HLA-class I markers and multiple sclerosis susceptibility in the Italian population

被引:37
作者
Bergamaschi, L. [2 ]
Leone, M. A. [3 ]
Fasano, M. E. [4 ]
Guerini, F. R. [5 ]
Ferrante, D. [1 ,6 ]
Bolognesi, E. [2 ]
Barizzone, N. [2 ]
Corrado, L. [2 ]
Naldi, P. [3 ]
Agliardi, C. [5 ]
Dametto, E. [4 ]
Salvetti, M. [7 ]
Visconti, A. [7 ]
Galimberti, D. [8 ]
Scarpini, E. [8 ]
Vercellino, M. [9 ]
Bergamaschi, R. [10 ]
Monaco, F. [3 ,11 ]
Caputo, D. [12 ]
Momigliano-Richiardi, P. [2 ]
D'Alfonso, S. [1 ,2 ]
机构
[1] Univ Piemonte Orientale, Dept Med Sci, Unit Med Stat & Canc Epidemiol, I-28100 Novara, Italy
[2] Univ Piemonte Orientale, IRCAD, I-28100 Novara, Italy
[3] Osped Maggiore Novara, Dept Neurol, Novara, Italy
[4] San Giovanni Battista Hosp, Turin, Italy
[5] IRCCS, Don C Gnocchi Fdn, Lab Mol Med & Biotechnol, Milan, Italy
[6] CPO Piemonte, Novara, Italy
[7] Univ Roma La Sapienza, Ctr Expt Neurol Therapy CENTERS, Rome, Italy
[8] Univ Milan, Fdn Osped Maggiore Policlin, Dino Ferrari Ctr, Dept Neurol Sci, Milan, Italy
[9] Osped San Giovanni Battista Torino, Dept Neurol, Turin, Italy
[10] IRCCS, Neurol Inst C Mondino, Pavia, Italy
[11] Univ Piemonte Orientale, Dept Clin & Expt Med, I-28100 Novara, Italy
[12] IRCCS, Don C Gnocchi Fdn, Multiple Sclerosis Unit, Milan, Italy
关键词
multiple sclerosis; HLA-class I markers; extended HLA haplotypes; Myelin Oligodendrocyte Glycoprotein; genetic association; MAJOR HISTOCOMPATIBILITY COMPLEX; MHC HAPLOTYPES; ASSOCIATION; DISEASE; RISK; GENE; DISEQUILIBRIUM; CONFIRMATION; CONFERS; REGION;
D O I
10.1038/gene.2009.101
中图分类号
Q3 [遗传学];
学科分类号
071007 ; 090102 ;
摘要
Previous studies reported an association with multiple sclerosis (MS) of distinct HLA-class I markers, namely HLA-A*02, HLA-Cw*05 and MOG-142L. In this work, we tested the association with MS of A*02 and Cw*05 in 1273 Italian MS patients and 1075 matched controls, which were previously analyzed for MOG-142, and explored the relationship among these three markers in modulating MS risk. HLA-A*02 conferred a statistically robust MS protection (odds ratio, OR=0.61; 95% confidence intervals, CI=0.51-0.72, P<10(-9)), which was independent of DRB1*15 and of any other DRB1* allele and remained similar after accounting for the other two analyzed class I markers. Conversely, the protective effect we previously observed for MOG-142L was secondary to its linkage disequilibrium with A*02. Cw*05 was not associated considering the whole sample, but its presence significantly enhanced the protection in the HLA-A*02-positive group, independently of DRB1: the OR conferred by A*02 in Cw*05-positive individuals (0.22, 95% CI=0.13-0.38) was significantly lower than in Cw*05-negative individuals (0.69, 95% CI=0.58-0.83) with a significant (P=4.94 x 10(-5)) multiplicative interaction between the two markers. In the absence of A*02, Cw*05 behaved as a risk factor, particularly in combination with DRB1* 03 (OR=3.89, P=0.0006), indicating that Cw*05 might be a marker of protective or risk haplotypes, respectively. Genes and Immunity (2010) 11, 173-180; doi: 10.1038/gene.2009.101; published online 12 November 2009
引用
收藏
页码:173 / 180
页数:8
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