PMID- 9731015 OWN - NLM STAT- MEDLINE DCOM- 19981005 LR - 20151119 IS - 1073-449X (Print) IS - 1073-449X (Linking) VI - 158 IP - 3 DP - 1998 Sep TI - Contribution of HLA genes to genetic predisposition in diffuse panbronchiolitis. PG - 846-50 AB - Diffuse panbronchiolitis (DPB) in East Asia is a distinctive chronic obstructive pulmonary disease of unknown etiology. We hypothesize that the disease susceptibility is due to genetic predisposition unique to Asians. Association between human leukocyte antigen (HLA)-Bw54 and the disease was previously reported. In the present study, using newly developed polymerase chain reaction (PCR)- based methods, we directly analyzed HLA class I and II alleles in 76 Japanese patients. HLA-A, -B, and -C antigens were screened by the conventional typing method, and then B22-group alleles including HLA-B54 were genotyped by single-strand conformation polymorphism analysis. Alleles of HLA-DRB1 gene were fully determined by the microtiter plate hybridization method. Thirty-seven percent of the patients possessed HLA-B*5401 allele conserved predominantly in East Asians, as compared with 15% of 110 healthy volunteers (chi2 = 12.4, p = 0.0004). In addition, 4% of the patients possessed B*5504 also unique to Asians but a rare allele which was not found in normal control subjects in this study. Typing of HLA-DRB1 class II gene did not demonstrate strong positive association with the disease. A33, B44, and DRB1*1302 showed negative association with the disease. We conclude that distinctive molecular structure of HLA-B alleles or a closely linked gene in the HLA region contributes to genetic predisposition in diffuse panbronchiolitis. This may partly explain why this disorder is found primarily in Asians. FAU - Keicho, N AU - Keicho N AD - Third Department of Internal Medicine, University of Tokyo; Department of Human Genetics, Graduate School of Medical Sciences, University of Tokyo, Japan. FAU - Tokunaga, K AU - Tokunaga K FAU - Nakata, K AU - Nakata K FAU - Taguchi, Y AU - Taguchi Y FAU - Azuma, A AU - Azuma A FAU - Bannai, M AU - Bannai M FAU - Emi, M AU - Emi M FAU - Ohishi, N AU - Ohishi N FAU - Yazaki, Y AU - Yazaki Y FAU - Kudoh, S AU - Kudoh S LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Am J Respir Crit Care Med JT - American journal of respiratory and critical care medicine JID - 9421642 RN - 0 (Biomarkers) RN - 0 (HLA Antigens) RN - 0 (HLA-A Antigens) RN - 0 (HLA-A*33 antigen) RN - 0 (HLA-B Antigens) RN - 0 (HLA-B22 antigen) RN - 0 (HLA-B44 Antigen) RN - 0 (HLA-B54 antigen) RN - 0 (HLA-C Antigens) RN - 0 (HLA-DR Antigens) RN - 0 (HLA-DRB1 Chains) RN - 0 (Histocompatibility Antigens Class I) RN - 0 (Histocompatibility Antigens Class II) SB - IM MH - Alleles MH - Biomarkers MH - Bronchiolitis/*genetics MH - Chi-Square Distribution MH - Female MH - Genetic Linkage/genetics MH - Genetic Predisposition to Disease MH - Genotype MH - HLA Antigens/*genetics MH - HLA-A Antigens/genetics MH - HLA-B Antigens/genetics MH - HLA-B44 Antigen MH - HLA-C Antigens/genetics MH - HLA-DR Antigens/genetics MH - HLA-DRB1 Chains MH - Histocompatibility Antigens Class I/genetics MH - Histocompatibility Antigens Class II/genetics MH - Humans MH - Japan MH - Lung Diseases, Obstructive/genetics MH - Male MH - Middle Aged MH - Molecular Structure MH - Polymerase Chain Reaction MH - Polymorphism, Single-Stranded Conformational EDAT- 1998/09/10 00:00 MHDA- 1998/09/10 00:01 CRDT- 1998/09/10 00:00 PHST- 1998/09/10 00:00 [pubmed] PHST- 1998/09/10 00:01 [medline] PHST- 1998/09/10 00:00 [entrez] AID - 10.1164/ajrccm.158.3.9712125 [doi] PST - ppublish SO - Am J Respir Crit Care Med. 1998 Sep;158(3):846-50. doi: 10.1164/ajrccm.158.3.9712125.