PMID- 36851281 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230301 IS - 2076-393X (Print) IS - 2076-393X (Electronic) IS - 2076-393X (Linking) VI - 11 IP - 2 DP - 2023 Feb 9 TI - Associations of HLA Polymorphisms with Anti-SARS-CoV-2 Spike and Neutralizing Antibody Titers in Japanese Rheumatoid Arthritis Patients Vaccinated with BNT162b2. LID - 10.3390/vaccines11020404 [doi] LID - 404 AB - Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) causes Coronavirus Disease 2019. Anti-SARS-CoV-2 spike (S) and neutralizing antibodies (Abs) are measured to evaluate the efficacy of vaccines. Human leukocyte antigen (HLA) may be associated with vaccine efficacy. Here, we investigated the association of HLA polymorphisms with the production of anti-SARS-CoV-2 S or neutralizing Abs in vaccinated rheumatoid arthritis (RA) patients in Japan. Genotyping of DRB1 and DQB1 was conducted in 87 Japanese RA patients vaccinated with BNT162b2. Associations of allele or haplotype carrier frequencies with anti-SARS-CoV-2 S or neutralizing Abs were examined. DRB1*12:01 was significantly positively associated with the production of S Ab (p = 0.0225, odds ratio [OR] 6.08, 95% confidence interval [CI] 1.32-28.03). The DQB1*03:01 allele carrier frequency tended to be higher in high responders of S Ab. Allele carrier frequencies of DRB1*15:01 (p = 0.0102, OR 9.26, 95% CI 1.65-52.01) and DQB1*06:02 (p = 0.0373, OR 7.00, 95% CI 1.18-41.36) were higher in responders of neutralizing Ab. Haplotype and two-locus analyses of DRB1 and DQB1 suggested that DRB1 alleles were the primary drivers of these associations. Logistic regression analysis showed associations of these alleles independent of clinical characteristics. Independent associations were found between HLA alleles and anti-SARS-CoV-2 Ab production by vaccinated RA patients. FAU - Higuchi, Takashi AU - Higuchi T AD - Department of Rheumatology, National Hospital Organization Tokyo National Hospital, 3-1-1 Takeoka, Kiyose 204-8585, Japan. AD - Department of Nephrology, Ushiku Aiwa General Hospital, 896 Shishiko-cho, Ushiku 300-1296, Japan. FAU - Oka, Shomi AU - Oka S AD - Department of Rheumatology, National Hospital Organization Tokyo National Hospital, 3-1-1 Takeoka, Kiyose 204-8585, Japan. FAU - Furukawa, Hiroshi AU - Furukawa H AUID- ORCID: 0000-0003-1353-8056 AD - Department of Rheumatology, National Hospital Organization Tokyo National Hospital, 3-1-1 Takeoka, Kiyose 204-8585, Japan. FAU - Tohma, Shigeto AU - Tohma S AD - Department of Rheumatology, National Hospital Organization Tokyo National Hospital, 3-1-1 Takeoka, Kiyose 204-8585, Japan. LA - eng GR - National Hospital Organization/ GR - Bristol-Myers Squibb Co/ GR - Abbott Japan Co., Ltd./ GR - Astellas Pharma Inc./ GR - Chugai Pharmaceutical Co., Ltd./ GR - Eisai Co., Ltd./ GR - Mitsubishi Tanabe Pharma Corporation/ GR - Merck Sharp and Dohme Inc./ GR - Pfizer Japan Inc./ GR - Takeda Pharmaceutical Company Limited/ GR - Teijin Pharma Limited/ PT - Journal Article DEP - 20230209 PL - Switzerland TA - Vaccines (Basel) JT - Vaccines JID - 101629355 PMC - PMC9965868 OTO - NOTNLM OT - HLA OT - anti-SARS-CoV-2 neutralizing antibody OT - anti-SARS-CoV-2 spike antibody OT - rheumatoid arthritis OT - vaccination COIS- H.F. was supported by research grants from Bristol-Myers Squibb Co. H.F. received honoraria from Ajinomoto Co., Inc., Daiichi Sankyo Co., Ltd., Dainippon Sumitomo Pharma Co., Ltd., Pfizer Japan Inc., and Takeda Pharmaceutical Company. S.T. was supported by research grants from nine pharmaceutical companies: Abbott Japan Co., Ltd., Astellas Pharma Inc., Chugai Pharmaceutical Co., Ltd., Eisai Co., Ltd., Mitsubishi Tanabe Pharma Corporation, Merck Sharp and Dohme Inc., Pfizer Japan Inc., Takeda Pharmaceutical Company Limited, and Teijin Pharma Limited. S.T. received honoraria from Asahi Kasei Pharma Corporation, Astellas Pharma Inc., AbbVie GK., Chugai Pharmaceutical Co., Ltd., Ono Pharmaceutical Co., Ltd., Mitsubishi Tanabe Pharma Corporation, and Pfizer Japan Inc. The other authors declare no financial or commercial conflict of interest. EDAT- 2023/03/01 06:00 MHDA- 2023/03/01 06:01 PMCR- 2023/02/09 CRDT- 2023/02/28 01:32 PHST- 2022/12/27 00:00 [received] PHST- 2023/01/23 00:00 [revised] PHST- 2023/02/08 00:00 [accepted] PHST- 2023/02/28 01:32 [entrez] PHST- 2023/03/01 06:00 [pubmed] PHST- 2023/03/01 06:01 [medline] PHST- 2023/02/09 00:00 [pmc-release] AID - vaccines11020404 [pii] AID - vaccines-11-00404 [pii] AID - 10.3390/vaccines11020404 [doi] PST - epublish SO - Vaccines (Basel). 2023 Feb 9;11(2):404. doi: 10.3390/vaccines11020404.