PMID- 37325616 OWN - NLM STAT- MEDLINE DCOM- 20230619 LR - 20240315 IS - 1664-3224 (Electronic) IS - 1664-3224 (Linking) VI - 14 DP - 2023 TI - Novel HLA allele associations with susceptibility, staging, symptomatic state, autoimmune hepatitis and hepatocellular carcinoma events for primary biliary cholangitis in the Japanese population. PG - 1151502 LID - 10.3389/fimmu.2023.1151502 [doi] LID - 1151502 AB - Primary biliary cholangitis (PBC) is a rare autoimmune disease with a clear predisposition for human leukocyte antigen (HLA)-DR/DQ-associated loss of immune tolerance for the E2 component of the pyruvate dehydrogenase complex. Three-field-resolution HLA imputation of 1,670 Japanese PBC patients and 2,328 healthy controls was conducted using Japanese population-specific HLA reference panels. Eighteen previously reported Japanese PBC-associated HLA alleles were confirmed and extended to 3-field-resolution, including HLA-DRB1*08:03 to HLA-DRB1*08:03:02, HLA-DQB1*03:01 to HLA-DQB1*03:01:01, HLA-DQB1*04:01 to HLA-DQB1*04:01:01 and HLA-DQB1*06:04 to HLA-DQB1*06:04:01. In addition, additional significant novel HLA alleles were identified, including 3 novel susceptible HLA-DQA1 alleles: HLA-DQA1*03:03:01, HLA-DQA1*04:01:01, HLA-DQA1*01:04:01 and 1 novel protective HLA-DQA1 allele, HLA-DQA1*05:05:01. In addition, PBC patients carrying HLA-DRB1*15:01:01 and HLA-DQA1*03:03:01 would have a higher predisposition toward developing concomitant autoimmune hepatitis (AIH). Further, late-stage and symptomatic PBC shared the same susceptible HLA alleles of HLA-A*26:01:01, HLA-DRB1*09:01:02 and HLA-DQB1*03:03:02. Lastly, HLA-DPB1*05:01:01 was identified as a potential risk HLA allele for development of hepatocellular carcinoma (HCC) in PBC patients. In conclusion, we have extended the current knowledge of HLA allele associations to 3-field resolution and identified novel HLA allele associations with predisposition risk, staging, symptomatic state, and AIH and HCC events for Japanese PBC patients. CI - Copyright (c) 2023 Khor, Ueno, Nishida, Kawashima, Kawai, Aiba, Hitomi, Nagasaki, Nakamura and Tokunaga. FAU - Khor, Seik-Soon AU - Khor SS AD - Genome Medical Science Project, National Center for Global Health and Medicine, Tokyo, Japan. FAU - Ueno, Kazuko AU - Ueno K AD - Genome Medical Science Project, National Center for Global Health and Medicine, Tokyo, Japan. FAU - Nishida, Nao AU - Nishida N AD - Genome Medical Science Project, National Center for Global Health and Medicine, Tokyo, Japan. AD - The Research Center for Hepatitis and Immunology, Research Institute, National Center for Global Health and Medicine, Ichikawa, Japan. FAU - Kawashima, Minae AU - Kawashima M AD - Database Center for Life Science (DBCLS), Research Organization of Information and Systems, Chiba, Japan. FAU - Kawai, Yosuke AU - Kawai Y AD - Genome Medical Science Project, National Center for Global Health and Medicine, Tokyo, Japan. FAU - Aiba, Yoshihiro AU - Aiba Y AD - Clinical Research Center, National Hospital Organization (NHO) Nagasaki Medical Center, Omura, Japan. FAU - Hitomi, Yuki AU - Hitomi Y AD - Department of Human Genetics, Research Institute, National Center for Global Health and Medicine, Tokyo, Japan. FAU - Nagasaki, Masao AU - Nagasaki M AD - Medical Research Center for High Depth Omics, Medical Institute of Bioregulation, Kyushu University, Fukuoka, Japan. AD - Center for Genomic Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan. FAU - Nakamura, Minoru AU - Nakamura M AD - Clinical Research Center, National Hospital Organization (NHO) Nagasaki Medical Center, Omura, Japan. AD - Department of Hepatology, Nagasaki University Graduate School of Biomedical Sciences, Omura, Japan. AD - Headquarters of Primary Biliary Cholangitis (PBC) Research in NHO Study Group for Liver Disease in Japan (NHOSLJ), Clinical Research Center, NHO Nagasaki Medical Center, Omura, Japan. FAU - Tokunaga, Katsushi AU - Tokunaga K AD - Genome Medical Science Project, National Center for Global Health and Medicine, Tokyo, Japan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230531 PL - Switzerland TA - Front Immunol JT - Frontiers in immunology JID - 101560960 RN - 0 (HLA-DRB1 Chains) SB - IM MH - Humans MH - *Carcinoma, Hepatocellular/genetics MH - HLA-DRB1 Chains/genetics MH - Alleles MH - Genetic Predisposition to Disease MH - *Hepatitis, Autoimmune/genetics MH - *Liver Cirrhosis, Biliary/genetics MH - East Asian People MH - Haplotypes MH - Gene Frequency MH - *Liver Neoplasms/genetics PMC - PMC10264690 OTO - NOTNLM OT - HLA OT - Scheuer staging system OT - autoimmune hepatitis OT - hepatocellular carcinoma 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- 2023/06/16 06:42 MHDA- 2023/06/19 13:08 PMCR- 2023/01/01 CRDT- 2023/06/16 04:27 PHST- 2023/01/26 00:00 [received] PHST- 2023/05/18 00:00 [accepted] PHST- 2023/06/19 13:08 [medline] PHST- 2023/06/16 06:42 [pubmed] PHST- 2023/06/16 04:27 [entrez] PHST- 2023/01/01 00:00 [pmc-release] AID - 10.3389/fimmu.2023.1151502 [doi] PST - epublish SO - Front Immunol. 2023 May 31;14:1151502. doi: 10.3389/fimmu.2023.1151502. eCollection 2023.