HLA等位基因和HLA单倍型与混种人群银屑病、银屑病关节炎和疾病严重程度的关系

IF 5.2 Q1 DERMATOLOGY
Psoriasis (Auckland, N.Z.) Pub Date : 2021-05-10 eCollection Date: 2021-01-01 DOI:10.2147/PTT.S258050
Flavia de Freire Cassia, Juliana Fernandes Cardoso, Luiz Cristovao Porto, Marcia Ramos-E-Silva, Sueli Carneiro
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引用次数: 3

摘要

背景:对巴西银屑病患者HLA I和II类的研究可能有助于更好地了解它们与该疾病的关系。目的:描述巴西伴有或不伴有关节炎的牛皮癣患者的HLA I和II级,将其与对照组进行比较,并将HLA标记与牛皮癣流行病学和进化方面的相关性进行比较。方法:对55例伴有或不伴有关节炎的5年以上银屑病患者进行种族背景和病情严重程度问卷调查。共有134名骨髓捐献者作为对照。采用PCR-SSP法测定HLAⅰ、ⅱ类基因分型。结果:平均年龄42.4岁;23名女性和32名男性。23.6%的患者和7.5%的对照组中存在HLA-B*57 (p=0.00200, OR= 3.8381), 29.1%的患者和16.4%的对照组中存在HLA-C*06 (p= 0.04832, OR=2.0886)。HLA-B*57和HLA-C*18在关节炎患者中显著存在(p=0.00104, OR=6.6769和p=0.00269, OR=16.50)。有红皮病病史的患者中存在HLA-B*57 (p=0.00548, OR= 5.1059)、HLA-C*06 (p=0.02158, OR=3.0545)。HLA-B*57在有银屑病住院史的患者中(p= 0.00094, OR=7.8909)和有银屑病全身治疗史的患者中也较为常见(p= 0.00011, OR= 5.3733)。单倍型HLA-A*02 B*57 C*06 DRB1*07DQB1*03最常见(p= 0.00069, OR= 3.528)。结论:银屑病高危人群HLA-B*57、HLA-C*06明显增高。HLA-B*57在有红皮病、住院、全身治疗和银屑病关节炎病史的患者中保持高水平,与疾病严重程度相关。HLA-C*18仅在银屑病关节炎患者中显著升高。本研究中发现的HLA-B*57、HLA-C*06和单倍型HLA-A*02B*57Cw*06DRB1*07 DQB1*03均与银屑病相关。HLA-Cw*18未在其他人群中与牛皮癣相关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association of HLA Alleles and HLA Haplotypes with Psoriasis, Psoriatic Arthritis and Disease Severity in a Miscegenated Population.

Background: The study of HLA classes I and II in Brazilian psoriasis patients may contribute to a better understanding of their association with the disease.

Objective: To describe HLA classes I and II of Brazilian patients with psoriasis, with or without arthritis, compare them to controls and correlate HLA markers with epidemiological and evolutional aspects of psoriasis.

Methods: A total of 55 patients with more than 5 years of psoriasis, with or without arthritis, answered a questionnaire on ethnic background and disease severity. A total of 134 bone marrow donors were controls. HLA class I and II genotyping was determined by PCR-SSP.

Results: Mean age was 42.4 years; 23 women and 32 men. HLA-B*57 was present in 23.6% patients and in 7.5% controls (p=0.00200, OR= 3.8381), and HLA-C*06 in 29.1% patients and in 16.4% controls (p= 0.04832, OR=2.0886). HLA-B*57 and HLA-C*18 were significantly present in patients with arthritis (p=0.00104, OR=6.6769 and p=0.00269, OR=16.50, respectively). HLA-B*57 was significantly present in patients with history of erythroderma (p=0.00548, OR= 5.1059), as was HLA-C*06 (p=0.02158, OR=3.0545). HLA-B*57 was also frequent in patients with history of hospital internment due to psoriasis (p= 0.00094, OR=7.8909) and in the ones with history of systemic treatment for psoriasis (p= 0.00011, OR= 5.3733). Haplotype HLA-A*02 B*57 C*06 DRB1*07DQB1*03 was the most common among the patients (p= 0.00069, OR= 3.528).

Conclusion: HLA-B*57 and HLA-C*06 were significantly increased in the patients indicating risk for psoriasis. HLA-B*57 remained high in patients with history of erythroderma, hospital internment, systemic treatment, and psoriatic arthritis, showing association with disease severity. HLA-C*18 was significantly high only in patients with psoriatic arthritis. HLA-B*57 and HLA-C*06 and haplotype HLA-A*02B*57Cw*06DRB1*07 DQB1*03 seen in this study were already described before, associated with psoriasis. HLA-Cw*18 was not described in other populations in association with psoriasis.

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