population: A single-center study. PG - e666 LID - 10.1002/iid3.666 [doi] LID - e666 AB - BACKGROUND: Although most adults are infected by Epstein-Barr virus (EBV), some patients develop highly lethal diseases associated with EBV infection, including EBV-hemophagocytic lymphohistiocytosis (EBV-HLH), chronic active EBV infections (CAEBV), and lymphoma, the pathogeneses of which remain to be investigated. The human leukocyte antigen (HLA) complex may be associated with the viral infection pathway, and, therefore, HLA alleles may be associated with EBV-related diseases and subpopulations of infected cells, studies related to EBV-associated diseases, and subpopulations of infected cells that were conducted in China are scarce. METHODS: In this study, we analyzed the high-resolution HLA genotypes of 269 patients with EBV-associated diseases and 213 EBV-seronegative hematopoietic stem cell donors using PCR-SBT assay and elucidated the associations of HLA-A, -B, -C, -DRB1, and -DQB1 alleles with EBV-associated diseases in the Chinese population, Benjamini-Hochberg correction to adjust for multiple testing. HLA genotypes were also analyzed in patients with EBV-associated diseases showing EBV-infected lymphocyte subpopulations. RESULTS: We found that individuals carrying the following alleles showed the following levels of risks: HLA-DRB1*11 allele, reduced risk of EBV-related disease (OR [odds ratio]: 0.56; 95% confidence interval [95% CI]: 0.32-0.99; p < .05; Adjust p = .71); HLA-DQB1*06:02 allele, reduced risk (OR: 0.5699; 95% CI: 0.3486-0.9317; p < .05; Adjust p = .57); and HLA-B*15:01 allele, increased risk (OR: 1.763; 95% CI: 0.3486-0.9317; p < .05; Adjust p = .57). Patients with EBV-associated diseases showing the B*15:01 genotype had a higher risk of T-cell, NK-cell, and multicell infections than those with other genotype subgroups. CONCLUSIONS: These findings highlight the importance of HLA genotype for assessing EBV infectivity. CI - (c) 2022 The Authors. Immunity, Inflammation and Disease published by John Wiley & Sons Ltd. FAU - Suolitiken, Dina AU - Suolitiken D AUID- ORCID: 0000-0002-1990-6158 AD - Department of Hematology, Beijing Friendship Hospital, Capital Medical University, Beijing, People's Republic of China. FAU - Wang, Yini AU - Wang Y AUID- ORCID: 0000-0001-8545-2660 AD - Department of Hematology, Beijing Friendship Hospital, Capital Medical University, Beijing, People's Republic of China. FAU - Jin, Zhili AU - Jin Z AD - Department of Hematology, Beijing Friendship Hospital, Capital Medical University, Beijing, People's Republic of China. FAU - Wang, Zhao AU - Wang Z AD - Department of Hematology, Beijing Friendship Hospital, Capital Medical University, Beijing, People's Republic of China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Immun Inflamm Dis JT - Immunity, inflammation and disease JID - 101635460 RN - 0 (HLA-A Antigens) RN - 0 (HLA-B Antigens) SB - IM MH - Adult MH - Alleles MH - *Epstein-Barr Virus Infections/genetics MH - HLA-A Antigens/genetics MH - HLA-B Antigens/genetics MH - *Herpesvirus 4, Human/genetics MH - Humans PMC - PMC9210551 OTO - NOTNLM OT - EBV OT - HLA OT - infection COIS- The authors declare no conflict of interest. EDAT- 2022/06/28 06:00 MHDA- 2022/06/30 06:00 PMCR- 2022/06/21 CRDT- 2022/06/27 11:26 PHST- 2022/05/29 00:00 [revised] PHST- 2021/12/05 00:00 [received] PHST- 2022/05/31 00:00 [accepted] PHST- 2022/06/27 11:26 [entrez] PHST- 2022/06/28 06:00 [pubmed] PHST- 2022/06/30 06:00 [medline] PHST- 2022/06/21 00:00 [pmc-release] AID - IID3666 [pii] AID - 10.1002/iid3.666 [doi] PST - ppublish SO - Immun Inflamm Dis. 2022 Jul;10(7):e666. doi: 10.1002/iid3.666.