PMID- 36119102 OWN - NLM STAT- MEDLINE DCOM- 20220920 LR - 20220926 IS - 1664-3224 (Electronic) IS - 1664-3224 (Linking) VI - 13 DP - 2022 TI - New insights on the role of human leukocyte antigen complex in primary biliary cholangitis. PG - 975115 LID - 10.3389/fimmu.2022.975115 [doi] LID - 975115 AB - Primary Biliary Cholangitis (PBC) is a rare autoimmune cholangiopathy. Genetic studies have shown that the strongest statistical association with PBC has been mapped in the human leukocyte antigen (HLA) locus, a highly polymorphic area that mostly contribute to the genetic variance of the disease. Furthermore, PBC presents high variability throughout different population groups, which may explain the different geoepidemiology of the disease. A major role in defining HLA genetic contribution has been given by genome-wide association studies (GWAS) studies; more recently, new technologies have been developed to allow a deeper understanding. The study of the altered peptides transcribed by genetic alterations also allowed the development of novel therapeutic strategies in the context of immunotolerance. This review summarizes what is known about the immunogenetics of PBC with a focus on the HLA locus, the different distribution of HLA alleles worldwide, and how HLA modifications are associated with the pathogenesis of PBC. Novel therapeutic strategies are also outlined. CI - Copyright (c) 2022 Mulinacci, Palermo, Gerussi, Asselta, Gershwin and Invernizzi. FAU - Mulinacci, Giacomo AU - Mulinacci G AD - Division of Gastroenterology, Center for Autoimmune Liver Diseases, Department of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy. AD - European Reference Network on Hepatological Diseases (ERN RARE-LIVER), San Gerardo Hospital, Monza, Italy. FAU - Palermo, Andrea AU - Palermo A AD - Division of Gastroenterology, Center for Autoimmune Liver Diseases, Department of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy. AD - European Reference Network on Hepatological Diseases (ERN RARE-LIVER), San Gerardo Hospital, Monza, Italy. FAU - Gerussi, Alessio AU - Gerussi A AD - Division of Gastroenterology, Center for Autoimmune Liver Diseases, Department of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy. AD - European Reference Network on Hepatological Diseases (ERN RARE-LIVER), San Gerardo Hospital, Monza, Italy. FAU - Asselta, Rosanna AU - Asselta R AD - Department of Biomedical Sciences, Istituti di Ricovero e Cura a Carattere Scientifico (IRCCS) Humanitas Research Hospital, Milan, Italy. AD - Department of Biomedical Sciences, Humanitas University, Milan, Italy. FAU - Gershwin, Merrill Eric AU - Gershwin ME AD - Division of Rheumatology, Allergy and Clinical Immunology, University of California, Davis, Davis, CA, United States. FAU - Invernizzi, Pietro AU - Invernizzi P AD - Division of Gastroenterology, Center for Autoimmune Liver Diseases, Department of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy. AD - European Reference Network on Hepatological Diseases (ERN RARE-LIVER), San Gerardo Hospital, Monza, Italy. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20220831 PL - Switzerland TA - Front Immunol JT - Frontiers in immunology JID - 101560960 RN - 0 (HLA Antigens) SB - IM MH - Genetic Predisposition to Disease MH - *Genome-Wide Association Study MH - HLA Antigens/genetics MH - Humans MH - *Liver Cirrhosis, Biliary/genetics PMC - PMC9471323 OTO - NOTNLM OT - HLA haplotypes OT - genetics OT - human leukocyte antigens complex OT - immunotolerance OT - primary biliary cholangitis COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/09/20 06:00 MHDA- 2022/09/21 06:00 PMCR- 2022/01/01 CRDT- 2022/09/19 04:22 PHST- 2022/06/21 00:00 [received] PHST- 2022/08/11 00:00 [accepted] PHST- 2022/09/19 04:22 [entrez] PHST- 2022/09/20 06:00 [pubmed] PHST- 2022/09/21 06:00 [medline] PHST- 2022/01/01 00:00 [pmc-release] AID - 10.3389/fimmu.2022.975115 [doi] PST - epublish SO - Front Immunol. 2022 Aug 31;13:975115. doi: 10.3389/fimmu.2022.975115. eCollection 2022.