PMID- 37374320 OWN - NLM STAT- MEDLINE DCOM- 20230629 LR - 20230701 IS - 1648-9144 (Electronic) IS - 1010-660X (Print) IS - 1010-660X (Linking) VI - 59 IP - 6 DP - 2023 Jun 9 TI - Detection of Nonsynonymous Single Variants in Human HLA-DRB1 Exon 2 Associated with Renal Transplant Rejection. LID - 10.3390/medicina59061116 [doi] LID - 1116 AB - Background: HLA-DRB1 is the most polymorphic gene in the human leukocyte antigen (HLA) class II, and exon 2 is critical because it encodes antigen-binding sites. This study aimed to detect functional or marker genetic variants of HLA-DRB1 exon 2 in renal transplant recipients (acceptance and rejection) using Sanger sequencing. Methods: This hospital-based case-control study collected samples from two hospitals over seven months. The 60 participants were equally divided into three groups: rejection, acceptance, and control. The target regions were amplified and sequenced by PCR and Sanger sequencing. Several bioinformatics tools have been used to assess the impact of non-synonymous single-nucleotide variants (nsSNVs) on protein function and structure. The sequences data that support the findings of this study with accession numbers (OQ747803-OQ747862) are available in National Center for Biotechnology Information (GenBank database). Results: Seven SNVs were identified, two of which were novel (chr6(GRCh38.p12): 32584356C>A (K41N) and 32584113C>A (R122R)). Three of the seven SNVs were non-synonymous and found in the rejection group (chr6(GRCh38.p12): 32584356C>A (K41N), 32584304A>G (Y59H), and 32584152T>A (R109S)). The nsSNVs had varying effects on protein function, structure, and physicochemical parameters and could play a role in renal transplant rejection. The chr6(GRCh38.p12):32584152T>A variant showed the greatest impact. This is because of its conserved nature, main domain location, and pathogenic effects on protein structure, function, and stability. Finally, no significant markers were identified in the acceptance samples. Conclusion: Pathogenic variants can affect intramolecular/intermolecular interactions of amino acid residues, protein function/structure, and disease risk. HLA typing based on functional SNVs could be a comprehensive, accurate, and low-cost method for covering all HLA genes while shedding light on previously unknown causes in many graft rejection cases. FAU - Hassan, Mohamed M AU - Hassan MM AUID- ORCID: 0000-0003-1544-7932 AD - Department of Hematology, Faculty of Medical Laboratory Sciences, National University, Khartoum 11111, Sudan. FAU - Hussain, Mohamed A AU - Hussain MA AUID- ORCID: 0000-0003-1487-2005 AD - Department of Pharmaceutical Microbiology, Faculty of Pharmacy, International University of Africa, Khartoum 11111, Sudan. FAU - Ali, Sababil S AU - Ali SS AD - Department of Parasitology and Medical Entomology, Faculty of Medical Laboratory Sciences, National University, Khartoum11111, Sudan. FAU - Mahdi, Mohammed A AU - Mahdi MA AUID- ORCID: 0000-0002-6728-3899 AD - Department of Chemical Pathology, Faculty of Medical Laboratory Sciences, National University, Khartoum 11111, Sudan. FAU - Mohamed, Nouh Saad AU - Mohamed NS AUID- ORCID: 0000-0001-6843-3361 AD - Molecular Biology Unit, Sirius Training and Research Centre, Khartoum 11111, Sudan. FAU - AbdElbagi, Hanadi AU - AbdElbagi H AD - Molecular Biology Unit, Sirius Training and Research Centre, Khartoum 11111, Sudan. FAU - Mohamed, Osama AU - Mohamed O AUID- ORCID: 0000-0002-5338-6643 AD - Department of Molecular Biology, National University Biomedical Research Institute, National University, Khartoum 11111, Sudan. FAU - Sherif, Asmaa E AU - Sherif AE AD - Department of Pharmacognosy, Faculty of Pharmacy, Prince Sattam Bin Abdulaziz University, Al-kharj 11942, Saudi Arabia. AD - Department of Pharmacognosy, Faculty of Pharmacy, Mansoura University, Mansoura 35516, Egypt. FAU - Osman, Wadah AU - Osman W AD - Department of Pharmacognosy, Faculty of Pharmacy, Prince Sattam Bin Abdulaziz University, Al-kharj 11942, Saudi Arabia. AD - Department of Pharmacognosy, Faculty of Pharmacy, University of Khartoum, Al-Qasr Ave, Khartoum 11111, Sudan. FAU - Ibrahim, Sabrin R M AU - Ibrahim SRM AUID- ORCID: 0000-0002-6858-7560 AD - Preparatory Year Program, Department of Chemistry, Batterjee Medical College, Jeddah 21442, Saudi Arabia. AD - Department of Pharmacognosy, Faculty of Pharmacy, Assiut University, Assiut 71526, Egypt. FAU - Ghazawi, Kholoud F AU - Ghazawi KF AD - Clinical Pharmacy Department, College of Pharmacy, Umm Al-Qura University, Makkah 24382, Saudi Arabia. FAU - Miski, Samar F AU - Miski SF AD - Department of Pharmacology and Toxicology, College of Pharmacy, Taibah University, Al-Madinah Al-Munawwarah 30078, Saudi Arabia. FAU - Mohamed, Gamal A AU - Mohamed GA AUID- ORCID: 0000-0002-2971-6008 AD - Department of Natural Products and Alternative Medicine, Faculty of Pharmacy, King Abdulaziz University, Jeddah 21589, Saudi Arabia. FAU - Ashour, Ahmed AU - Ashour A AUID- ORCID: 0000-0003-4081-0369 AD - Department of Pharmacognosy, Faculty of Pharmacy, Prince Sattam Bin Abdulaziz University, Al-kharj 11942, Saudi Arabia. AD - Department of Pharmacognosy, Faculty of Pharmacy, Mansoura University, Mansoura 35516, Egypt. LA - eng GR - PSAU/2023/R/1444/This study is supported via funding from Prince Sattam bin Abdulaziz University. Project number (PSAU/2023/R/1444)./ PT - Journal Article DEP - 20230609 PL - Switzerland TA - Medicina (Kaunas) JT - Medicina (Kaunas, Lithuania) JID - 9425208 RN - 0 (HLA-DRB1 Chains) RN - 0 (HLA Antigens) SB - IM MH - Humans MH - HLA-DRB1 Chains/genetics MH - *Kidney Transplantation/adverse effects MH - Case-Control Studies MH - HLA Antigens MH - Graft Rejection/genetics MH - Exons/genetics MH - Alleles PMC - PMC10305364 OTO - NOTNLM OT - DNA sequencing OT - HLA typing OT - HLA-DRB1 gene OT - graft rejection OT - health and wellbeing OT - renal diseases OT - single nucleotide variants snvs COIS- The authors declare no conflict of interest. EDAT- 2023/06/28 06:42 MHDA- 2023/06/29 06:43 PMCR- 2023/06/09 CRDT- 2023/06/28 01:25 PHST- 2023/04/14 00:00 [received] PHST- 2023/06/01 00:00 [revised] PHST- 2023/06/06 00:00 [accepted] PHST- 2023/06/29 06:43 [medline] PHST- 2023/06/28 06:42 [pubmed] PHST- 2023/06/28 01:25 [entrez] PHST- 2023/06/09 00:00 [pmc-release] AID - medicina59061116 [pii] AID - medicina-59-01116 [pii] AID - 10.3390/medicina59061116 [doi] PST - epublish SO - Medicina (Kaunas). 2023 Jun 9;59(6):1116. doi: 10.3390/medicina59061116.