PMID- 37510374 OWN - NLM STAT- MEDLINE DCOM- 20230731 LR - 20230731 IS - 2073-4425 (Electronic) IS - 2073-4425 (Linking) VI - 14 IP - 7 DP - 2023 Jul 19 TI - Associations of HLA Polymorphisms with Chronic Kidney Disease in Japanese Rheumatoid Arthritis Patients. LID - 10.3390/genes14071470 [doi] LID - 1470 AB - OBJECTIVES: The prevalence of chronic kidney disease (CKD) was reported to be higher in rheumatoid arthritis (RA) patients than in normal healthy individuals. Human leukocyte antigen (HLA) was associated with RA or CKD. Few studies on the association of HLA with CKD in RA have been reported. Here, we investigated the association of HLA polymorphisms with CKD in Japanese RA patients. METHODS: HLA-DRB1 genotyping was conducted in 351 Japanese RA patients with CKD (estimated glomerular filtration rate [eGFR] lower than 60 [mL/min/1.73 m(2)]) and 959 without CKD (eGFR equal to or higher than 60 [mL/min/1.73 m(2)]). Associations of allele carrier frequencies of DRB1 with CKD were examined in the RA patients. RESULTS: There was an association of DRB1*13:02 with CKD in RA, but this did not achieve statistical significance (p = 0.0265, odds ratio [OR] 1.70, pc = 0.7412, 95% confidence interval [CI] 1.09-2.64). The DR6 serological group was associated with CKD in RA (p = 0.0008, OR 1.65, 95% CI 1.24-2.20). A gene-dosage effect of DR6 was not detected. Logistic regression analysis showed that the association of DR6 with CKD in RA was independent of clinical characteristics. CONCLUSIONS: The present study first revealed the independent predisposing association of DR6 with CKD in Japanese RA patients, although DR6 is known to be protective against RA. Our data suggest direct or indirect roles of HLA for the development of CKD in RA, but the mechanisms are not clear. 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. AD - Clinical Research Center for Allergy and Rheumatology, National Hospital Organization Sagamihara National Hospital, 18-1 Sakuradai, Minami-ku, Sagamihara 252-0392, 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. AD - Clinical Research Center for Allergy and Rheumatology, National Hospital Organization Sagamihara National Hospital, 18-1 Sakuradai, Minami-ku, Sagamihara 252-0392, Japan. FAU - Shimada, Kota AU - Shimada K AD - Department of Rheumatology, National Hospital Organization Sagamihara National Hospital, 18-1 Sakuradai, Minami-ku, Sagamihara 252-0392, Japan. AD - Department of Rheumatic Diseases, Tokyo Metropolitan Tama Medical Center, 2-8-29 Musashi-dai, Fuchu 183-8524, Japan. FAU - Hashimoto, Atsushi AU - Hashimoto A AD - Department of Rheumatology, National Hospital Organization Sagamihara National Hospital, 18-1 Sakuradai, Minami-ku, Sagamihara 252-0392, Japan. AD - Department of Internal Medicine, Sagami Seikyou Hospital, 6-2-11 Sagamiohno, Minami-ku, Sagamihara 252-0303, Japan. FAU - Komiya, Akiko AU - Komiya A AD - Clinical Research Center for Allergy and Rheumatology, National Hospital Organization Sagamihara National Hospital, 18-1 Sakuradai, Minami-ku, Sagamihara 252-0392, Japan. AD - Department of Clinical Laboratory, National Hospital Organization Sagamihara National Hospital, 18-1 Sakuradai, Minami-ku, Sagamihara 252-0392, Japan. FAU - Matsui, Toshihiro AU - Matsui T AD - Clinical Research Center for Allergy and Rheumatology, National Hospital Organization Sagamihara National Hospital, 18-1 Sakuradai, Minami-ku, Sagamihara 252-0392, Japan. AD - Department of Rheumatology, National Hospital Organization Sagamihara National Hospital, 18-1 Sakuradai, Minami-ku, Sagamihara 252-0392, Japan. FAU - Fukui, Naoshi AU - Fukui N AD - Clinical Research Center for Allergy and Rheumatology, National Hospital Organization Sagamihara National Hospital, 18-1 Sakuradai, Minami-ku, Sagamihara 252-0392, Japan. AD - Department of Life Sciences, Graduate School of Arts and Sciences, The University of Tokyo, 3-8-1 Komaba, Meguro-ku, Tokyo 153-8902, 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. AD - Clinical Research Center for Allergy and Rheumatology, National Hospital Organization Sagamihara National Hospital, 18-1 Sakuradai, Minami-ku, Sagamihara 252-0392, Japan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230719 PL - Switzerland TA - Genes (Basel) JT - Genes JID - 101551097 RN - 0 (HLA-DRB1 Chains) SB - IM MH - Humans MH - East Asian People MH - Genetic Predisposition to Disease MH - *Arthritis, Rheumatoid/complications/genetics MH - HLA-DRB1 Chains/genetics MH - *Renal Insufficiency, Chronic/genetics PMC - PMC10379419 OTO - NOTNLM OT - HLA OT - chronic kidney disease OT - rheumatoid arthritis COIS- H.F. has the following conflicts, and the following funders are supported wholly or in part by the indicated pharmaceutical companies. The Japan Research Foundation for Clinical Pharmacology is run by Daiichi Sankyo, the Takeda Science Foundation is supported by an endowment from Takeda Pharmaceutical Company, and the Nakatomi Foundation was established by Hisamitsu Pharmaceutical Co., Inc. The Daiwa Securities Health Foundation was established by Daiwa Securities Group, Inc., and Mitsui Sumitomo Insurance Welfare Foundation was established by Mitsui Sumitomo Insurance Co., Ltd. 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, Luminex Japan Corporation, Ltd., and Ayumi Pharmaceutical Corporation. T.M. was supported by research grants from AbbVie Japan Co., Ltd., Asahi Kasei Pharma, Astellas Pharma, Inc., Chugai Pharmaceutical Co., Ltd., Eisai Co., Ltd., Pfizer, Inc., Mitsubishi-Tanabe Pharma Co., and Taisho Pharmaceutical Co., Ltd. T.M. received honoraria from AbbVie Japan Co., Ltd., Asahi Kasei Pharma, Astellas Pharma, Inc., Chugai Pharmaceutical Co., Ltd., Daiichi Sankyo Co., Ltd., Eisai Co., Ltd., Eli Lilly Japan K.K., Mitsubishi-Tanabe Pharma Co., Ono Pharmaceutical, Pfizer, Inc., Takeda Pharmaceutical Co., Ltd., and UCB Japan Co., Ltd. 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 conflicts of interest. EDAT- 2023/07/29 11:47 MHDA- 2023/07/31 06:42 PMCR- 2023/07/19 CRDT- 2023/07/29 01:17 PHST- 2023/06/24 00:00 [received] PHST- 2023/07/14 00:00 [revised] PHST- 2023/07/18 00:00 [accepted] PHST- 2023/07/31 06:42 [medline] PHST- 2023/07/29 11:47 [pubmed] PHST- 2023/07/29 01:17 [entrez] PHST- 2023/07/19 00:00 [pmc-release] AID - genes14071470 [pii] AID - genes-14-01470 [pii] AID - 10.3390/genes14071470 [doi] PST - epublish SO - Genes (Basel). 2023 Jul 19;14(7):1470. doi: 10.3390/genes14071470.