PMID- 37686189 OWN - NLM STAT- MEDLINE DCOM- 20230911 LR - 20230911 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 24 IP - 17 DP - 2023 Aug 29 TI - Association between Human Leukocyte Antigen and End-Stage Renal Disease in Patients from Transylvania, Romania. LID - 10.3390/ijms241713383 [doi] LID - 13383 AB - End-stage renal disease (ESRD) is the final stage of chronic kidney disease. This study explored the association between human leukocyte antigen (HLA) and ESRD. The interaction between genetic and environmental factors may also play a role in the development of ESRD. The study included 2392 ESRD patients who were awaiting renal transplantation. Blood samples were genotyped by SSOP and SSP-PCR methods. Multivariate logistic regression analysis showed that HLA-A*11 (p = 0.027), HLA-A*34 (p = 0.017), HLA-A*69 (p = 0.012), HLA-B*41 (p < 0.001), HLA-B*50 (p = 0.004), HLA-DRB1*10 (p = 0.027), and HLA-DRB1*14 (p = 0.004) were positively associated with ESRD (OR > 1); HLA-DRB1*07 (p < 0.001), HLA-DRB1*08 (p = 0.005), and HLA-DRB1*13 (p < 0.001) were protective against ESRD (OR < 1); and the three-locus haplotype HLA-A*02-B*41-DRB1*03, containing one susceptible allele, was strongly associated with ESRD (p < 0.001, OR = 3.15). In conclusion, this retrospective analysis of HLA typing in patients with ESRD of various etiologies suggests that molecular data on the HLA polymorphism should be collected in order to identify high-risk ESRD patients and to improve graft survival after kidney transplantation. FAU - Iancu Loga, Luminita-Ioana AU - Iancu Loga LI AD - Department of Cellular and Molecular Biology, Faculty of Medicine, "Iuliu-Hatieganu" University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania. AD - Clinical Institute of Urology and Renal Transplantation, 400000 Cluj-Napoca, Romania. FAU - Dican, Lucia AU - Dican L AD - Clinical Institute of Urology and Renal Transplantation, 400000 Cluj-Napoca, Romania. AD - Department of Medical Biochemistry, Faculty of Medicine, "Iuliu-Hatieganu" University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania. FAU - Chiorean, Alin Dan AU - Chiorean AD AD - Department of Cellular and Molecular Biology, Faculty of Medicine, "Iuliu-Hatieganu" University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania. FAU - Chelaru, Vlad Florin AU - Chelaru VF AUID- ORCID: 0000-0003-2954-3263 AD - Department of Medical Education, Faculty of Medicine, "Iuliu-Hatieganu" University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania. FAU - Elec, Florin Ioan AU - Elec FI AUID- ORCID: 0000-0002-0803-2387 AD - Clinical Institute of Urology and Renal Transplantation, 400000 Cluj-Napoca, Romania. AD - Department of Urology, Faculty of Medicine, "Iuliu-Hatieganu" University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania. FAU - Catana, Cristina Sorina AU - Catana CS AUID- ORCID: 0000-0002-8899-6265 AD - Department of Medical Biochemistry, Faculty of Medicine, "Iuliu-Hatieganu" University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania. FAU - Marta, Monica Mihaela AU - Marta MM AUID- ORCID: 0000-0003-2153-4493 AD - Department of Medical Education, Faculty of Medicine, "Iuliu-Hatieganu" University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania. FAU - Lucaciu, Roxana Liana AU - Lucaciu RL AUID- ORCID: 0000-0003-4920-4760 AD - Department of Pharmaceutical Biochemistry and Clinical Laboratory, Faculty of Pharmacy, "Iuliu-Hatieganu" University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania. FAU - Hangan, Adriana Corina AU - Hangan AC AUID- ORCID: 0000-0002-0944-3161 AD - Department of Inorganic Chemistry, Faculty of Pharmacy, "Iuliu-Hatieganu" University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania. FAU - Bondor, Cosmina Ioana AU - Bondor CI AUID- ORCID: 0000-0001-6245-4188 AD - Department of Medical Informatics and Biostatistics, Faculty of Medicine, "Iuliu-Hatieganu" University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania. FAU - Vica, Mihaela Laura AU - Vica ML AUID- ORCID: 0000-0003-0811-0821 AD - Department of Cellular and Molecular Biology, Faculty of Medicine, "Iuliu-Hatieganu" University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania. FAU - Matei, Horea Vladi AU - Matei HV AD - Department of Cellular and Molecular Biology, Faculty of Medicine, "Iuliu-Hatieganu" University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania. LA - eng PT - Journal Article DEP - 20230829 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (HLA-DRB1 Chains) RN - 0 (Histocompatibility Antigens) RN - 0 (HLA Antigens) SB - IM MH - Humans MH - Romania MH - HLA-DRB1 Chains/genetics MH - Retrospective Studies MH - *Histocompatibility Antigens MH - HLA Antigens/genetics MH - *Kidney Failure, Chronic/genetics PMC - PMC10488296 OTO - NOTNLM OT - allele frequency OT - end-stage renal disease OT - haplotype frequency OT - human leukocyte antigen COIS- The authors declare no conflict of interest. EDAT- 2023/09/09 11:47 MHDA- 2023/09/11 06:43 PMCR- 2023/08/29 CRDT- 2023/09/09 01:12 PHST- 2023/06/30 00:00 [received] PHST- 2023/08/09 00:00 [revised] PHST- 2023/08/25 00:00 [accepted] PHST- 2023/09/11 06:43 [medline] PHST- 2023/09/09 11:47 [pubmed] PHST- 2023/09/09 01:12 [entrez] PHST- 2023/08/29 00:00 [pmc-release] AID - ijms241713383 [pii] AID - ijms-24-13383 [pii] AID - 10.3390/ijms241713383 [doi] PST - epublish SO - Int J Mol Sci. 2023 Aug 29;24(17):13383. doi: 10.3390/ijms241713383.