PMID- 37801591 OWN - NLM STAT- MEDLINE DCOM- 20231207 LR - 20231217 IS - 1728-7731 (Electronic) IS - 1726-4901 (Linking) VI - 86 IP - 12 DP - 2023 Dec 1 TI - HLA-DR genotypes in patients with systemic lupus erythematosus in Taiwan. PG - 1060-1065 LID - 10.1097/JCMA.0000000000001009 [doi] AB - BACKGROUND: Different human leukocyte antigen (HLA)-DR genotypes have been known to be associated with the risk of development of systemic lupus erythematosus (SLE) in different populations, although Lu et al. have reported previously that no correlation exists between the HLA-DR genotype and disease manifestation in SLE patients in Taiwan. We investigated the effects different HLA-DR genotypes had on SLE incidence in Taiwanese patients as to whether risk alleles were associated with different clinical manifestations, and the effects risk alleles had on the age of disease onset. METHODS: Two hundred thirty-four SLE patients and 346 healthy controls were enrolled. HLA-DR genotyping was performed with the HLA FluoGene DRDQ kit for each subject. Chi-square tests and t tests were performed for statistical analysis. RESULTS: HLA-DR2 was significantly more frequently found in SLE patients than in controls (odds ratio [OR] = 2.05, 95% CI, 1.44-2.92, p < 0.001). Notably, HLA-DR6 appeared to trend toward negative correlation with SLE, whereas HLA-DR8 appeared to trend toward positive correlation. HLA-DR2 patients had an earlier onset of disease as well as a higher prevalence of oral ulcer, avascular necrosis of bone, and renal involvement (lupus nephritis). CONCLUSION: HLA-DR2 was associated with SLE susceptibility in this Taiwanese population as well as lower age of disease onset and more severe clinical manifestations. CI - Copyright (c) 2023, the Chinese Medical Association. FAU - Yen, Chang-Yi AU - Yen CY AD - Division of Rheumatology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan, ROC. AD - Institute of Medical Informatics, College of Electrical Engineering and Computer Science, National Cheng Kung University, Tainan, Taiwan, ROC. FAU - Wang, Pin-Yi AU - Wang PY AD - Division of Rheumatology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan, ROC. AD - Graduate Institute of Clinical Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan, ROC. FAU - Chen, Kuan-Yu AU - Chen KY AD - Division of Rheumatology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan, ROC. AD - Graduate Institute of Clinical Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan, ROC. FAU - Tseng, Chia-Chun AU - Tseng CC AD - Division of Rheumatology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan, ROC. AD - School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan, ROC. FAU - Wu, Cheng-Chin AU - Wu CC AD - Division of Rheumatology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan, ROC. FAU - Ou, Tsan-Teng AU - Ou TT AD - Division of Rheumatology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan, ROC. FAU - Yen, Jeng-Hsien AU - Yen JH AD - Division of Rheumatology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan, ROC. AD - Graduate Institute of Clinical Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan, ROC. AD - Institute of Biomedical Science, National Sun Yat-Sen University, Kaohsiung, Taiwan, ROC. AD - Department of Biomedical Science and Technology, National Yang Ming Chiao Tung University, Hsinchu, Taiwan, ROC. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20231006 PL - Netherlands TA - J Chin Med Assoc JT - Journal of the Chinese Medical Association : JCMA JID - 101174817 RN - 0 (HLA-DR2 Antigen) RN - 0 (HLA-DR Antigens) SB - IM MH - Humans MH - *HLA-DR2 Antigen/genetics MH - Taiwan MH - Genetic Predisposition to Disease MH - HLA-DR Antigens/genetics MH - *Lupus Erythematosus, Systemic/genetics MH - Genotype COIS- Conflicts of interest: The authors declare that they have no conflicts of interest related to the subject matter or materials discussed in this article. EDAT- 2023/10/06 18:42 MHDA- 2023/12/07 12:42 CRDT- 2023/10/06 14:23 PHST- 2023/12/07 12:42 [medline] PHST- 2023/10/06 18:42 [pubmed] PHST- 2023/10/06 14:23 [entrez] AID - 02118582-990000000-00285 [pii] AID - 10.1097/JCMA.0000000000001009 [doi] PST - ppublish SO - J Chin Med Assoc. 2023 Dec 1;86(12):1060-1065. doi: 10.1097/JCMA.0000000000001009. Epub 2023 Oct 6.