HLA dosage effect in narcolepsy with cataplexy
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  • 作者:Astrid van der Heide ; Willem Verduijn ; Geert W. Haasnoot…
  • 关键词:Narcolepsy ; Autoimmune ; HLA ; Susceptibility
  • 刊名:Immunogenetics
  • 出版年:2015
  • 出版时间:January 2015
  • 年:2015
  • 卷:67
  • 期:1
  • 页码:1-6
  • 全文大小:152 KB
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  • 作者单位:Astrid van der Heide (1)
    Willem Verduijn (2)
    Geert W. Haasnoot (2)
    Jos J. M. Drabbels (2)
    Gert J. Lammers (1) (3)
    Frans H. J. Claas (2)

    1. Department of Neurology and Clinical Neurophysiology, Leiden University Medical Center, PO Box 9600, 2300, Leiden, The Netherlands
    2. Department of Immunohaematology and Blood Transfusion, Leiden University Medical Center, Leiden, The Netherlands
    3. SleepWake Center SEIN, Heemstede, The Netherlands
  • 刊物类别:Biomedical and Life Sciences
  • 刊物主题:Biomedicine
    Immunology
    Allergology
    Cell Biology
  • 出版者:Springer Berlin / Heidelberg
  • ISSN:1432-1211
文摘
Narcolepsy with cataplexy is a sleep disorder caused by the loss of hypocretin-producing neurons in the hypothalamus. It is tightly associated with a specific human leukocyte antigen (HLA)-allele: HLA-DQB1*06:02. Based on this, an autoimmune process has been hypothesized. A functional HLA-DQ molecule consists of a DQα and a DQβ chain. HLA-DQB1*06:02 (DQβ) has a strong preference for binding to HLA-DQA1*01:02 (DQα), and together they form the functional DQ0602 dimer. A dosage effect would be expected if the HLA-DQ0602 dimer itself is directly involved in the aetiology. An increased expression of the HLA-DQ0602 dimer is expected in individuals homozygous for HLA-DQB1*06:02-DQA1*01:02, but is also hypothesized in individuals heterozygous for HLA-DQB1*06:02 and homozygous for HLA-DQA1*01:02. To study the impact of the expression of the HLA-DQ0602 dimer on narcolepsy susceptibility, 248 Dutch narcolepsy patients and 1272 Dutch control subjects, all of them positive for DQB1*06:02 (heterozygous and homozygous), were HLA-genotyped with attention not only to DQB1 but also to DQA1*01:02. DQB1*06:02-DQA1*01:02 homozygosity was significantly more often seen in patients compared to controls (O.R. 2.29) confirming previous observations. More importantly, a significantly higher prevalence of homozygosity for DQA1*01:02 was found in HLA-DQB1*06:02 heterozygous patients compared to controls (O.R. 2.37, p--.001). The latter finding clearly supports a direct role of the HLA-DQ molecule in the development of disease.

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